Novel application of a spatial frequency domain imaging system to determine signature spectral differences between infected and noninfected burn wounds.

MedStar author(s):
Citation: Journal of Burn Care & Research. 34(1):44-50, 2013 Jan-Feb.PMID: 23292572Institution: MedStar National Rehabilitation Network | MedStar Washington Hospital CenterDepartment: Surgery/Burn ServicesForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Burns/mi [Microbiology] | *Optical Imaging/mt [Methods] | *Spectrum Analysis/mt [Methods] | *Staphylococcal Infections/di [Diagnosis] | *Staphylococcal Infections/mi [Microbiology] | *Wound Infection/di [Diagnosis] | *Wound Infection/mi [Microbiology] | Animals | Burns/pp [Physiopathology] | Image Processing, Computer-Assisted | Male | Methicillin-Resistant Staphylococcus aureus | Rats | Rats, Sprague-Dawley | Staphylococcal Infections/pp [Physiopathology] | Wound Infection/pp [Physiopathology]Local holdings: Available online through MWHC library: 2006 - present, Available in print through MWHC library: 2006 - presentISSN:
  • 1559-047X
Name of journal: Journal of burn care & research : official publication of the American Burn AssociationAbstract: Complications of infection can increase burn-related morbidity and mortality. Early detection of burn wound infection could lead to more precise and effective treatment, reducing systemic complications and the need for long-term, broad-spectrum intravenous antibiotics. Quantitative cultures from biopsies are the accepted standard to determine infection. However, this methodology can take days to yield results and is invasive. This investigation focuses on the use of noninvasive imaging to determine the infection status of burn wounds in a controlled in vivo model. Full-thickness burn wounds were created on the dorsum of adult male rats (n = 6). Twenty-four hours after burn wound creation, wounds in the "Infected" group were inoculated with a vehicle containing 1 x 10(8) colony forming unit Staphylococcus aureus. "Control" group animals received vehicle alone. Subsequently, the wounds were imaged daily for a total of 10 days and the differences of skin optical properties were assessed using spatial frequency domain imaging at 16 different wavelengths from 500 to 700 nm. Regions of interest on the resulting images were selected and averaged at each time point. Statistically significant differences in average absorption and reduced scattering coefficients (mu(a) and mu(s)') at 620 and 700 nm were observed between the two groups (P < .05). Differential optical properties were most evident by day 4 and persisted throughout the time course. Differential signature changes in optical properties are evident in infected burn wounds. This novel application of spatial frequency domain imaging may prove to be a valuable adjunct to burn wound assessment. Further work will be aimed at determining dose-response relationships and prokaryotic species differences.All authors: Jordan MH, Moffatt LT, Nguyen TT, Ortiz RT, Ramella-Roman JC, Shupp JWDigital Object Identifier: Date added to catalog: 2014-04-04
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Journal Article MedStar Authors Catalog Article Available 23292572

Available online through MWHC library: 2006 - present, Available in print through MWHC library: 2006 - present

Complications of infection can increase burn-related morbidity and mortality. Early detection of burn wound infection could lead to more precise and effective treatment, reducing systemic complications and the need for long-term, broad-spectrum intravenous antibiotics. Quantitative cultures from biopsies are the accepted standard to determine infection. However, this methodology can take days to yield results and is invasive. This investigation focuses on the use of noninvasive imaging to determine the infection status of burn wounds in a controlled in vivo model. Full-thickness burn wounds were created on the dorsum of adult male rats (n = 6). Twenty-four hours after burn wound creation, wounds in the "Infected" group were inoculated with a vehicle containing 1 x 10(8) colony forming unit Staphylococcus aureus. "Control" group animals received vehicle alone. Subsequently, the wounds were imaged daily for a total of 10 days and the differences of skin optical properties were assessed using spatial frequency domain imaging at 16 different wavelengths from 500 to 700 nm. Regions of interest on the resulting images were selected and averaged at each time point. Statistically significant differences in average absorption and reduced scattering coefficients (mu(a) and mu(s)') at 620 and 700 nm were observed between the two groups (P < .05). Differential optical properties were most evident by day 4 and persisted throughout the time course. Differential signature changes in optical properties are evident in infected burn wounds. This novel application of spatial frequency domain imaging may prove to be a valuable adjunct to burn wound assessment. Further work will be aimed at determining dose-response relationships and prokaryotic species differences.

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