Integrating Regenerative Medicine in Chronic Wound Management: A Single-Center Experience.

: Chronic wounds represent a persistent clinical challenge and impose a considerable burden on healthcare systems. These lesions often require multidisciplinary management due to underlying factors such as microbial colonization, impaired immunity, and vascular insufficiencies. Regenerative therapies, particularly autologous approaches, have emerged as promising strategies to enhance wound healing.

Scrotal Flaps for Penile Skin Reconstruction: A Systematic Review.

: Infection, trauma, skin cancer, foreign substance injections and lymphedema are among the most frequent causes of penile skin defects. Scrotal flaps are a promising reconstructive option for penile resurfacing, offering improved functional and aesthetic outcomes; however, there is no clear consensus on their superiority. : A review of the literature was performed in PubMed Central and Scopus, and multiple keywords were employed.

A Collagen-Elastin Regenerative Dermal Matrix May Generate Unfavorable Results in Head and Neck Postburn Scar Reconstruction: A Case Series.

Dermal matrices have brought solutions for many problems, mainly in the treatment of burns and burn scar revisions. The objective of this study was to draw attention to the limits of a collagen-elastin dermal matrix (MatriDerm) in its 1 mm variant for the treatment of burn scars on the face and neck. A case series of four patients (three women and one man) with burn scars of the face (one case) and of the neck (three cases) treated with collagen-elastin matrices is presented.

Hyperspectral imaging reveals that sapropelic mud therapy may improve local tissue oxygenation in elderly.

Sapropelic muds have been used for centuries to treat various illnesses, but their effects and mechanisms are still under research. In this study the effects of Techirghiol sapropelic mud on tissue oxygenation in elderly patients diagnosed with neuromuscular disorders were investigated using spatial and spectral information provided by hyperspectral imaging technique. A group of 38 elderly patients with neuromuscular disorders for which they received mud therapy was studied.

Hyperspectral imaging with machine learning for in vivo skin carcinoma margin assessment: a preliminary study.

Surgical excision is the most effective treatment of skin carcinomas (basal cell carcinoma or squamous cell carcinoma). Preoperative assessment of tumoral margins plays a decisive role for a successful result. The aim of this work was to evaluate the possibility that hyperspectral imaging could become a valuable tool in solving this problem.

Comparative analysis of denoising techniques in burn depth discrimination from burn hyperspectral images.

This study analyzes and compares the performance of five denoising techniques (Lee filter, gamma filter, principal component analysis, maximum noise fraction, and wavelet transform) in order to identify the most appropriate one that lead to the most accurate classification of burned tissue in hyperspectral images. Fifteen hyperspectral images of burned patients were acquired and denoising techniques were applied to each image. Spectral angle mapper classifier was used for data classification and the confusion matrix was used for quantitative evaluation of the performances of the denoising methods.

Outcomes and Economic Evaluation in Delayed Two-Stage Breast Reconstruction in Romania: The Influence of Radiotherapy.

The current paper is a retrospective cohort study conducted on sixty-seven patients who underwent two-stage breast reconstruction over a 5-year period (2015-2020). Forty-one (61.2%) patients received radiotherapy (RT group), and twenty-six (38.

Mapping the Distribution of Melanin Concentration in Different Fitzpatrick Skin Types Using Hyperspectral Imaging Technique.

Measuring skin melanin concentration in order to assess skin phototype according to Fitzpatrick's classification is a constant research goal. In this study, a new approach for assessing skin melanin concentration based on hyperspectral imaging combined with an appropriate analytical model that exploits specific spectral bands to generate maps of melanin content distribution on different Fitzpatrick skin phototypes is presented. Hyperspectral images from the proximal inner side of the forearms of 51 young volunteers covering the first four classes of Fitzpatrick's phototypes were acquired using a hyperspectral imaging system.

Burn characterization using object-oriented hyperspectral image classification.

This paper presents a new approach based on hyperspectral imaging combined with an object-oriented classification method that allows the generation of burn depth classification maps facilitating easier characterization of burns. Hyperspectral images of 14 patients diagnosed with burns on the upper and lower limbs were acquired using a pushbroom hyperspectral imaging system. The images were analyzed using an object-oriented classification approach that uses objects with specific spectral, textural and spatial attributes as the minimum unit for classifying information.

Hypoxia-Inducible Factors and Burn-Associated Acute Kidney Injury-A New Paradigm?

O deprivation induces stress in living cells linked to free-radical accumulation and oxidative stress (OS) development. Hypoxia is established when the overall oxygen pressure is less than 40 mmHg in cells or tissues. However, tissues and cells have different degrees of hypoxia.

New evidence from hyperspectral imaging analysis on the effect of photobiomodulation therapy on normal skin oxygenation.

The aim of this study was to assess the changes induced by photobiomodulation therapy in oxygenation of normal skin and underlying tissue using hyperspectral imaging combined with a chemometric regression approach. Eleven healthy adult volunteers were enrolled in this study. The dorsal side of the left hand of each subject was exposed to photobiomodulation therapy, while the correspondent side of the right hand was used as a control (placebo effect).

Automatic detection of basal cell carcinoma by hyperspectral imaging.

The purpose of this study was to test the ability of hyperspectral imaging (HSI) combined with unsupervised anomaly detectors to automatically differentiate basal cell carcinoma (BCC) from normal skin. Hyperspectral images of the face of a female patient with a BCC of the lower lip were acquired using a visible/near-infrared HSI system and two anomaly detection algorithms (Reed-Xiaoli and Reed-Xiaoli/Uniform Target hybrid anomaly detectors) were used to detect pathological tissue from normal skin. The results revealed that the receiver operating characteristic curve of the Reed-Xiaoli/Uniform Target hybrid detector was higher than that of the Reed-Xiaoli detector in the range of false positive rates between 0 and 0.

Object-oriented classification approach for bone metastasis mapping from whole-body bone scintigraphy.

Purpose: Whole-body bone scintigraphy is the most widely used method for detecting bone metastases in advanced cancer. However, its interpretation depends on the experience of the radiologist. Some automatic interpretation systems have been developed in order to improve diagnostic accuracy.

Extracorporeal Septoplasty-A Well Proven Technique for Treatment of Crooked Noses.

Crooked noses (noses with complex septal and pyramidal deviations) are an important challenge for both plastic surgeons and otolaryngologists. Extracorporeal septoplasty, described by Gubisch constitutes an effective solution to this problem. The article describes a series of 7 cases (5 males and 2 females) in which this method was used during open rhinoseptoplasty.

Computer-aided detection of bone metastasis in bone scintigraphy images using parallelepiped classification method.

Objective: Accurate diagnosis of metastatic tissue on bone scintigraphy images is of paramount importance in making treatment decisions. Although several automated systems have developed, more and better interpretation methods are still being sought. In the present study, a new modality for bone metastasis detection from bone scintigraphy images using parallelepiped classification (PC) as method for mapping the radionuclide distribution is presented.

Basal cell carcinoma of the nasal pyramid excision margins: a retrospective study.

Basal cell carcinoma (BCC) is the most frequent skin cancer and its location in the nasal pyramid poses treatment problems. The main issue is how large the resection margins should be. The article presents a retrospective study on patients with BCCs of the nose.

Hyperspectral index-based metric for burn depth assessment.

Burn depth objective classification is of paramount importance for decision making and treatment. Despite the wide variety of burn depth assessment methods tested so far, none of them have gained wide clinical application. Here, we introduce a new approach for burn depth assessment based on hyperspectral imaging combined with a spectral index-based technique that exploits specific spectral bands to map skin areas with different burn degrees.

Simulated altitude exposure assessment by hyperspectral imaging.

Testing the human body’s reaction to hypoxia (including the one generated by high altitude) is important in aeronautic medicine. This paper presents a method of monitoring blood oxygenation during experimental hypoxia using hyperspectral imaging (HSI) and a spectral unmixing model based on a modified Beer–Lambert law. A total of 20 healthy volunteers (males) aged 25 to 60 years were included in this study.

An Analysis of Human Dorsal Hand Skin Texture Using Hyperspectral Imaging Technique for Assessing the Skin Aging Process.

Skin texture has become an important issue in recent research with applications in the cosmetic industry and medicine. In this paper, we analyzed the dependence of skin texture features on wavelength as well as on different parameters (age and gender) of human participants using grey-level co-occurrence matrix and hyperspectral imaging technique for a more accurate quantitative assessment of the aging process. A total of 42 healthy participants (men and women; age range, 20-70 years) was enrolled in this study.

Algorithm for mapping cutaneous tissue oxygen concentration using hyperspectral imaging.

The measurement of tissue oxygenation plays an important role in the diagnosis and therapeutic assessment of a large variety of diseases. Many different methods have been developed and are currently applied in clinical practice for the measurement of tissue oxygenation. Unfortunately, each of these methods has its own limitations.

Hyperspectral imaging-based wound analysis using mixture-tuned matched filtering classification method.

Hyperspectral imaging is a technology that is beginning to occupy an important place in medical research with good prospects in future clinical applications. We evaluated the role of hyperspectral imaging in association with a mixture-tuned matched filtering method in the characterization of open wounds. The methodology and the processing steps of the hyperspectral image that have been performed in order to obtain the most useful information about the wound are described in detail.

Characterization of burns using hyperspectral imaging technique - a preliminary study.

Surgical burn treatment depends on accurate estimation of burn depth. Many methods have been used to asses burns, but none has gained wide acceptance. Hyperspectral imaging technique has recently entered the medical research field with encouraging results.

Optical techniques for the noninvasive diagnosis of skin cancer.

Purpose: The aim of this paper is to provide an overview of the most investigated optical diagnostic techniques: optical coherence tomography, fluorescence spectrometry, reflectance spectrometry, Raman spectroscopy, and confocal microscopy.

Methods: A search of three databases was conducted using specific keywords and explicit inclusion and exclusion criteria for the analysis of the performances of these techniques in the pre- and postoperative diagnosis of skin cancers.

Results: Optical coherence tomography has shown promising results in the assessment of deep margins of skin tumors and inflammatory skin diseases, but differentiating premalignant from malignant lesions proved to be less effective.