A new, fast LDI for assessment of burns: A multi-centre clinical evaluation

• In five burn centres a Laser Doppler Line Scanner (LDLS) was compared with the established LDI.
• The aim of this study was to assess the accuracy and convenience of the LDLS.
• An accuracy of 94.2% was found with use of the LDLS compared with 94.4% for the original LDI imager.
• LDLS size and mobility enabled easier ward and outpatient use.
• The higher scan speed was particularly beneficial for scans in paediatric patients.

IntroductionLaser Doppler imaging (LDI) provides early accurate determination of wound healing potential. LDI can scan large areas of up to 2500 cm2 within 2 min. This duration may require additional sedation in a mobile, uncooperative child. In five burn centres a faster Laser Doppler Line Scanner (LDLS) was assessed. This new imager scans 300 cm2 in 4 s with potential benefit for patients and operators. The aim of this study was to assess the accuracy and convenience of the LDLS and to compare this with an established LDI imager.MethodsOutpatients and admitted patients were included. LDI and LDLS images were obtained between 2 and 5 days post burn (PB). Photographs and records of wound and healing were obtained on day of scan and at 14 and 21 days PB. This provided data on three categories of burn wounds: healing within 14 days, 14–21 days and not healed within 21 days.ResultsThe analysis included 596 burn areas from 204 burns patients. An accuracy of 94.2% was found with use of the LDLS compared with 94.4% for the original LDI imager.ConclusionsThe high accuracy of the new line-scan imager was comparable to that of the traditional LDI. Its size and mobility enabled easier ward and outpatient use. The higher scan speed was particularly beneficial for scans in paediatric patients.