Document Detail


Diagnosis of burn depth using laser-induced indocyanine green fluorescence: a preliminary clinical trial.
MedLine Citation:
PMID:  11348745     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinical assessment of burn depth is frequently inaccurate. In order to effectively plan the treatment of burn wounds, an accurate diagnosis of burn depth is desirable. A new method for evaluating the depth of burns by imaging the blood flow through the burned tissue using fluorescence from intravenously injected indocyanine green (ICG) dye illuminated with a 785-nm, near-infrared diode laser array was evaluated. Nine patients and 15 individual burn sites were studied. Five sites were classified by the ICG study as superficial second degree, four were deep-dermal second degree, and six were third degree. Etiology of the injuries included flame, contact burns, and scalds. The date postburn of the study ranged from 1 to 11 days. In all cases, the relative fluorescence levels (e.g. superficial second-degree burns yielded relatively bright fluorescence, third-degree burns appeared much darker than surrounding normal skin) were found to correlate well with actual burn depth as determined by histologic examination of biopsies and intraoperative clinical assessment.
Authors:
J M Still; E J Law; K G Klavuhn; T C Island; J Z Holtz
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  27     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-05-11     Completed Date:  2001-07-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  England    
Other Details:
Languages:  eng     Pagination:  364-71     Citation Subset:  IM    
Affiliation:
The Joseph M. Still Burn Center, Columbia-Augusta Medical Center, Augusta, GA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Burns / pathology*,  physiopathology
Coloring Agents / diagnostic use
Fluorescence
Humans
Indocyanine Green / diagnostic use*
Lasers / diagnostic use*
Male
Middle Aged
Skin / blood supply
Chemical
Reg. No./Substance:
0/Coloring Agents; 3599-32-4/Indocyanine Green

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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