A comparative evaluation of spectrophotometric intracutaneous analysis and laser doppler imaging in the assessment of adult and paediatric burn injuries

Publication date: Available online 29 March 2018
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): S. Charuvila, M. Singh, D. Collins, I. Jones
IntroductionClinical assessment of mid dermal burns can be challenging. Currently, Laser Doppler Imaging is the gold standard adjunct in the assessment of burn injuries. Whilst Laser Doppler Imaging has demonstrated reliable accuracy, it poses various limitations in everyday use including cost and ease of use. In comparison, Spectrophotometric Intracutaneous Analysis is a relatively cheaper technique which can be carried out using a modified digital camera which enables easy image acquisition. We aim to compare the accuracy of the two modalities in the assessment of mid-dermal burn injuries.MethodsWe recruited 29 patients with mid-dermal burns presenting within two to five days post burn. 45 burn regions of interest were identified and underwent imaging using both the modalities. Subsequent clinical outcome was followed and treatment remained unaffected by participation. Two clinicians then independently predicted the healing potential of each burn region retrospectively as per images from either modality.ResultsMcNemar's test indicated that there is no significant difference between the accuracy of the two modalities (p=0.61).ConclusionThe results suggest that the accuracy of Spectrophotometric Intracutaneous Analysis is comparable to that of Laser Doppler Imaging. Our experience with Spectrophotometric Intracutaneous Analysis indicates its potential as a cost effective and user friendly adjunct in decision making.



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