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Updated: Mar 26, 2026

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Generation of a Three-dimensional Full Thickness Skin Equivalent and Automated Wounding
Published on: February 26, 2015
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Three-dimensional imaging: a novel, valid, and reliable technique for measuring wound surface area
Z M Rashaan1,2, C M Stekelenburg3,4, M B A van der Wal4,5
1Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands. zrashaan@rkz.nl.
Summary
This study validates the Artec MHT™ 3D Scanner for wound surface area measurement. The novel three-dimensional imaging technique proves both valid and reliable for clinical use.
Area of Science:
- Medical Imaging
- Wound Care Technology
- Biomedical Engineering
Background:
- Accurate wound surface area measurement is crucial for effective treatment monitoring.
- Traditional methods can be time-consuming and prone to inaccuracies.
- Advancements in 3D imaging offer potential for improved wound assessment.
Purpose of the Study:
- To evaluate the accuracy (validity) and consistency (reliability) of the Artec MHT™ 3D Scanner.
- To determine the suitability of this novel 3D imaging technique for measuring wound surface area.
- To establish a new standard for objective wound assessment.
Main Methods:
- Validity was assessed by measuring standardized stickers against a gold standard on volunteers.
- Reliability was tested by having two observers repeatedly measure burn wounds on patients using the scanner.
- Measurements were performed by clinicians following standardized scanning and post-processing protocols.
Main Results:
- Validity analysis demonstrated a high intraclass correlation coefficient (0.99) with low coefficients of variation (0.6%–1.1%).
- Reliability analysis also showed an excellent intraclass correlation coefficient (0.99) with a coefficient of variation of 6.3%.
- Limits of agreement between observers were narrow, indicating high measurement consistency.
Conclusions:
- The Artec MHT™ 3D Scanner is a valid and reliable tool for quantifying wound surface area.
- This 3D imaging technique offers a precise and reproducible method for wound assessment.
- The study supports the adoption of this technology in clinical practice for improved wound management.

