Artificial Intelligence in Burn and Wound Care: Image Analysis, Prediction, and Clinical Integration
Joshua Khorsandi1, Jason Mirharooni2, Justin Kahen1
1Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV 89106, USA.
Summary
Artificial intelligence (AI) offers objective wound assessment, improving burn and chronic wound care. Deep learning models show high accuracy in wound analysis and outcome prediction, but challenges remain for equitable deployment.
Area of Science:
- Medical Technology
- Artificial Intelligence in Healthcare
- Wound Care Innovation
Background:
- Burn and chronic wound care faces challenges with subjective visual assessments, leading to inconsistent evaluations.
- Aging populations and comorbidities like diabetes exacerbate the global burden of complex wounds.
- Conventional methods lack objectivity, reproducibility, and scalability in wound assessment and prognostication.
Purpose of the Study:
- To review the application of artificial intelligence (AI), particularly deep learning and computer vision, in evaluating burns and chronic wounds.
- To synthesize research on AI for wound recognition, segmentation, outcome prediction, and integration into digital health platforms.
- To identify current advancements and persistent challenges in AI-driven wound care.
Main Methods:
- Narrative review of studies published between 2015 and 2025.
- Focus on three key AI domains: image-based wound analysis, predictive modeling, and telemedicine integration.
- Analysis of performance metrics for deep learning models, including segmentation accuracy and classification sensitivity.
Main Results:
- Convolutional neural networks achieve high performance in wound segmentation (Dice >0.85) and classification (sensitivity >0.90).
- Predictive models demonstrate strong accuracy (0.80-0.95 AUC) for healing, infection, and other outcomes.
- AI integration into smartphone apps, telehealth, and smart dressings shows feasibility in early pilots.
Conclusions:
- AI, especially deep learning, provides objective and reproducible wound assessment, surpassing traditional methods.
- Significant potential exists for AI to enhance wound care through improved diagnostics and remote monitoring.
- Addressing algorithmic bias, data diversity, and regulatory hurdles is crucial for safe and equitable AI deployment in wound management.
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