BurnCase 3D
BurnCase 3D is software that is used to document burn injuries on a 3D model on the computer . The software works with an accuracy of one square centimeter. The software works according to the client-server model , which allows the combustion data to be saved on a central server so that the data is available on all computers in the network. One advantage of the software is the more precise determination of the proportion of the burned body surface .
It was developed at the Johannes Kepler University in Linz .
calculation
For this calculation of the burned body surface, the system uses one of several prefabricated three-dimensional standard models, which represent the basic types of physical stature in different age groups. The software selects the standard model that best suits the patient and adapts it to the real patient as best as possible, taking into account known medical body surface formulas and parameters such as gender , age, height and body weight . For the extension of the standard models to these parameters, all anatomical body regions were assigned extension factors that correspond to the body mass distribution with weight gain.
functionality
For the actual documentation, the projection of the three-dimensional space on a two-dimensional plane no longer has to be carried out by the doctor. This activity is carried out by the software, which means that standard input devices can be used to draw in directly on the three-dimensional model. In addition, BurnCase 3D offers the possibility of a comprehensive photo archive with the help of which digital photos of the patient can be assigned directly to the corresponding anatomical body region on the 3D model. This gives the doctor an anatomical map of the injury-related photos, and assigned photos are displayed by a pin.
In order to increase the accuracy and objectivity even further, images of the patient can be dazzled over the three-dimensional model. This enables visual feedback on the correctness of the position and size of the wound areas drawn. By combining this image overlay with modern combustion depth measurement methods, such as B. Laser Doppler (Moore) or light spectrum analysis (Delphi-Optics) even the classification of the depth of combustion can be objectified. With different color and pattern coding, BurnCase 3D allows degrees of burns, surgical procedures, association documentation or care instructions to be drawn in on the three-dimensional model at any time and thus fully documented.
calculation
After the doctor has drawn the surfaces on the three-dimensional model, the software system calculates the most important values relevant for burn treatment, such as the total deep burn surface, the BMI (Body Mass Index) or the required amount of fluid according to Parkland. Furthermore, a complete documentation (coding) of all injuries is automatically carried out in international encryption, which without BurnCase 3D has to be carried out manually by the medical staff in lengthy, mostly incomplete and error-prone work.
Interfaces
In addition to the graphical input, patient and case-related data can also be collected in BurnCase 3D . The patient-related data are adapted to the existing standard interfaces in hospital information systems. The data to be collected are based on existing standards such as Health Level 7 and the National Trauma Registry of the American College of Surgeons and thus offer a comprehensive survey of the course of the disease. The American National Trauma Registry has been adapted to European needs. This data collection also provides the data required for complication statistics and for determining clinical complexity levels and results. Furthermore, all additional data contained in the DRG (Diagnosis Related Groups) in addition to ICD (International Statistical Classification of Diseases and Related Health Problems) and OPS (Operation and Procedure Code) are covered by this data collection.
Use and development
BurnCase 3D is currently used in 9 clinics in Europe and the USA and is constantly being further developed. The software is available in 4 versions, from a freely available test version to a network-compatible professional version and can be installed on any MS Windows system. A central database with several workstations can also be used for multi-user operation.
The BurnCase 3D research project is funded by public funds and is being developed at RISC Software GmbH, Medical and Computer Science Research Department, a non-profit research and development company at Kepler University. All income will be reinvested in the BurnCase 3D project. The project is supported by contributions from the Province of Upper Austria and all participating research partners.
A further development is the automatic image processing-supported recording BurnCam 3D.
literature
- Understanding burns: research project BurnCase 3D - overcome the limits of existing methods in burns documentation . PMID 18950947
Web links
- Project homepage , accessed on July 28, 2012.
- Introduction to BurnCase 3D . Netzwelt.de, accessed on August 30, 2011
Individual evidence
- ↑ J. Dirnberger, M. Giretzlehner, M. Ruhmer, H. Haller, C. Rodemund: Modeling human burn injuries in a three-dimensional virtual environment. In: Stud Health Technol Inform. 94, 2003, pp. 52-58. PMID 15455863 .
- ^ H. Haller: Data collection in Burn Injuries- Rationale for BurnCase 3D. In: Osteo trauma care. 15, 2007, pp. 34-41. doi: 10.1055 / s-2007-970064
- ↑ BurnCam3D ( page no longer available , search in web archives ) Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice.
