BurnCase 3D software validation study: Burn size measurement accuracy and inter-rater reliability

Daryousch Parvizi, Michael Giretzlehner, Paul Wurzer, Limor Dinur Klein, Yaron Shoham, Fredrick J. Bohanon, Herbert L. Haller, Alexandru Tuca, Ludwik Branski, David B. Lumenta, David Herndon, Lars P. Kamolz

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective The aim of this study was to compare the accuracy of burn size estimation using the computer-assisted software BurnCase 3D (RISC Software GmbH, Hagenberg, Austria) with that using a 2D scan, considered to be the actual burn size. Methods Thirty artificial burn areas were pre planned and prepared on three mannequins (one child, one female, and one male). Five trained physicians (raters) were asked to assess the size of all wound areas using BurnCase 3D software. The results were then compared with the real wound areas, as determined by 2D planimetry imaging. To examine inter-rater reliability, we performed an intraclass correlation analysis with a 95% confidence interval. Results The mean wound area estimations of the five raters using BurnCase 3D were in total 20.7 ± 0.9% for the child, 27.2 ± 1.5% for the female and 16.5 ± 0.1% for the male mannequin. Our analysis showed relative overestimations of 0.4%, 2.8% and 1.5% for the child, female and male mannequins respectively, compared to the 2D scan. The intraclass correlation between the single raters for mean percentage of the artificial burn areas was 98.6%. There was also a high intraclass correlation between the single raters and the 2D Scan visible. Conclusion BurnCase 3D is a valid and reliable tool for the determination of total body surface area burned in standard models. Further clinical studies including different pediatric and overweight adult mannequins are warranted.

Original languageEnglish (US)
Pages (from-to)329-335
Number of pages7
JournalBurns
Volume42
Issue number2
DOIs
StatePublished - Mar 1 2016

Fingerprint

Software Validation
Manikins
Validation Studies
Software
Wounds and Injuries
Austria
Body Surface Area
Confidence Intervals
Pediatrics
Physicians

Keywords

  • Burn size estimation
  • BurnCase 3D
  • Burns
  • Software
  • Total body surface area

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine
  • Surgery

Cite this

Parvizi, D., Giretzlehner, M., Wurzer, P., Klein, L. D., Shoham, Y., Bohanon, F. J., ... Kamolz, L. P. (2016). BurnCase 3D software validation study: Burn size measurement accuracy and inter-rater reliability. Burns, 42(2), 329-335. https://doi.org/10.1016/j.burns.2016.01.008

BurnCase 3D software validation study : Burn size measurement accuracy and inter-rater reliability. / Parvizi, Daryousch; Giretzlehner, Michael; Wurzer, Paul; Klein, Limor Dinur; Shoham, Yaron; Bohanon, Fredrick J.; Haller, Herbert L.; Tuca, Alexandru; Branski, Ludwik; Lumenta, David B.; Herndon, David; Kamolz, Lars P.

In: Burns, Vol. 42, No. 2, 01.03.2016, p. 329-335.

Research output: Contribution to journalArticle

Parvizi, D, Giretzlehner, M, Wurzer, P, Klein, LD, Shoham, Y, Bohanon, FJ, Haller, HL, Tuca, A, Branski, L, Lumenta, DB, Herndon, D & Kamolz, LP 2016, 'BurnCase 3D software validation study: Burn size measurement accuracy and inter-rater reliability', Burns, vol. 42, no. 2, pp. 329-335. https://doi.org/10.1016/j.burns.2016.01.008
Parvizi D, Giretzlehner M, Wurzer P, Klein LD, Shoham Y, Bohanon FJ et al. BurnCase 3D software validation study: Burn size measurement accuracy and inter-rater reliability. Burns. 2016 Mar 1;42(2):329-335. https://doi.org/10.1016/j.burns.2016.01.008
Parvizi, Daryousch ; Giretzlehner, Michael ; Wurzer, Paul ; Klein, Limor Dinur ; Shoham, Yaron ; Bohanon, Fredrick J. ; Haller, Herbert L. ; Tuca, Alexandru ; Branski, Ludwik ; Lumenta, David B. ; Herndon, David ; Kamolz, Lars P. / BurnCase 3D software validation study : Burn size measurement accuracy and inter-rater reliability. In: Burns. 2016 ; Vol. 42, No. 2. pp. 329-335.
@article{4721ee9e4e6944d5890d6500349b185b,
title = "BurnCase 3D software validation study: Burn size measurement accuracy and inter-rater reliability",
abstract = "Objective The aim of this study was to compare the accuracy of burn size estimation using the computer-assisted software BurnCase 3D (RISC Software GmbH, Hagenberg, Austria) with that using a 2D scan, considered to be the actual burn size. Methods Thirty artificial burn areas were pre planned and prepared on three mannequins (one child, one female, and one male). Five trained physicians (raters) were asked to assess the size of all wound areas using BurnCase 3D software. The results were then compared with the real wound areas, as determined by 2D planimetry imaging. To examine inter-rater reliability, we performed an intraclass correlation analysis with a 95{\%} confidence interval. Results The mean wound area estimations of the five raters using BurnCase 3D were in total 20.7 ± 0.9{\%} for the child, 27.2 ± 1.5{\%} for the female and 16.5 ± 0.1{\%} for the male mannequin. Our analysis showed relative overestimations of 0.4{\%}, 2.8{\%} and 1.5{\%} for the child, female and male mannequins respectively, compared to the 2D scan. The intraclass correlation between the single raters for mean percentage of the artificial burn areas was 98.6{\%}. There was also a high intraclass correlation between the single raters and the 2D Scan visible. Conclusion BurnCase 3D is a valid and reliable tool for the determination of total body surface area burned in standard models. Further clinical studies including different pediatric and overweight adult mannequins are warranted.",
keywords = "Burn size estimation, BurnCase 3D, Burns, Software, Total body surface area",
author = "Daryousch Parvizi and Michael Giretzlehner and Paul Wurzer and Klein, {Limor Dinur} and Yaron Shoham and Bohanon, {Fredrick J.} and Haller, {Herbert L.} and Alexandru Tuca and Ludwik Branski and Lumenta, {David B.} and David Herndon and Kamolz, {Lars P.}",
year = "2016",
month = "3",
day = "1",
doi = "10.1016/j.burns.2016.01.008",
language = "English (US)",
volume = "42",
pages = "329--335",
journal = "Burns",
issn = "0305-4179",
publisher = "Elsevier Limited",
number = "2",

}

TY - JOUR

T1 - BurnCase 3D software validation study

T2 - Burn size measurement accuracy and inter-rater reliability

AU - Parvizi, Daryousch

AU - Giretzlehner, Michael

AU - Wurzer, Paul

AU - Klein, Limor Dinur

AU - Shoham, Yaron

AU - Bohanon, Fredrick J.

AU - Haller, Herbert L.

AU - Tuca, Alexandru

AU - Branski, Ludwik

AU - Lumenta, David B.

AU - Herndon, David

AU - Kamolz, Lars P.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Objective The aim of this study was to compare the accuracy of burn size estimation using the computer-assisted software BurnCase 3D (RISC Software GmbH, Hagenberg, Austria) with that using a 2D scan, considered to be the actual burn size. Methods Thirty artificial burn areas were pre planned and prepared on three mannequins (one child, one female, and one male). Five trained physicians (raters) were asked to assess the size of all wound areas using BurnCase 3D software. The results were then compared with the real wound areas, as determined by 2D planimetry imaging. To examine inter-rater reliability, we performed an intraclass correlation analysis with a 95% confidence interval. Results The mean wound area estimations of the five raters using BurnCase 3D were in total 20.7 ± 0.9% for the child, 27.2 ± 1.5% for the female and 16.5 ± 0.1% for the male mannequin. Our analysis showed relative overestimations of 0.4%, 2.8% and 1.5% for the child, female and male mannequins respectively, compared to the 2D scan. The intraclass correlation between the single raters for mean percentage of the artificial burn areas was 98.6%. There was also a high intraclass correlation between the single raters and the 2D Scan visible. Conclusion BurnCase 3D is a valid and reliable tool for the determination of total body surface area burned in standard models. Further clinical studies including different pediatric and overweight adult mannequins are warranted.

AB - Objective The aim of this study was to compare the accuracy of burn size estimation using the computer-assisted software BurnCase 3D (RISC Software GmbH, Hagenberg, Austria) with that using a 2D scan, considered to be the actual burn size. Methods Thirty artificial burn areas were pre planned and prepared on three mannequins (one child, one female, and one male). Five trained physicians (raters) were asked to assess the size of all wound areas using BurnCase 3D software. The results were then compared with the real wound areas, as determined by 2D planimetry imaging. To examine inter-rater reliability, we performed an intraclass correlation analysis with a 95% confidence interval. Results The mean wound area estimations of the five raters using BurnCase 3D were in total 20.7 ± 0.9% for the child, 27.2 ± 1.5% for the female and 16.5 ± 0.1% for the male mannequin. Our analysis showed relative overestimations of 0.4%, 2.8% and 1.5% for the child, female and male mannequins respectively, compared to the 2D scan. The intraclass correlation between the single raters for mean percentage of the artificial burn areas was 98.6%. There was also a high intraclass correlation between the single raters and the 2D Scan visible. Conclusion BurnCase 3D is a valid and reliable tool for the determination of total body surface area burned in standard models. Further clinical studies including different pediatric and overweight adult mannequins are warranted.

KW - Burn size estimation

KW - BurnCase 3D

KW - Burns

KW - Software

KW - Total body surface area

UR - http://www.scopus.com/inward/record.url?scp=84960121429&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84960121429&partnerID=8YFLogxK

U2 - 10.1016/j.burns.2016.01.008

DO - 10.1016/j.burns.2016.01.008

M3 - Article

C2 - 26839051

AN - SCOPUS:84960121429

VL - 42

SP - 329

EP - 335

JO - Burns

JF - Burns

SN - 0305-4179

IS - 2

ER -