Assessment of foot disease in the home environment of diabetic patients using a new photographic foot imaging deviceet al.

被引：21
作者：
Bus S.A. [1 ,2 ]
Hazenberg C.E.V.B. [1 ]
Klein M. [3 ]
Van Baal J.G. [1 ]
机构：
[1] Diabetic Foot Unit, Department of Surgery, Ziekenhuisgroep Twente Almelo
[2] Department of Rehabilitation, Academic Medical Center, University of Amsterdam
[3] Demcon Advanced Mechatronics B.V., Oldenzaal
来源：
Journal of Medical Engineering and Technology | 2010年 / 34卷 / 01期
关键词：
Diabetic foot; Digital photography; Prevention; Remote assessment; Telemedicine; Ulcer;
D O I：
10.3109/03091900903336894
中图分类号：
学科分类号：
摘要：
The objective of this study was to compare live and photographic assessments of clinical signs of diabetic foot disease using a new photographic foot imaging device. High quality colour photographs of the plantar foot surface were collected in 20 diabetic feet using a prototype device and in 19 diabetic feet using a definitive version of the device with optimized illumination settings. All photographs were assessed independently by four observers for presence of ulceration, abundant callus, or absence of signs and compared with live and repeated photographic assessments of the feet by the same observers. Agreement between assessments was moderate to good for all outcomes using the prototype device (56-92%) and improved using the definitive version of the device (74-100%). The data seem to suggest that important signs of diabetic foot disease can be diagnosed from high quality photographs using the photographic foot imaging device. Intended for use as telemedical monitoring device in the patients' home, frequent remote assessments may potentially contribute to the early recognition and treatment of foot disease, which may prevent further complications. © 2009 Informa UK Ltd.
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页码：43 / 50
页数：7
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