成像技术在烧伤伤情评估中的应用研究进展

尚柳彤; 王肖; 李瑞欣; 李天然; 孙天俊

doi:10.3760/cma.j.cn501225-20231012-00112

成像技术在烧伤伤情评估中的应用研究进展

doi: 10.3760/cma.j.cn501225-20231012-00112

1.
解放军总医院第四医学中心放射诊断科,北京　　100089
2.
解放军总医院第四医学中心烧伤整形科,北京　　100089

基金项目:

国家自然科学基金面上项目 81271607

详细信息

通讯作者:
李天然,Email：ltranmd@yeah.net

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- 文章访问数: 33
- HTML全文浏览量: 4
- PDF下载量: 6
- 被引次数: 0
出版历程
- 收稿日期: 2023-10-12
- 网络出版日期: 2024-08-19

Research progress on the application of imaging technology in burn injury assessment

1.
Department of Radiodiagnosis, the Fourth Medical Center of PLA General Hospital, Beijing 100089, China
2.
Department of Burn and Plastic Surgery, the Fourth Medical Center of PLA General Hospital, Beijing 100089, China

Funds:

General Program of National Natural Science Foundation of China 81271607

More Information

Corresponding author: Li Tianran, Email: ltranmd@yeah.net

摘要

摘要: 烧伤伤情的准确评估复杂而困难。一些新型皮肤成像技术,如高光谱成像、单边磁共振成像、激光多普勒灌注成像等的出现,已使关于烧伤伤情评估的研究取得了很大进展。随着成像技术及医学影像学的不断进步,数字Ｘ线摄影、CT、磁共振成像及超声成像等医学影像学技术在评估烧伤伤情中发挥了不可低估的作用。然而,有关烧伤影像学方面的研究报道仍较少,这可能源于用于烧伤评估的成像技术及诊断经验在部分医疗机构普及还不全面,且与烧伤相关的影像学表现复杂,缺乏特征性。该文主要针对近年来各种成像技术在烧伤伤情评估中的应用研究进展进行综述,旨在探求各种成像技术在烧伤伤情评估方面的应用价值。
- 烧伤 /
- 体层摄影术,X线计算机 /
- 磁共振成像 /
- 超声检查 /
- 皮肤 /
- 医学影像学
Abstract: The accurate assessment of burn injuries is complex and difficult. The emergence of some new skin imaging techniques, such as hyperspectral imaging, unilateral magnetic resonance imaging, laser Doppler perfusion imaging, etc., has made great progress in research on burn injury assessment. With the continuous progress of imaging technology and medical imaging, medical imaging technologies such as digital radiography, computed tomography, magnetic resonance imaging, and ultrasonography, and so on, have played an important role in burn injury assessment. However, there are still relatively few research reports on burn injury imaging, which may be due to the fact that the imaging techniques and diagnostic experience used for burn injury assessment are not yet fully popular in some medical institutions, and the imaging manifestations related to burns are complex and lack of specificity. This article mainly reviews the application research progress of various imaging techniques in the assessment of burn injury in recent years, aiming to explore the application value of various imaging techniques in burn injury assessment.
- Burns /
- Tomography, X-ray computed /
- Magnetic resonance imaging /
- Ultrasonography /
- Skin /
- Medical imaging
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参考文献(36)

[1]	GiretzlehnerM,GanitzerI,HallerH.Technical and medical aspects of burn size assessment and documentation[J].Medicina (Kaunas),2021,57(3):242.DOI: 10.3390/medicina57030242.
[2]	KaganRJ,PeckMD,AhrenholzDH,et al.Surgical management of the burn wound and use of skin substitutes: an expert panel white paper[J].J Burn Care Res,2013,34(2):e60-79.DOI: 10.1097/BCR.0b013e31827039a6.
[3]	ArabidarrehdorG,TivayA,BighamianR,et al.Mathematical model of volume kinetics and renal function after burn injury and resuscitation[J].Burns,2021,47(2):371-386.DOI: 10.1016/j.burns.2020.07.003.
[4]	JaspersMEH,van HaasterechtL,van ZuijlenPPM,et al.A systematic review on the quality of measurement techniques for the assessment of burn wound depth or healing potential[J].Burns,2019,45(2):261-281.DOI: 10.1016/j.burns.2018.05.015.
[5]	ClaesK,HoeksemaH,VynckeT,et al.Evidence based burn depth assessment using laser-based technologies: where do we stand?[J].J Burn Care Res,2021,42(3):513-525.DOI: 10.1093/jbcr/iraa195.
[6]	SenCK,GhatakS,GnyawaliSC,et al.Cutaneous imaging technologies in acute burn and chronic wound care[J].Plast Reconstr Surg,2016,138(3Suppl):119S-128S.DOI: 10.1097/PRS.0000000000002654.
[7]	马雪洁,刘蓉,李晨曦,等.高光谱在体组织成像方法的研究进展[J].激光与光电子学进展,2020,57(8):12-21.DOI: 10.3788/LOP57.080002.
[8]	McCarthyM,PreteVI,OhS,et al.The use of visible-light hyperspectral imaging in evaluating burn wounds: a case report[J].J Burn Care Res,2021,42(4):825-828.DOI: 10.1093/jbcr/irab003.
[9]	韩丽娜,教媛媛,宁威.太赫兹成像和光谱在医疗领域的应用综述[J].重庆邮电大学学报(自然科学版),2021,33(2):242-252.DOI: 10.3979/j.issn.1673-825X.202011120355.
[10]	宁威,祁峰,汪晋宽.利用太赫兹技术实现烧伤诊断[J].中国医疗设备,2018,33(7):14-16.DOI: 10.3969/j.issn.1674-1633.2018.07.003.
[11]	NikitkinaAI,BikmulinaPY,GafarovaER,et al.Terahertz radiation and the skin: a review[J].J Biomed Opt,2021,26(4):043005.DOI: 10.1117/1.JBO.26.4.043005.
[12]	余晓快速太赫兹时域光谱成像技术及其在皮肤烧伤检测应用研究重庆重庆大学2020 余晓.快速太赫兹时域光谱成像技术及其在皮肤烧伤检测应用研究[D].重庆:重庆大学,2020.
[13]	Van LandeghemM,DanieliE,PerloJ,et al.Low-gradient single-sided NMR sensor for one-shot profiling of human skin[J].J Magn Reson,2012,215:74-84.DOI: 10.1016/j.jmr.2011.12.010.
[14]	HeZ,HeW,WuJ,et al.The novel design of a single-sided MRI probe for assessing burn depth[J].Sensors (Basel),2017,17(3):526.DOI: 10.3390/s17030526.
[15]	WangR,ZhaoJ,ZhangZ,et al.Diagnostic accuracy of laser doppler imaging for the assessment of burn depth: a meta-analysis and systematic review[J].J Burn Care Res,2020,41(3):619-625.DOI: 10.1093/jbcr/irz203.
[16]	DroogEJ,SteenbergenW,SjöbergF.Measurement of depth of burns by laser Doppler perfusion imaging[J].Burns,2001,27(6):561-568.DOI: 10.1016/s0305-4179(01)00021-3.
[17]	CarrièreME,de HaasL,PijpeA,et al.Validity of thermography for measuring burn wound healing potential[J].Wound Repair Regen,2020,28(3):347-354.DOI: 10.1111/wrr.12786.
[18]	WangP,CaoY,YinM,et al.Full-field burn depth detection based on near-infrared hyperspectral imaging and ensemble regression[J].Rev Sci Instrum,2019,90(6):064103.DOI: 10.1063/1.5034503.
[19]	SowaMG,LeonardiL,PayetteJR,et al.Classification of burn injuries using near-infrared spectroscopy[J].J Biomed Opt,2006,11(5):054002.DOI: 10.1117/1.2362722.
[20]	DingwallJA.A clinical test for differentiating second from third degree burns[J].Ann Surg,1943,118(3):427-429.DOI: 10.1097/00000658-194309000-00011.
[21]	LeeMJ,O'ConnellDJ.The plain chest radiograph after acute smoke inhalation[J].Clin Radiol,1988,39(1):33-37.DOI: 10.1016/s0009-9260(88)80334-9.
[22]	WittramC,KennyJB.The admission chest radiograph after acute inhalation injury and burns[J].Br J Radiol,1994,67(800):751-754.DOI: 10.1259/0007-1285-67-800-751.
[23]	MaY,ZhangS,ZhaoL,et al.Inhalation lung injury induced by smoke bombs in children: CT manifestations, dynamic evolution features and quantitative analysis[J].J Thorac Dis,2018,10(10):5860-5869.DOI: 10.21037/jtd.2018.09.84.
[24]	王欣,张雪宁,吴梦琳,等.特重度烧伤伴吸入性损伤患者支气管壁厚度动态变化趋势及对预后的意义[J].中华烧伤杂志,2018,34(4):208-213.DOI: 10.3760/cma.j.issn.1009-2587.2018.04.004.
[25]	KwonHP,ZandersTB,RegnDD,et al.Comparison of virtual bronchoscopy to fiber-optic bronchoscopy for assessment of inhalation injury severity[J].Burns,2014,40(7):1308-1315.DOI: 10.1016/j.burns.2014.06.007.
[26]	马文国,王成德,王爱,等.三维CT血管造影辅助下游离足底内侧穿支皮瓣修复手掌深度烧伤创面的效果[J].中华烧伤杂志,2020,36(4):323-326.DOI: 10.3760/cma.j.cn501120-20190308-00091.
[27]	MaP,SunY,ZhangX,et al.Applications of 256-slice, spiral computed tomography perfusion scanning in limb salvage after high-voltage electrical injury[J].Disaster Med Public Health Prep,2018,12(4):478-485.DOI: 10.1017/dmp.2017.95.
[28]	NettelbladH,ThuomasKA,SjöbergF.Magnetic resonance imaging: a new diagnostic aid in the care of high-voltage electrical burns[J].Burns,1996,22(2):117-119.DOI: 10.1016/0305-4179(95)00104-2.
[29]	ChakkaK,ClarkA,KowalskeK.We got your back: evaluating recovery following spinal cord injury after high-voltage electric burns[J].J Burn Care Res,2023,44(2):414-418.DOI: 10.1093/jbcr/irac115.
[30]	黎淑娟,王正磊,朱维平,等.四肢高压电烧伤早期磁共振成像特点的临床研究[J].中华烧伤杂志,2017,33(12):750-756.DOI: 10.3760/cma.j.issn.1009-2587.2017.12.006.
[31]	MengC,LiuY,WangH,et al.Lower trapezius myocutaneous flap repairs adjacent deep electrical burn wounds[J].Eur J Med Res,2020,25(1):63.DOI: 10.1186/s40001-020-00465-8.
[32]	孙斯琴,郭威,陈军,等.兔肢体高压电烧伤后骨骼肌MRI特征[J].放射学实践,2022,37(5):605-610. DOI: 10.13609/j.cnki.1000-0313.2022.05.014.
[33]	吴兰香,吴伟.静息态功能磁共振成像在局灶性肌张力障碍中的应用研究进展[J].解放军医学杂志,2022,47(10):1042-1048.DOI: 10.11855/j.issn.0577-7402.2022.10.1042.
[34]	GoansRE,CantrellJHJr,MeyersFB.Ultrasonic pulse-echo determination of thermal injury in deep dermal burns[J].Med Phys,1977,4(3):259-263.DOI: 10.1118/1.594376.
[35]	ClaytonJM,HayesAC,HammelJ,et al.Xenon-133 determination of muscle blood flow in electrical injury[J].J Trauma,1977,17(4):293-298.DOI: 10.1097/00005373-197704000-00006.
[36]	LullRJ,TatumJL,SugermanHJ,et al.Radionuclide evaluation of lung trauma[J].Semin Nucl Med,1983,13(3):223-237.DOI: 10.1016/s0001-2998(83)80017-8.