{"id":"https://openalex.org/W4206666215","doi":"https://doi.org/10.3233/shti210919","title":"Automatic Classification of Diabetic Foot Ulcer Images \u2013 A Transfer-Learning Approach to Detect Wound Maceration","display_name":"Automatic Classification of Diabetic Foot Ulcer Images \u2013 A Transfer-Learning Approach to Detect Wound Maceration","publication_year":2022,"publication_date":"2022-01-14","ids":{"openalex":"https://openalex.org/W4206666215","doi":"https://doi.org/10.3233/shti210919","pmid":"https://pubmed.ncbi.nlm.nih.gov/35062152"},"language":"en","primary_location":{"id":"doi:10.3233/shti210919","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti210919","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI210919","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI210919","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Jens H\u00fcsers","orcid":null},"institutions":[{"id":"https://openalex.org/I170658231","display_name":"Osnabr\u00fcck University","ror":"https://ror.org/04qmmjx98","country_code":"DE","type":"education","lineage":["https://openalex.org/I170658231"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Jens H\u00fcsers","raw_affiliation_strings":["Health Informatics Research Group, Osnabr\u00fcck University of AS, Germany"],"affiliations":[{"raw_affiliation_string":"Health Informatics Research Group, Osnabr\u00fcck University of AS, Germany","institution_ids":["https://openalex.org/I170658231"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Guido Hafer","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Guido Hafer","raw_affiliation_strings":["Christian Hosptial Melle, Niels Stensen Hospitals, Germany"],"affiliations":[{"raw_affiliation_string":"Christian Hosptial Melle, Niels Stensen Hospitals, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Jan Heggemann","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jan Heggemann","raw_affiliation_strings":["Christian Hosptial Melle, Niels Stensen Hospitals, Germany"],"affiliations":[{"raw_affiliation_string":"Christian Hosptial Melle, Niels Stensen Hospitals, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Stefan Wiemeyer","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Stefan Wiemeyer","raw_affiliation_strings":["Christian Hosptial Melle, Niels Stensen Hospitals, Germany"],"affiliations":[{"raw_affiliation_string":"Christian Hosptial Melle, Niels Stensen Hospitals, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Mareike Przysucha","orcid":null},"institutions":[{"id":"https://openalex.org/I170658231","display_name":"Osnabr\u00fcck University","ror":"https://ror.org/04qmmjx98","country_code":"DE","type":"education","lineage":["https://openalex.org/I170658231"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Mareike Przysucha","raw_affiliation_strings":["Health Informatics Research Group, Osnabr\u00fcck University of AS, Germany"],"affiliations":[{"raw_affiliation_string":"Health Informatics Research Group, Osnabr\u00fcck University of AS, Germany","institution_ids":["https://openalex.org/I170658231"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Joachim Dissemond","orcid":null},"institutions":[{"id":"https://openalex.org/I4210119759","display_name":"Essen University Hospital","ror":"https://ror.org/02na8dn90","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210119759"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Joachim Dissemond","raw_affiliation_strings":["Department of Dermatology, Venerology and Allergology, University Hospital of Essen, Germany"],"affiliations":[{"raw_affiliation_string":"Department of Dermatology, Venerology and Allergology, University Hospital of Essen, Germany","institution_ids":["https://openalex.org/I4210119759"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Maurice Moelleken","orcid":null},"institutions":[{"id":"https://openalex.org/I4210119759","display_name":"Essen University Hospital","ror":"https://ror.org/02na8dn90","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210119759"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Maurice Moelleken","raw_affiliation_strings":["Department of Dermatology, Venerology and Allergology, University Hospital of Essen, Germany"],"affiliations":[{"raw_affiliation_string":"Department of Dermatology, Venerology and Allergology, University Hospital of Essen, Germany","institution_ids":["https://openalex.org/I4210119759"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Cornelia Erfurt-Berge","orcid":null},"institutions":[{"id":"https://openalex.org/I4210088053","display_name":"Universit\u00e4tsklinikum Erlangen","ror":"https://ror.org/0030f2a11","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210088053"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Cornelia Erfurt-Berge","raw_affiliation_strings":["Department of Dermatology, University Hospital Erlangen, Germany"],"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University Hospital Erlangen, Germany","institution_ids":["https://openalex.org/I4210088053"]}]},{"author_position":"last","author":{"id":null,"display_name":"Ursula H\u00fcbner","orcid":null},"institutions":[{"id":"https://openalex.org/I170658231","display_name":"Osnabr\u00fcck University","ror":"https://ror.org/04qmmjx98","country_code":"DE","type":"education","lineage":["https://openalex.org/I170658231"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Ursula H\u00fcbner","raw_affiliation_strings":["Health Informatics Research Group, Osnabr\u00fcck University of AS, Germany"],"affiliations":[{"raw_affiliation_string":"Health Informatics Research Group, Osnabr\u00fcck University of AS, Germany","institution_ids":["https://openalex.org/I170658231"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I170658231"],"apc_list":null,"apc_paid":null,"fwci":15.3077,"has_fulltext":true,"cited_by_count":17,"citation_normalized_percentile":{"value":0.98812217,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":99},"biblio":{"volume":"289","issue":null,"first_page":"301","last_page":"304"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":0.713699996471405,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":0.713699996471405,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11670","display_name":"Pressure Ulcer Prevention and Management","score":0.14509999752044678,"subfield":{"id":"https://openalex.org/subfields/3609","display_name":"Occupational Therapy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10771","display_name":"Wound Healing and Treatments","score":0.09830000251531601,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetic-foot-ulcer","display_name":"Diabetic foot ulcer","score":0.7451000213623047},{"id":"https://openalex.org/keywords/diabetic-foot","display_name":"Diabetic foot","score":0.5457000136375427},{"id":"https://openalex.org/keywords/diabetic-ulcers","display_name":"Diabetic ulcers","score":0.5303000211715698},{"id":"https://openalex.org/keywords/chronic-wound","display_name":"Chronic wound","score":0.5123999714851379},{"id":"https://openalex.org/keywords/leg-ulcer","display_name":"Leg ulcer","score":0.4982999861240387},{"id":"https://openalex.org/keywords/convolutional-neural-network","display_name":"Convolutional neural network","score":0.47369998693466187}],"concepts":[{"id":"https://openalex.org/C2778144972","wikidata":"https://www.wikidata.org/wiki/Q52859","display_name":"Diabetic foot ulcer","level":4,"score":0.7451000213623047},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7404000163078308},{"id":"https://openalex.org/C2777858829","wikidata":"https://www.wikidata.org/wiki/Q52856","display_name":"Diabetic foot","level":3,"score":0.5457000136375427},{"id":"https://openalex.org/C2910357528","wikidata":"https://www.wikidata.org/wiki/Q52859","display_name":"Diabetic ulcers","level":4,"score":0.5303000211715698},{"id":"https://openalex.org/C2781051411","wikidata":"https://www.wikidata.org/wiki/Q2078852","display_name":"Chronic wound","level":3,"score":0.5123999714851379},{"id":"https://openalex.org/C3018235348","wikidata":"https://www.wikidata.org/wiki/Q1573613","display_name":"Leg ulcer","level":2,"score":0.4982999861240387},{"id":"https://openalex.org/C81363708","wikidata":"https://www.wikidata.org/wiki/Q17084460","display_name":"Convolutional neural network","level":2,"score":0.47369998693466187},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4499000012874603},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.4219000041484833},{"id":"https://openalex.org/C2993807428","wikidata":"https://www.wikidata.org/wiki/Q25324087","display_name":"Wound care","level":2,"score":0.4034000039100647},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.39730000495910645},{"id":"https://openalex.org/C115076146","wikidata":"https://www.wikidata.org/wiki/Q1651051","display_name":"Foot (prosody)","level":2,"score":0.3580999970436096},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3172999918460846},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.3043000102043152},{"id":"https://openalex.org/C100660578","wikidata":"https://www.wikidata.org/wiki/Q18733","display_name":"Recall","level":2,"score":0.2644999921321869}],"mesh":[{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016571","descriptor_name":"Neural Networks, Computer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016571","descriptor_name":"Neural Networks, Computer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016571","descriptor_name":"Neural Networks, Computer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017719","descriptor_name":"Diabetic Foot","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D017719","descriptor_name":"Diabetic Foot","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D017719","descriptor_name":"Diabetic Foot","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D058025","descriptor_name":"Interdisciplinary Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058025","descriptor_name":"Interdisciplinary Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058025","descriptor_name":"Interdisciplinary Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.3233/shti210919","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti210919","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI210919","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:35062152","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35062152","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null},{"id":"pmh:oai:opus.hs-osnabrueck.de:3587","is_oa":true,"landing_page_url":"https://nbn-resolving.org/urn:nbn:de:bsz:959-opus-35870","pdf_url":null,"source":{"id":"https://openalex.org/S4377196658","display_name":"Library Osnabr\u00fcck University (Hochschule Osnabr\u00fcck)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I4210159638","host_organization_name":"Hochschule Osnabr\u00fcck","host_organization_lineage":["https://openalex.org/I4210159638"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"doc-type:conferenceObject"}],"best_oa_location":{"id":"doi:10.3233/shti210919","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti210919","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI210919","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G300463741","display_name":null,"funder_award_id":"16SV8616","funder_id":"https://openalex.org/F4320321114","funder_display_name":"Bundesministerium f\u00fcr Bildung und Forschung"},{"id":"https://openalex.org/G352791218","display_name":null,"funder_award_id":"(BMBF)","funder_id":"https://openalex.org/F4320321114","funder_display_name":"Bundesministerium f\u00fcr Bildung und Forschung"}],"funders":[{"id":"https://openalex.org/F4320321114","display_name":"Bundesministerium f\u00fcr Bildung und Forschung","ror":"https://ror.org/04pz7b180"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4206666215.pdf","grobid_xml":"https://content.openalex.org/works/W4206666215.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W2513286746","https://openalex.org/W3000721138","https://openalex.org/W6765507828"],"related_works":[],"abstract_inverted_index":{"Diabetic":[0],"foot":[1],"ulcer":[2],"(DFU)":[3],"is":[4],"a":[5,9,102,107],"chronic":[6],"wound":[7,42,48,63,70,165],"and":[8,35,106,128],"common":[10],"diabetic":[11,18],"complication":[12],"as":[13,33],"2%":[14],"-":[15],"6%":[16],"of":[17,40,104,109,161],"patients":[19],"witness":[20],"the":[21,69,139,159],"onset":[22],"thereof.":[23],"The":[24,90,98,111,116],"DFU":[25,82,124],"can":[26,122,156],"lead":[27],"to":[28,56,59,67,84,158,163],"severe":[29],"health":[30],"threats":[31],"such":[32],"infection":[34],"lower":[36],"leg":[37],"amputations,":[38],"Coordination":[39],"interdisciplinary":[41],"care":[43],"requires":[44],"well-written":[45],"but":[46],"time-consuming":[47],"documentation.":[49,71,166],"Artificial":[50],"intelligence":[51],"(AI)":[52],"systems":[53,121,131],"lend":[54],"themselves":[55],"be":[57,143],"tested":[58],"extract":[60],"information":[61],"from":[62,87],"images,":[64],"e.g.":[65],"maceration,":[66],"fill":[68],"A":[72],"convolutional":[73],"neural":[74],"network":[75],"was":[76,92,114],"therefore":[77],"trained":[78],"on":[79,94],"326":[80],"augmented":[81],"images":[83,125],"distinguish":[85],"macerated":[86],"unmacerated":[88],"wounds.":[89],"system":[91,100],"validated":[93],"108":[95],"unaugmented":[96],"images.":[97],"classification":[99],"achieved":[101],"recall":[103],"0.69":[105],"precision":[108],"0.67.":[110],"overall":[112],"accuracy":[113],"0.69.":[115],"results":[117],"show":[118],"that":[119,129],"AI":[120],"classify":[123],"for":[126,146],"macerations":[127],"those":[130],"could":[132],"support":[133],"clinicians":[134],"with":[135],"data":[136],"entry.":[137],"However,":[138],"validation":[140],"statistics":[141],"should":[142],"further":[144],"improved":[145],"use":[147],"in":[148],"real":[149],"clinical":[150],"settings.":[151],"In":[152],"summary,":[153],"this":[154],"paper":[155],"contribute":[157],"development":[160],"methods":[162],"automatic":[164]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":2}],"updated_date":"2026-04-10T15:06:20.359241","created_date":"2022-01-25T00:00:00"}
