Towards Home-Based Diabetic Foot Ulcer Monitoring: A Systematic Review

Sensors (Basel). 2023 Mar 30;23(7):3618. doi: 10.3390/s23073618.

Abstract

It is considered that 1 in 10 adults worldwide have diabetes. Diabetic foot ulcers are some of the most common complications of diabetes, and they are associated with a high risk of lower-limb amputation and, as a result, reduced life expectancy. Timely detection and periodic ulcer monitoring can considerably decrease amputation rates. Recent research has demonstrated that computer vision can be used to identify foot ulcers and perform non-contact telemetry by using ulcer and tissue area segmentation. However, the applications are limited to controlled lighting conditions, and expert knowledge is required for dataset annotation. This paper reviews the latest publications on the use of artificial intelligence for ulcer area detection and segmentation. The PRISMA methodology was used to search for and select articles, and the selected articles were reviewed to collect quantitative and qualitative data. Qualitative data were used to describe the methodologies used in individual studies, while quantitative data were used for generalization in terms of dataset preparation and feature extraction. Publicly available datasets were accounted for, and methods for preprocessing, augmentation, and feature extraction were evaluated. It was concluded that public datasets can be used to form a bigger, more diverse datasets, and the prospects of wider image preprocessing and the adoption of augmentation require further research.

Keywords: burn; chronic wounds; convolutional neural network (CNN); datasets; deep learning; diabetic foot ulcer (DFU).

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Artificial Intelligence
  • Diabetes Mellitus*
  • Diabetic Foot* / diagnosis
  • Humans
  • Ulcer
  • Wound Healing

Grants and funding

This research received no external funding.