Evidence map›Paper›PMID 34532712›Full record

ArticleIEEE open journal of engineering in medicine and biology2021

Comprehensive Assessment of Fine-Grained Wound Images Using a Patch-Based CNN With Context-Preserving Attention.

Ziyang Liu, Emmanuel Agu, Peder Pedersen, Clifford Lindsay, Bengisu Tulu, Diane Strong

Abstract read
In one paragraph

Article in IEEE open journal of engineering in medicine and biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ziyang LiuComputer Science Department, Worcester Polytechnic Institute, Worcester, MA 01609 USA.ORCID 0000-0001-5419-1250
Emmanuel AguComputer Science Department, Worcester Polytechnic Institute, Worcester, MA 01609 USA.ORCID 0000-0002-3361-4952
Peder PedersenElectrical and Computer Engineering Department, Worcester Polytechnic Institute, Worcester, MA 01609 USA.ORCID 0000-0002-7917-7209
Clifford LindsayDepartment of Radiology, University of Massachusetts Medical School, Worcester, MA 01655 USA.
Bengisu TuluFoisie Business School, Worcester Polytechnic Institute, Worcester, MA 01609 USA.ORCID 0000-0001-7226-1830
Diane StrongFoisie Business School, Worcester Polytechnic Institute, Worcester, MA 01609 USA.ORCID 0000-0002-1756-0464

Funding

SCH:Smartphone Wound Image Parameter Analysis and Decision Support in Mobile EnvR01EB025801 · NIBIB · WORCESTER POLYTECHNIC INSTITUTE · PI AGU, EMMANUEL · 2018 to 2021
$1.6M
NIBIB NIH HHS R01 EB025801
6 · The paper itself

Abstract

goalChronic wounds affect 6.5 million Americans. Wound assessment via algorithmic analysis of smartphone images has emerged as a viable option for remote assessment.

methodsWe comprehensively score wounds based on the clinically-validated Photographic Wound Assessment Tool (PWAT), which comprehensively assesses clinically important ranges of eight wound attributes: Size, Depth, Necrotic Tissue Type, Necrotic Tissue Amount, Granulation Tissue type, Granulation Tissue Amount, Edges, Periulcer Skin Viability. We proposed a DenseNet Convolutional Neural Network (CNN) framework with patch-based context-preserving attention to assess the 8 PWAT attributes of four wound types: diabetic ulcers, pressure ulcers, vascular ulcers and surgical wounds.

resultsIn an evaluation on our dataset of 1639 wound images, our model estimated all 8 PWAT sub-scores with classification accuracies and F1 scores of over 80%.

conclusionsOur work is the first intelligent system that autonomously grades wounds comprehensively based on criteria in the PWAT rubric, alleviating the significant burden that manual wound grading imposes on wound care nurses.

Indexed as

Chronic woundsdeep learningmedical imagingsmartphone assessmenttransfer learning

Identifiers

PMID34532712
PMCPMC8442961

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.