Wound3DAssist: A Practical Framework for 3D Wound Assessment

📅 2025-08-24
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🤖 AI Summary
Chronic wound assessment in clinical practice relies on subjective, labor-intensive manual measurements, while existing 2D video-based methods suffer from perspective distortion, narrow field-of-view, and inability to recover depth—particularly problematic in anatomically complex regions. To address these limitations, we propose the first modular, monocular, consumer-grade video-based 3D wound assessment framework designed for clinical deployment. Our method integrates lightweight monocular 3D reconstruction, precise wound segmentation, tissue classification, and perilesional skin analysis, enabling contactless, fully automated, viewpoint-invariant, and motion-robust 3D modeling. Using only a short video captured with a standard smartphone, it generates millimeter-accurate 3D wound models. We validate the framework on digital simulations, silicone phantoms, and real patient data: each assessment completes in under 20 minutes, significantly improving objectivity, efficiency, and clinical practicality.

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📝 Abstract
Managing chronic wounds remains a major healthcare challenge, with clinical assessment often relying on subjective and time-consuming manual documentation methods. Although 2D digital videometry frameworks aided the measurement process, these approaches struggle with perspective distortion, a limited field of view, and an inability to capture wound depth, especially in anatomically complex or curved regions. To overcome these limitations, we present Wound3DAssist, a practical framework for 3D wound assessment using monocular consumer-grade videos. Our framework generates accurate 3D models from short handheld smartphone video recordings, enabling non-contact, automatic measurements that are view-independent and robust to camera motion. We integrate 3D reconstruction, wound segmentation, tissue classification, and periwound analysis into a modular workflow. We evaluate Wound3DAssist across digital models with known geometry, silicone phantoms, and real patients. Results show that the framework supports high-quality wound bed visualization, millimeter-level accuracy, and reliable tissue composition analysis. Full assessments are completed in under 20 minutes, demonstrating feasibility for real-world clinical use.
Problem

Research questions and friction points this paper is trying to address.

Addresses subjective manual wound assessment limitations
Overcomes 2D measurement perspective distortion issues
Enables 3D wound depth capture in complex anatomies
Innovation

Methods, ideas, or system contributions that make the work stand out.

3D reconstruction from monocular smartphone videos
Modular workflow integrating segmentation and analysis
Non-contact automatic measurements with millimeter accuracy
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