A Survey of Wound Image Analysis Using Deep Learning: Classification, Detection, and Segmentation

Multi-Class Wound Classification via High and Low-Frequency Guidance Network

Wound image classification is a crucial preprocessing step to many intelligent medical systems, e.g., online diagnosis and smart medical. Recently, Convolutional Neural Network (CNN) has been widely applied to the classification of wound images and obtained promising performance to some extent. Unfortunately, it is still challenging to classify multiple wound types due to the complexity and variety of wound images. Existing CNNs usually extract high- and low-frequency features at the same convolutional layer, which inevitably causes information loss and further affects the accuracy of classification. To this end, we propose a novel High and Low-frequency Guidance Network (HLG-Net) for multi-class wound classification. To be specific, HLG-Net contains two branches: High-Frequency Network (HF-Net) and Low-Frequency Network (LF-Net). We employ pre-trained models ResNet and Res2Net as the feature backbone of the HF-Net, which makes the network capture the high-frequency details and texture information of wound images. To extract much low-frequency information, we utilize a Multi-Stream Dilation Convolution Residual Block (MSDCRB) as the backbone of the LF-Net. Moreover, a fusion module is proposed to fully explore informative features at the end of these two separate feature extraction branches, and obtain the final classification result. Extensive experiments demonstrate that HLG-Net can achieve maximum accuracy of 98.00%, 92.11%, and 82.61% in two-class, three-class, and four-class wound image classifications, respectively, which outperforms the previous state-of-the-art methods.

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

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.

Feature Ranking by Variational Dropout for Classification Using Thermograms from Diabetic Foot Ulcers

Diabetes mellitus presents a high prevalence around the world. A common and long-term derived complication is diabetic foot ulcers (DFUs), which have a global prevalence of roughly 6.3%, and a lifetime incidence of up to 34%. Infrared thermograms, covering the entire plantar aspect of both feet, can be employed to monitor the risk of developing a foot ulcer, because diabetic patients exhibit an abnormal pattern that may indicate a foot disorder. In this study, the publicly available INAOE dataset composed of thermogram images of healthy and diabetic subjects was employed to extract relevant features aiming to establish a set of state-of-the-art features that efficiently classify DFU. This database was extended and balanced by fusing it with private local thermograms from healthy volunteers and generating synthetic data via synthetic minority oversampling technique (SMOTE). State-of-the-art features were extracted using two classical approaches, LASSO and random forest, as well as two variational deep learning (DL)-based ones: concrete and variational dropout. Then, the most relevant features were detected and ranked. Subsequently, the extracted features were employed to classify subjects at risk of developing an ulcer using as reference a support vector machine (SVM) classifier with a fixed hyperparameter configuration to evaluate the robustness of the selected features. The new set of features extracted considerably differed from those currently considered state-of-the-art but provided a fair performance. Among the implemented extraction approaches, the variational DL ones, particularly the concrete dropout, performed the best, reporting an F1 score of 90% using the aforementioned SVM classifier. In comparison with features previously considered as the state-of-the-art, approximately 15% better performance was achieved for classification.