Abstract

Diffuse Reflectance Imaging Differentiates Healing from Non- Healing Wounds in Diabetic Foot Ulcers

Highlights

  • Diabetic foot ulcers (DFUs) are the most common of the plethora of complications arising from diabetes

  • A hand-held nearinfrared optical scanner (NIROS) has been developed for non-contact imaging of diabetic foot ulcers (DFUs) and differentiating between healing and non-healing ulcers based on differences in blood flow to the wound and its surroundings

  • Preliminary studies demonstrated that NIROS was capable of differentiating healing from non-healing wounds based on differences in the optical contrast between the wound and its peripheries

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Summary

Introduction

Diabetic Foot UlcersFoot ulcerations are the most common of the plethora of complications arising from diabetes. The treatment of diabetic foot ulcers (DFUs) costs $ 9–13 billion annually [2], causing significant economic, clinical, and emotional burden on these patients [2,3,4,5,6,7,8,9,10]. About 84% of lower extremity amputations due to diabetes begin with foot ulceration [4,5,6]. The health care cost are driven by interventions to prevent ulcer, development of DFU care plan to shorten healing-time, management plan to prevent amputation, and management plan for the disabled after amputation. Clinicians have been struggling to determine effective methods to predict onset of ulcer or optimize treatment plan to shorten healing time

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