Evidence map›Paper›PMID 37948279›Full record

ArticleMilitary medicine2023

Autonomous Multi-modality Burn Wound Characterization using Artificial Intelligence.

Maxwell J Jacobson, Mohamed El Masry, Daniela Chanci Arrubla, Maria Romeo Tricas, Surya C Gnyawali, Xinwei Zhang, Gayle Gordillo, Yexiang Xue, Chandan K Sen, Juan Wachs

Abstract read
In one paragraph

Article in Military medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

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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

6 citing papers in PubMed.

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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

10 authors.

Maxwell J JacobsonDepartment of Computer Science, Purdue University, West Lafayette, IN 47907, USA.ORCID 0000-0002-0888-028X
Mohamed El MasrySchool of Medicine, Indiana University, Indianapolis, IN 46202, USA.
Daniela Chanci ArrublaDepartment of Computer Science, Emory University, Atlanta, GA 30322, USA.
Maria Romeo TricasDepartment of Computer Science, Purdue University, West Lafayette, IN 47907, USA.
Surya C GnyawaliSchool of Medicine, Indiana University, Indianapolis, IN 46202, USA.
Xinwei ZhangDepartment of Computer Science, Purdue University, West Lafayette, IN 47907, USA.
Gayle GordilloSchool of Medicine, Indiana University, Indianapolis, IN 46202, USA.
Yexiang XueDepartment of Computer Science, Purdue University, West Lafayette, IN 47907, USA.ORCID 0000-0002-4533-0543
Chandan K SenSchool of Medicine, Indiana University, Indianapolis, IN 46202, USA.
Juan WachsSchool of Industrial Engineering, Purdue University, West Lafayette, IN 47907, USA.ORCID 0000-0002-6425-5745

Funding

FIrst REsponse BUrn Diagnostic System (FIRE-BUDS)R21LM013711 · NLM · PURDUE UNIVERSITY · PI GORDILLO, GAYLE M, XUE, YEXIANG · 2022 to 2023
$376k
NLM NIH HHS R21 LM013711
6 · The paper itself

Abstract

introductionBetween 5% and 20% of all combat-related casualties are attributed to burn wounds. A decrease in the mortality rate of burns by about 36% can be achieved with early treatment, but this is contingent upon accurate characterization of the burn. Precise burn injury classification is recognized as a crucial aspect of the medical artificial intelligence (AI) field. An autonomous AI system designed to analyze multiple characteristics of burns using modalities including ultrasound and RGB images is described. MATERIALS AND

methodsA two-part dataset is created for the training and validation of the AI: in vivo B-mode ultrasound scans collected from porcine subjects (10,085 frames), and RGB images manually collected from web sources (338 images). The framework in use leverages an explanation system to corroborate and integrate burn expert's knowledge, suggesting new features and ensuring the validity of the model. Through the utilization of this framework, it is discovered that B-mode ultrasound classifiers can be enhanced by supplying textural features. More specifically, it is confirmed that statistical texture features extracted from ultrasound frames can increase the accuracy of the burn depth classifier.

resultsThe system, with all included features selected using explainable AI, is capable of classifying burn depth with accuracy and F1 average above 80%. Additionally, the segmentation module has been found capable of segmenting with a mean global accuracy greater than 84%, and a mean intersection-over-union score over 0.74.

conclusionsThis work demonstrates the feasibility of accurate and automated burn characterization for AI and indicates that these systems can be improved with additional features when a human expert is combined with explainable AI. This is demonstrated on real data (human for segmentation and porcine for depth classification) and establishes the groundwork for further deep-learning thrusts in the area of burn analysis.

Indexed as

Artificial IntelligenceBurnsAnimalsHumansSwineUltrasonography

Identifiers

PMID37948279
PMCPMC13032068

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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.