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Erschienen in: Medical & Biological Engineering & Computing 4/2015

01.04.2015 | Original Article

Efficient detection of wound-bed and peripheral skin with statistical colour models

verfasst von: Francisco J. Veredas, Héctor Mesa, Laura Morente

Erschienen in: Medical & Biological Engineering & Computing | Ausgabe 4/2015

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Abstract

A pressure ulcer is a clinical pathology of localised damage to the skin and underlying tissue caused by pressure, shear or friction. Reliable diagnosis supported by precise wound evaluation is crucial in order to success on treatment decisions. This paper presents a computer-vision approach to wound-area detection based on statistical colour models. Starting with a training set consisting of 113 real wound images, colour histogram models are created for four different tissue types. Back-projections of colour pixels on those histogram models are used, from a Bayesian perspective, to get an estimate of the posterior probability of a pixel to belong to any of those tissue classes. Performance measures obtained from contingency tables based on a gold standard of segmented images supplied by experts have been used for model selection. The resulting fitted model has been validated on a training set consisting of 322 wound images manually segmented and labelled by expert clinicians. The final fitted segmentation model shows robustness and gives high mean performance rates [(AUC: .9426 (SD .0563); accuracy: .8777 (SD .0799); F-score: 0.7389 (SD .1550); Cohen’s kappa: .6585 (SD .1787)] when segmenting significant wound areas that include healing tissues.

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Fußnoten
1
The authors guarantee that the study from which this paper has been motivated has adhered to all ethical aspects that ensure the privacy of all personal information from the individuals who participated in the research. The Ethical Commission of the Health District of Málaga (Spain) authorised the study, and all the participants were informed in writing on their participation in the study.
 
2
The CIELUV colour space was adopted by the International Commission on Illumination (CIE) in 1976.
 
3
Since the original JPEG pictures were taken in nonlinear sRGB, the usual procedure for sRGB\(\rightarrow\)CIELUV conversion was followed: after inverting gamma, the images were first converted to CIE XYZ and then to CIELUV.
 
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Metadaten
Titel
Efficient detection of wound-bed and peripheral skin with statistical colour models
verfasst von
Francisco J. Veredas
Héctor Mesa
Laura Morente
Publikationsdatum
01.04.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Medical & Biological Engineering & Computing / Ausgabe 4/2015
Print ISSN: 0140-0118
Elektronische ISSN: 1741-0444
DOI
https://doi.org/10.1007/s11517-014-1240-0

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