Burn Depth Analysis Using Multidimensional Scaling Applied to Psychophysical Experiment Data

In this paper a psychophysical experiment and a multidimensional scaling (MDS) analysis are undergone to determine the physical characteristics that physicians employ to diagnose a burn depth. Subsequently, these characteristics are translated into mathematical features, correlated with these physical characteristics analysis. Finally, a study to verify the ability of these mathematical features to classify burns is performed. In this study, a space with axes correlated with the MDS axes has been developed. 74 images have been represented in this space and a k-nearest neighbor classifier has been used to classify these 74 images. A success rate of 66.2% was obtained when classifying burns into three burn depths and a success rate of 83.8% was obtained when burns were classified as those which needed grafts and those which did not. Additional studies have been performed comparing our system with a principal component analysis and a support vector machine classifier. Results validate the ability of the mathematical features extracted from the psychophysical experiment to classify burns into their depths. In addition, the method has been compared with another state-of-the-art method and the same database.

[1]  A S Bhatia,et al.  Predicting survival in burned patients. , 1992, Burns : journal of the International Society for Burn Injuries.

[2]  Kunio Doi,et al.  Computer-aided diagnosis in medical imaging: Historical review, current status and future potential , 2007, Comput. Medical Imaging Graph..

[3]  R P Cole,et al.  Thermographic assessment of hand burns. , 1990, Burns : journal of the International Society for Burn Injuries.

[4]  Begoña Acha,et al.  Segmentation of burn images based on color and texture information , 2003, SPIE Medical Imaging.

[5]  Mia Hubert,et al.  Robust measures of tail weight , 2006, Comput. Stat. Data Anal..

[6]  R Königová,et al.  Validity of clinical assessment of the depth of a thermal injury. , 1983, Acta chirurgiae plasticae.

[7]  O. Jones,et al.  The reliability of digital images when used to assess burn wounds , 2003, Journal of telemedicine and telecare.

[8]  Forrest W. Young Multidimensional Scaling: History, Theory, and Applications , 1987 .

[9]  Antoni Nowakowski,et al.  Thermal Parametric Imaging in the Evaluation of Skin Burn Depth , 2007, IEEE Transactions on Biomedical Engineering.

[10]  P. Rice,et al.  The use of laser Doppler imaging as an aid in clinical management decision making in the treatment of vesicant burns. , 1998, Burns : journal of the International Society for Burn Injuries.

[11]  Andrew M. Munster A Colour Atlas of Burn Injuries , 1994 .

[12]  M. Afromowitz,et al.  Burn depth estimation--man or machine. , 1983, The Journal of trauma.

[13]  J. Jeng,et al.  Burn wound healing time assessed by laser Doppler imaging (LDI). Part 1: Derivation of a dedicated colour code for image interpretation. , 2012, Burns : journal of the International Society for Burn Injuries.

[14]  Kunio Doi,et al.  Diagnostic imaging over the last 50 years: research and development in medical imaging science and technology , 2006, Physics in medicine and biology.

[15]  Jeffrey W. Shupp,et al.  Critical Review of Burn Depth Assessment Techniques: Part I. Historical Review , 2009, Journal of burn care & research : official publication of the American Burn Association.

[16]  Yves Vander Haeghen,et al.  An imaging system with calibrated color image acquisition for use in dermatology , 2000, IEEE Transactions on Medical Imaging.

[17]  B. Atiyeh,et al.  State of the Art in Burn Treatment , 2005, World Journal of Surgery.

[18]  Ricardo Romero-Méndez,et al.  Analytical solution of the Pennes equation for burn-depth determination from infrared thermographs. , 2010, Mathematical medicine and biology : a journal of the IMA.

[19]  Ilias Maglogiannis,et al.  A system for the acquisition of reproducible digital skin lesions images. , 2003, Technology and health care : official journal of the European Society for Engineering and Medicine.

[20]  Tzu-Chien Hsiao,et al.  Prediction of burn healing time using artificial neural networks and reflectance spectrometer , 2004 .

[21]  Y.T. Zhang,et al.  A Feasibility Study of Burn Wound Depth Assessment Using Terahertz Pulsed Imaging , 2007, 2007 4th IEEE/EMBS International Summer School and Symposium on Medical Devices and Biosensors.

[22]  Mark C. Pierce,et al.  Burn depth determination in human skin using polarization-sensitive optical coherence tomography , 2003, SPIE BiOS.

[23]  Begoña Acha,et al.  Segmentation and classification of burn images by color and texture information. , 2005, Journal of biomedical optics.

[24]  A. Napieralski,et al.  Automatisation of computer-aided burn wounds evaluation , 2012, Proceedings of the 19th International Conference Mixed Design of Integrated Circuits and Systems - MIXDES 2012.

[25]  Andrzej Napieralski,et al.  Computer-aided approach to evaluation of burn wounds , 2011, Proceedings of the 18th International Conference Mixed Design of Integrated Circuits and Systems - MIXDES 2011.

[26]  J. Jeng,et al.  Burn wound healing time assessed by laser Doppler imaging. Part 2: validation of a dedicated colour code for image interpretation. , 2011, Burns : journal of the International Society for Burn Injuries.

[27]  Begoña Acha,et al.  New Characteristics for the Classification of Burns: Experimental Study , 2006, ICIAR.

[28]  C. Serrano,et al.  Digital imaging in remote diagnosis of burns. , 1999, Burns : journal of the International Society for Burn Injuries.

[29]  Kanti V. Mardia,et al.  Statistics of Directional Data , 1972 .