Segmentation Approaches for Diabetic Foot Disorders

Thermography enables non-invasive, accessible, and easily repeated foot temperature measurements for diabetic patients, promoting early detection and regular monitoring protocols, that limit the incidence of disabling conditions associated with diabetic foot disorders. The establishment of this appl...

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Main Authors: Natalia Arteaga-Marrero, Abián Hernández, Enrique Villa, Sara González-Pérez, Carlos Luque, Juan Ruiz-Alzola
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/21/3/934
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author Natalia Arteaga-Marrero
Abián Hernández
Enrique Villa
Sara González-Pérez
Carlos Luque
Juan Ruiz-Alzola
author_facet Natalia Arteaga-Marrero
Abián Hernández
Enrique Villa
Sara González-Pérez
Carlos Luque
Juan Ruiz-Alzola
author_sort Natalia Arteaga-Marrero
collection DOAJ
description Thermography enables non-invasive, accessible, and easily repeated foot temperature measurements for diabetic patients, promoting early detection and regular monitoring protocols, that limit the incidence of disabling conditions associated with diabetic foot disorders. The establishment of this application into standard diabetic care protocols requires to overcome technical issues, particularly the foot sole segmentation. In this work we implemented and evaluated several segmentation approaches which include conventional and Deep Learning methods. Multimodal images, constituted by registered visual-light, infrared and depth images, were acquired for 37 healthy subjects. The segmentation methods explored were based on both visual-light as well as infrared images, and optimization was achieved using the spatial information provided by the depth images. Furthermore, a ground truth was established from the manual segmentation performed by two independent researchers. Overall, the performance level of all the implemented approaches was satisfactory. Although the best performance, in terms of spatial overlap, accuracy, and precision, was found for the Skin and U-Net approaches optimized by the spatial information. However, the robustness of the U-Net approach is preferred.
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spelling doaj.art-e57fdcfb3294485d909cb79eb78ff4912023-12-03T15:23:26ZengMDPI AGSensors1424-82202021-01-0121393410.3390/s21030934Segmentation Approaches for Diabetic Foot DisordersNatalia Arteaga-Marrero0Abián Hernández1Enrique Villa2Sara González-Pérez3Carlos Luque4Juan Ruiz-Alzola5IACTEC Medical Technology Group, Instituto de Astrofísica de Canarias (IAC), 38205 San Cristóbal de La Laguna, SpainResearch Institute of Biomedical and Health Sciences (IUIBS), Universidad de Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, SpainIACTEC Medical Technology Group, Instituto de Astrofísica de Canarias (IAC), 38205 San Cristóbal de La Laguna, SpainIACTEC Medical Technology Group, Instituto de Astrofísica de Canarias (IAC), 38205 San Cristóbal de La Laguna, SpainIACTEC Medical Technology Group, Instituto de Astrofísica de Canarias (IAC), 38205 San Cristóbal de La Laguna, SpainIACTEC Medical Technology Group, Instituto de Astrofísica de Canarias (IAC), 38205 San Cristóbal de La Laguna, SpainThermography enables non-invasive, accessible, and easily repeated foot temperature measurements for diabetic patients, promoting early detection and regular monitoring protocols, that limit the incidence of disabling conditions associated with diabetic foot disorders. The establishment of this application into standard diabetic care protocols requires to overcome technical issues, particularly the foot sole segmentation. In this work we implemented and evaluated several segmentation approaches which include conventional and Deep Learning methods. Multimodal images, constituted by registered visual-light, infrared and depth images, were acquired for 37 healthy subjects. The segmentation methods explored were based on both visual-light as well as infrared images, and optimization was achieved using the spatial information provided by the depth images. Furthermore, a ground truth was established from the manual segmentation performed by two independent researchers. Overall, the performance level of all the implemented approaches was satisfactory. Although the best performance, in terms of spatial overlap, accuracy, and precision, was found for the Skin and U-Net approaches optimized by the spatial information. However, the robustness of the U-Net approach is preferred.https://www.mdpi.com/1424-8220/21/3/934segmentationthermography (D013817)diabetic foot (D017719)diabetic neuropathy (D003929)supervised and unsupervised algorithms
spellingShingle Natalia Arteaga-Marrero
Abián Hernández
Enrique Villa
Sara González-Pérez
Carlos Luque
Juan Ruiz-Alzola
Segmentation Approaches for Diabetic Foot Disorders
Sensors
segmentation
thermography (D013817)
diabetic foot (D017719)
diabetic neuropathy (D003929)
supervised and unsupervised algorithms
title Segmentation Approaches for Diabetic Foot Disorders
title_full Segmentation Approaches for Diabetic Foot Disorders
title_fullStr Segmentation Approaches for Diabetic Foot Disorders
title_full_unstemmed Segmentation Approaches for Diabetic Foot Disorders
title_short Segmentation Approaches for Diabetic Foot Disorders
title_sort segmentation approaches for diabetic foot disorders
topic segmentation
thermography (D013817)
diabetic foot (D017719)
diabetic neuropathy (D003929)
supervised and unsupervised algorithms
url https://www.mdpi.com/1424-8220/21/3/934
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AT carlosluque segmentationapproachesfordiabeticfootdisorders
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