The Role, Importance and Modern Approaches of Medical Photography in Wound Management

Abstract

Medical photography has become a significant tool in disease diagnosis and treatment processes, with wound photography being specifically used for the objective monitoring of chronic wounds. Starting with the invention of photography in the 19th century, medical photography became widespread in surgical and dermatological documentation in the 20th century. Advances in digital cameras and 3D photography technologies have improved the resolution and accuracy of images, allowing for integration into electronic health records. Standard lighting, color accuracy, and scaling are essential elements in wound photography. Various camera types, macro lenses, and lighting techniques enable detailed imaging of wound tissues. This method is used to monitor and classify the treatment process and provides critical data for education and clinical research. Using photographs solely for clinical purposes and adhering to frameworks guided by ethics committees will help protect patient privacy. Technological advancements have also integrated artificial intelligence (AI)-assisted analysis and telemedicine applications into the field. Future technological advancements are expected to increase the use of photography in clinical decision-making processes.

Keywords

• Medical Photography
• Wound Monitoring
• Digital Imaging
• Artificial Intelligence
• Telemedicine

Yara Yönetiminde Tıbbi Fotoğrafçılığın Rolü, Önemi ve Modern Yaklaşımlar

Abstract

Tıbbi fotoğrafçılık, hastalık tanı ve tedavi süreçlerinde önemli bir araç haline gelmiş, yara fotoğrafçılığı ise bu alanda özellikle kronik yaraların objektif olarak izlenmesinde kullanılmaktadır. Tıbbi fotoğrafçılık, XIX. yüzyılda fotoğrafçılığın icadıyla başlamış ve XX. yüzyılda cerrahi ile dermatolojik belgelerde yaygınlaşmıştır. Dijital kameraların ve üç boyutlu fotoğrafçılık gibi teknolojilerin gelişmesi, fotoğrafların çözünürlüğünü ve doğruluğunu artırmış, elektronik sağlık kayıtlarına entegrasyon sağlanmıştır. Yara fotoğrafçılığında standart aydınlatma, renk doğruluğu ve ölçeklendirme önemli unsurlardır. Kamera türleri, makro lensler ve ışıklandırma teknikleri, yara dokularının detaylı bir şekilde görüntülenmesini sağlamaktadır. Bu yöntem hem tedavi sürecini izlemek hem de sınıflandırmak için kullanılmakta, aynı zamanda eğitim ve klinik araştırmalarda önemli bir veri kaynağı sunmaktadır. Fotoğrafların sadece klinik amaçlarla ve etik komitelerin belirlediği çerçeveler doğrultusunda kullanılması, hasta mahremiyetinin korunmasına katkı sağlamaktadır. Teknolojik gelişmelerle birlikte yapay zeka destekli analizler ve teletıp uygulamaları da bu alana entegre edilmiştir. Gelecekteki yaşanacak teknolojik ilerlemeler, klinik karar alma süreçlerinde tıbbi fotoğraf kullanımının daha yaygın hale gelmesini sağlayabilir.

Keywords

• Tıbbi Fotoğrafçılık
• Yara Takibi
• Dijital Görüntüleme
• Yapay Zeka
• Teletıp

References

1. 1. Pasqualli P, Kaliyadan F. History of medical photography. 1st ed. In: Pasqualli P, editor. Photography in Clinical Medicine, Springer Nature; 2020, pp: 47-72.
2. 2. Panayides AS, et al. AI in medical imaging informatics: current challenges and future directions. IEEE Journal of Biomedical and Health Informatics 2020;24(7):1837-1857.
3. 3. Arenson RL, et al. Computers in imaging and health care: now and in the future. Journal of Digital İmaging 2000;13:145-156.
4. 4. Zhou SK, et al. A review of deep learning in medical imaging: Imaging traits, technology trends, case studies with progress highlights, and future promises. Proceedings of the IEEE 2021;109(5):820-838.
5. 5. Bruce J, et al. Wound photography for evaluation of surgical site infection and wound healing after lower limb trauma. The Bone & Joint Journal 2021;103(12):1802-1808.
6. 6. Rennert R, et al. Standardization of wound photography using the wound electronic medical record. Advances in Skin & Wound Care 2009;22(1):32-38.
7. 7. Dabas M, et al. Application of artificial intelligence methodologies to chronic wound care and management: a scoping review. Advances in Wound Care 2023;12(4):205-240.
8. 8. Chitra P, et al. A Comparative Analysis of DSLR and Mirrorless Cameras for Dental Photography. Journal of Indian Orthodontic Society 2024;58(2):158-164.

9. 9. Ashbrook B. A comparison of DSLR and mirrorless interchangeable lens cameras: new options in digital photography. PSA Journal 2016;82(3):14-17.
10. 10. Freeman M. The Photographer's Eye Digitally Remastered 10th Anniversary Edition: Composition and Design for Better Digital Photos. Freeman M, editör. New York: Sterling Publishing Company; 2017.
11. 11. Davies A. Close-up and macro photography. The Macro Studio. Davies A, editor. 1st Edition. Amsterdam: Elsevier; 2012.
12. 12. Boyadzhiev I, Paris S, Bala K. User-assisted image compositing for photographic lighting. ACM Trans. Graph 2013;32(4):36-1.
13. 13. Langford M, Bilissi E. Langford's advanced photography: The guide for aspiring photographers. Langford M, Bilissi E, editors. 8th Edition. Taylor & Francis. 2011.
14. 14. Akhlaghi H, Asadi H. Essentials of telemedicine and telecare. Akhlaghi H, Asadi H, editors. BMJ Clinical Research, 2002.
15. 15. Galdino GM, Vogel JE, Vander Kolk CA. Standardizing digital photography: it's not all in the eye of the beholder. Plastic and Reconstructive Surgery 2001;108(5):1334-1344.
16. 16. Güler SA, Akça T. Tıbbi Fotoğrafçılık: Tarihsel Süreç ve Temel Kavramlar. Turk Dermatoloji Dergisi 2017;11:98-108.
17. 17. Rodney A. Color management for photographers: hands on techniques for Photoshop users, Rodney A, editors. 1st edition, Routledge 2012.
18. 18. Strauss MB, Aksenov IV. Evaluation of diabetic wound classifications and a new wound score. Clinical Orthopaedics and Related Research 2005;439:79-86.
19. 19. Wilson M. Understanding the basics of wound assessment. Wound Essentials 2012;(2):8-12.
20. 20. Sibbald R, et al. Update: topical antimicrobial agents for chronic wounds. Advances in Skin & Wound Care 2017;30(10):438-450.
21. 21. Dayya D, et al. Debridement of diabetic foot ulcers. Advances in Wound Care 2022;11(12):666-686.
22. 22. Morgan PJ, et al. Simulation technology: a comparison of experiential and visual learning for undergraduate medical students. The Journal of the American Society of Anesthesiologists 2002;96(1):10-16.
23. 23. Ferrara V, et al. The visual art as a learning tool in medical education. Senses and Sciences 2020;7(2):1028-1040.
24. 24. Li S, et al. Imaging in chronic wound diagnostics. Advances in Wound Care 2020;9(5):245-263.
25. 25. Mohafez H, et al. Wound healing assessment using digital photography: a review. Journal of Biomedical Engineering and Medical İmaging 2016;3(5):01-13.
26. 26. Nayler JR. Clinical photography: a guide for the clinician. Journal of Postgraduate Medicine 2003;49(3):256-262.
27. 27. Jayachandran M, et al. Critical review of noninvasive optical technologies for wound imaging. Advances in Wound Care 2016;5(8):349-359.
28. 28. Swerdlow M, et al. Initial clinical experience with a simple, home system for early detection and monitoring of diabetic foot ulcers: the foot selfie. Journal of Diabetes Science and Technology 2023;17(1):79-88.
29. 29. Kornhaber R, Betihavas V, Baber RJ. Ethical implications of digital images for teaching and learning purposes: an integrative review. Journal of Multidisciplinary Healthcare 2015;8:299-305.
30. 30. Mattessich S, Grantkels JM. Ethical aspects of the use of photography in clinical medicine. Photography in Clinical Medicine 2020:75-84.
31. 31. Karabulut SD, Yıldırım RV. Tıbbi fotoğrafçılıkta etik konular. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 2020;10(1):47-57.
32. 32. Çavdar P. Hekimlerin Hastalarına İlişkin Sosyal Medya Paylaşımlarından Doğan Sorumluluğu. Sakarya Üniversitesi Hukuk Fakültesi Dergisi 2024;12(1):429-453.
33. 33. Harting MT, et al. Medical photography: current technology, evolving issues and legal perspectives. International Journal of Clinical Practice 2015;69(4):401-409.
34. 34. Nanah A, Bayomi AB. The pros and cons of digital health communication tools in neurosurgery: a systematic review of literature. Neurosurgical Review 2020;43(3):835-846.
35. 35. Lorkowski J, Malinowska M. The future of medical documentation-Review of selected literature. 2020.
36. 36. Ohura N, et al. Convolutional neural networks for wound detection: the role of artificial intelligence in wound care. Journal of Wound Care 2019;28(10):13-24.
37. 37. Savage JM, Jeffery SLA. Use of 3D photography in complex-wound assessment. Journal of Wound Care 2013;22(3):156-160.
38. 38. Sidhu AS, Harbuzova V. Emerging technologies for the management of diabetic foot ulceration: a review. Frontiers in Clinical Diabetes and Healthcare 2024;5:1440209.
39. 39. Williams AM, et al. The role of telemedicine in postoperative care. Mhealth 2018;4(11):1-9.
40. 40. Wu SC, Marstom W, Armstrong DG. Wound care: the role of advanced wound-healing technologies. Journal of the American Podiatric Medical Association 2010;100(5):385-394.
41. 41. Westphal E, Seitz H. Digital and decentralized management of patient data in healthcare using blockchain implementations. Frontiers in Blockchain 2021;(4):732112.