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 K.
AU - Lumenta, David B.
AU - Herndon, David N.
AU - Kamolz, Lars P.
N1 - Publisher Copyright:
© 2016 Elsevier Ltd and ISBI.
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
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U2 - 10.1016/j.burns.2016.01.008
DO - 10.1016/j.burns.2016.01.008
M3 - Article
C2 - 26839051
AN - SCOPUS:84960121429
SN - 0305-4179
VL - 42
SP - 329
EP - 335
JO - Burns
JF - Burns
IS - 2
ER -