Breast cancer wound imaging: evaluation of the cross-localisation method
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Updated: May 13, 2025
Multi-modal Imaging of Angiogenesis in a Nude Rat Model of Breast Cancer Bone Metastasis Using Magnetic Resonance Imaging, Volumetric Computed Tomography and Ultrasound
Published on: August 14, 2012
Xin Peng1, Huizi Zhao2, Chufeng Lv3
1MD, Head Nurse, Department of Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Objective:
Wound image acquisition has been widely used in wound care; however, there are few reports on scientifically accurate technology in wound image acquisition for wound evaluation. This study compared the effectiveness of a cross-localisation method with a direct photographic method for image acquisition of breast cancer wounds.
Method:
The wounds of eligible patients were assessed by direct measurement, direct photography, and by a cross-localisation method using the Bates-Jensen Wound Assessment Tool (BWAT) with 13 items. After four months, the wound images were re-evaluated and re-recorded for consistency assessment.
Results:
The experimental cohort comprised 150 patients. The consistency of the total BWAT score between the direct photograph acquisition and direct measurement methods was poor (Kappa=0.375). Only wound size, induration and exudate type presented general consistency. There was a good consistency between the cross-localisation image method and the direct measurement method (Kappa=0.786). The wound size, depth, oedema, induration and granulation tissue demonstrated complete consistency between the direct measurement and cross-localisation methods (Kappa=1.000).
Conclusion:
Wound imaging using direct photography does not present the wound characteristics with complete clarity; however cross-localisation with an objective reference showed optimal performance in this study. The cross-localisation method can provide more specific and accurate wound evaluation.
