Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
IF – 2.1 (5-Year IF – 2.0), JCI (2023) – 0.4
Scopus CiteScore – 3.7 (CiteScore Tracker – 4.3)
Q1 in SJR 2024, SJR score – 0.598
IC – 171.00; MNiSW – 70 pts
Initial editorial assessment and first decision within 24 h

ISSN 1899–5276 (print), ISSN 2451-2680 (online)
Periodicity – monthly

Download original text (EN)

Advances in Clinical and Experimental Medicine

2019, vol. 28, nr 2, February, p. 229–236

doi: 10.17219/acem/92304

Publication type: original article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Thermal imaging and planimetry evaluation of the results of chronic wounds treatment with hyperbaric oxygen therapy

Justyna Glik1,2,A,B,D, Armand Cholewka3,B,C,D, Agata Stanek4,C,D,E, Beata Englisz3,B, Karolina Sieroń5,C, Karolina Mikuś-Zagórska1,A,B,C, Grzegorz Knefel1,B,C, Mariusz Nowak1,C,F, Marek Kawecki1,6,A,E,F

1 Dr Stanisław Sakiel Centre for Burns Treatment, Siemianowice Śląskie, Poland

2 Department of Chronic Wounds Management Organization, School of Health Sciences in Katowice, Medical University of Silesia, Poland

3 August Chełkowski Institute of Physics, University of Silesia, Katowice, Poland

4 School of Medicine with the Division of Dentistry in Zabrze, Department and Clinic of Internal Diseases, Angiology and Physical Medicine in Bytom, Medical University of Silesia, Poland

5 Chair of Physiotherapy, Department of Physical Medicine, School of Health Sciences in Katowice, Medical University of Silesia, Poland

6 Department of Health Sciences, Technical-Humanistic Academy, Bielsko-Biała, Poland

Abstract

Background. One of the methods to treat chronic wounds is the use of hyperbaric oxygen (HBO). Objective measurement of the wound surface is an important element in the process of monitoring and predicting the progress of treatment.
Objectives. The aim of the study was to evaluate the effect of hyperbaric oxygen therapy (HBOT) on ulcer wound healing in patients with chronic venous insufficiency ulcers and diabetic foot syndrome using thermal imaging and computerized planimetry.
Material and Methods. During a 3-year period, 284 digital computer planimetry measurements were gathered from 142 patients treated for leg ulcers caused by chronic venous insufficiency and ulcers from diabetic foot syndrome at HBOT Unit of the Dr Stanisław Sakiel Centre for Burns Treatment in Siemianowice Śląskie (Poland). Each patient took 30 HBOT sessions using a Haux multiplace HBO chamber at a pressure of 2.5 atmospheres absolute (ATA). The results of the treatment were monitored by thermovision and computerassisted planimetry measurements performed before and after HBOT.
Results. Both groups of patients exhibited a reduction in the surface and perimeter of the wound after HBOT. The treatment effects were also confirmed by thermal imaging. The areas calculated from thermal imaging and planimetry are different but correlated.
Conclusion. It seems that a combination of thermal imaging and planimetry may enhance the diagnosis as well as provide the physician with more information about therapy effects.

Key words

chronic wounds, thermal imaging, planimetry, hyperbaric oxygen therapy (HBOT)

References (26)

  1. Fife CE, Hopf H. Hyperbaric oxygen: Its mechanisms and efficacy. Plast Reconstr Surg. 2011;127(Suppl 1):131–141.
  2. Brown ML, Tang W, Patel A, Baumhauer JF. Partial foot amputation in patients with diabetic foot ulcers. Foot Ankle Int. 2012;33(9):707–716.
  3. Jones V, Grey JE, Harding KG. ABC of wound healing. BMJ. 2006;332(7544):777–780.
  4. Oien RF, Håkansson MD, Hansen BU, Bjellerup MD. Measuring the size of ulcers by planimetry: A useful method in the clinical setting. J Wound Care. 2002;11(5):165–168.
  5. Woodbury MG, Houghton PE, Campbell KE, Keast DH. Pressure ulcer assessment instruments: A critical appraisal. Ostomy Wound Manage. 1999;45(5):42–55.
  6. Shah A, Wollak C, Shah JB. Wound measurement techniques: Comparing the use of ruler method, 2D imaging and 3D scanner. J Am Coll Clin Wound Spec. 2015;5(3):52–57.
  7. Kawecki M, Knefel G, Wróblewski P. Przydatność planimetrii kom­puterowej w ocenie wyników leczenia ran przewlekłych. Pol Przegl Chir. 2011;83(1);1.
  8. Foltynski P, Ladzynski P, Ciechanowska A, Migalska-Musial K, Judzewicz G, Sabalinska S. Wound area measurement with digital planimetry: Improved accuracy and precision with calibration based on 2 rulers. PLoS One. 2015;7;10(8):e0134622.
  9. Bauer J, Hurnik P, Zdziarski J, et al. Thermovison and its application in medicine. Acta Bio-Optica et Informatica Medica Inżynieria Biomedyczna. 1997;3(2–4):121–131.
  10. Jawień A, Szewczyk MT, Kaszuba A, et al. Guidelines for the management of chronic venous leg ulceration. Recommendations of a multidisciplinary expert group [in Polish]. Leczenie Ran. 2011;8(3):59–80.
  11. Szewczyk MT, Mościcka P, Cierzniakowska K, Jawień A. Opieka nad raną przewlekłą. Zakażenia. 2010;10(5):70–76.
  12. Ring EFJ, Ammer K. The technique of infrared imaging in medicine. Thermology International. 2000;10(1):7–14.
  13. Bauer J, Dereń E. Standardization of infrared thermal imaging in medicine and physiotherapy. Acta Bio-Optica et Informatica Medica Inżynieria Biomedyczna. 2014;20(1):11–20.
  14. Liszka G, Englisz B, Knefel G, et al. Evaluation of hyperbaric oxygen therapy effects in ulceration of cruras studied by thermal imaging and planimetry: Preliminary results. Thermology International. Vol 26 (2016), Supplement: 16–18.
  15. Cholewka A, Knefel G, Stanek A, et al. Thermal imaging and TC oximetry measurements of hyperbaric oxygen therapy (HBO) effects on trophic ulceration of the crura. J Therm Anal Calorim. 2012;108(1):25–31.
  16. Cholewka A, Stanek A, Sieroń A, Drzazga Z. Thermovision in physical medicine. In: Podbielski, H, Skrzek A, eds. Biomedical Application of Thermovision. Wrocław, Poland: OWPW; 2014:37–48.
  17. Cholewka A, Drzazga Z, Sieron A, Stanek A, Knefel G, Kawecki M, Nowak M. Some Applications of Thermal Imaging in Medicine. In Drzazga Z, Slosarek K. eds, Some Aspects Of Medical Physics – In Vivo And In Vitro Studies (Monographs of Polish Journal of Environmental Studies) 1: 51–58, 2010.
  18. Jørgensen LB, Sørensen JA, Jemec GB, Yderstraede KB. Methods to assess area and volume of wounds: A systematic review. Int Wound J. 2015;13(4):540–553.
  19. Rogers LC, Bevilacqua NJ, Armstrong DA, Andros G. Digital planimetry results in more accurate wound measurements: A comparison to standard ruler measurements. J Diabetes Sci Technol. 2010;(4)4:799–802.
  20. Sieroń A, Nowak M, Knefel G, Szymańska B, Kawecki M. Obiektywizacja gojenia ran przewlekłych aparatem IRIS S firmy Medicom. Leczenie Ran. 2007;4(4):141–144.
  21. Goldman RJ, Salcido R. More than one way to measure a wound: An overview of tools and techniques. Adv Skin Wound Care. 2002;15(5):236–245.
  22. Samad A, Hayes S, French L, Dodds S. Digital imaging versus conventional contact tracing for the objective measurement of venous leg ulcers. J Wound Care. 2002;11(4):137–140.
  23. Kranke P, Bennett MH, Martyn-St James M, Schnabel A, Debus SE, Weibel S. Hyperbaric oxygen therapy for chronic wounds. Cochrane Database Syst Rev. 2015;6:CD004123.
  24. Huang ET, Mansouri J, Murad MH, et al; UHMS CPG Oversight Committee. A clinical practice guideline for the use of hyperbaric oxygen therapy in the treatment of diabetic foot ulcers. Undersea Hyperb Med. 2015;42(3):205–247.
  25. Löndahl M. Hyperbaric oxygen therapy as treatment of diabetic foot ulcers. Diabetes Metab Res Rev. 2012;28(Suppl 1):78–84.
  26. Schreml S, Szeimies RM, Prantl L, Landthaler M, Babilas P. Wound healing in the 21st century. J Am Acad Dermatol. 2010;63(5):866–881.
© Wroclaw Medical University