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A New Mobile Application for Standardizing Diabetic Foot Images.

Moi Hoon Yap1, Katie E Chatwin2, Choon-Ching Ng1

  • 11 School of Computing, Mathematics and Digital Technology, Faculty of Science & Engineering, Manchester Metropolitan University, Manchester, UK.

Journal of Diabetes Science and Technology
|June 23, 2017
PubMed
Summary

A new mobile app, FootSnap, reliably standardizes diabetic foot images. This tool shows high accuracy for tracking diabetic foot health over time.

Keywords:
appdiabetic footimagelesionulcer

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Area of Science:

  • Medical imaging
  • Mobile health technology
  • Diabetic foot care

Background:

  • Diabetic foot complications are a significant health concern.
  • Standardized imaging is crucial for monitoring diabetic foot pathology.
  • Existing methods for foot imaging lack standardization.

Purpose of the Study:

  • To introduce FootSnap, a novel mobile application designed for standardizing diabetic foot photography.
  • To evaluate the reliability and reproducibility of FootSnap for imaging both diabetic and non-diabetic feet.
  • To assess the app's suitability for longitudinal monitoring of diabetic foot conditions.

Main Methods:

  • FootSnap app developed for iPad by a multidisciplinary team.
  • Plantar images of 30 diabetic and 30 non-diabetic feet captured twice by two operators.
  • Image reproducibility quantified using the Jaccard similarity index (JSI).

Main Results:

  • High intra- and inter-operator reliability achieved for diabetic feet (JSI: 0.89-0.91).
  • Excellent reliability also observed for control feet (JSI: 0.93-0.94).
  • Consistent high reliability across different operators and occasions.

Conclusions:

  • FootSnap demonstrates high reliability for standardizing diabetic foot images.
  • The app is suitable for longitudinal follow-up studies in diabetic patients.
  • FootSnap has potential as a tool for monitoring diabetic foot pathology effectively.