Segmentasi luka diabetes menggunakan algoritma contour image processing

Pengukuran luas luka pada penderita diabetes masih menggunakan cara manual dengan penggaris luka. Sedangkan penggaris yang ditempelkan keluka akan menjadi contaminated agent yang dapat menularkan infeksi pada penderita lain. Metode pengukuran digital diperlukan agar masalah tersebut bisa terselesaikan. Tetapi untuk memperjelas batas antara luka dan kulit diperlukan ketelitian dan akurasi yang tinggi. Untuk itu diperlukan metode pencitraan yang dapat melakukan segmentasi antara batas luka dan kulit paada pasien diabetes berbasis digital yang dinamakan digital planimetry. Penelitian ini menggunakan algoritma contour image processing dari nilai hue, saturation, value (HSV).  kemudian melakukan iterasi sebanyak 5 kali dan filter gamma. Sehingga mendapatkan hasil segmentasi luka. Kesimpulan akhir dari penelitian ini adalah segementasi dengan metode ini belum dapat melakukan segementasi luka dengan baik dan diperlukan tambahan nilai masking yang lebih luas, akan tetapi hasil iterasi ke 5 mendapatkan error terkecil yaitu 0.002%.  Pencitraan digital yang dilakukan dalam penelitian ini dapat dikembangkan untuk menjadi alat ukur luas luka pasien diabetes berbasis digital

Camera-based assessment of cutaneous perfusion strength in a clinical setting

Objective. After skin flap transplants, perfusion strength monitoring is essential for the early detection of tissue perfusion disorders and thus to ensure the survival of skin flaps. Camera-based photoplethysmography (cbPPG) is a non-contact measurement method, using video cameras and ambient light, which provides spatially resolved information about tissue perfusion. It has not been researched yet whether the measurement depth of cbPPG, which is limited by the penetration depth of ambient light, is sufficient to reach pulsatile vessels and thus to measure the perfusion strength in regions that are relevant for skin flap transplants. Approach. We applied constant negative pressure (compared to ambient pressure) to the anterior thighs of 40 healthy subjects. Seven measurements (two before and five up to 90 min after the intervention) were acquired using an RGB video camera and photospectrometry simultaneously. We investigated the performance of different algorithmic approaches for perfusion strength assessment, including the signal-to-noise ratio (SNR), its logarithmic components logS and logN, amplitude maps, and the amplitude height of alternating and direct signal components. Main results. We found strong correlations of up to r = 0.694 (p < 0.001) between photospectrometric measurements and all cbPPG parameters except SNR when using the green color channel. The transfer of cbPPG signals to POS, CHROM, and O3C did not lead to systematic improvements. However, for direct signal components, the transformation to O3C led to correlations of up to r = 0.744 (p < 0.001) with photospectrometric measurements. Significance. Our results indicate that a camera-based perfusion strength assessment in tissue with deep-seated pulsatile vessels is possible