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Objective Longitudinal Monitoring of Burn Wound Area Using 3D Surface Scanning: A Pilot Study.

Bibiána Ondrejová1, Katarína Dudová1, Monika Michalíková1

  • 1Department of Biomedical Engineering and Measurement, Faculty of Mechanical Engineering, Technical University of Košice, Letná 1/9, 042 00 Košice, Slovakia.

European Burn Journal
|March 27, 2026
PubMed
Summary
This summary is machine-generated.

Structured-light 3D scanning offers objective burn wound assessment. This pilot study demonstrates its utility in quantifying burn area reduction and healing dynamics, supporting future clinical applications for improved burn care.

Keywords:
3D scanningburnwound analysis

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Area of Science:

  • Medical Technology
  • Wound Healing
  • 3D Imaging

Background:

  • Traditional burn assessment relies on subjective visual inspection and 2D estimation, leading to variability in wound size and healing evaluation.
  • Three-dimensional (3D) surface scanning presents an objective alternative, but its clinical utility for area-based burn metrics requires further definition.

Purpose of the Study:

  • To evaluate structured-light 3D scanning for objective, longitudinal quantification of burn wound surface area.
  • To describe area-based healing dynamics using repeated 3D measurements.

Main Methods:

  • Serial structured-light 3D scanning of 43 acute thermal burns in 18 patients.
  • Manual segmentation of wound regions and calculation of area reduction metrics (absolute, percentage, TBSA-normalized).
  • Longitudinal monitoring of sequential 3D models to calculate healing rates and changes in Total Body Surface Area percentage (ΔTBSA%).

Main Results:

  • Wound areas varied significantly (7.27 to 2137.98 cm²).
  • Percentage area reduction ranged from 5.25% to 92.30%, with overall ΔTBSA% from 0.07% to 12.94%.
  • Large wounds showed rapid absolute reduction (>100-300 cm²/day) early on; small superficial burns achieved >80% reduction within 10-15 days.

Conclusions:

  • 3D surface scanning shows potential for objective longitudinal assessment of burn wound healing.
  • This pilot study establishes a foundation for future research into additional topographic parameters and broader clinical uses of 3D scanning in burn management.