Image Processing-Based Application for Determining Wound Types in Forensic Medical Cases

Main Article Content

Elvira Sukma Wahyuni
Alvita Widya Kustiawan Putri
Nisa Agustin Pratiwi Pelu
Firdaus
Idha Arfianti Wiraagni

Keywords

Wound Types, Image Processing, Classification, Yolo Algorithm, Forensic Medical

Abstract

Wounds result from physical violence that damages the continuity of body tissues and are frequently observed in forensic medicine and medicolegal science. In forensic medicine and medicolegal science, wounds play a significant role in creating a medicolegal examination and report (VeR) for deceased individuals and living victims. However, research findings indicate that the quality of clinical forensic descriptive results in VeR needs to improve in several hospitals in Indonesia. Meanwhile, high-quality VeR results are crucial in determining penalties for perpetrators in court, and poor VeR results can hinder the legal process. The application of information technology in medicine has yielded numerous tools that can assist experts in carrying out their duties. Likewise, clinical forensics, a generally conservative forensic pathology practice, can be enhanced through image-processing techniques and machine learning. Digital technology support for forensic cases has been available previously, such as in forensic photography; however, its application still needs improvement, and further development is required. This study applied a Yolo V4-based machine learning and image processing algorithm to classify and detect types of wounds. This algorithm was chosen for its high speed and accuracy in classification and detection tasks. The research results showed that the learning model's performance, measured in accuracy, precision, recall, and average F1 score, reached 92%. Usability testing showed that the system performed well and could be helpful with minor improvements.

References

[1] P. D. I. Meilia et al., "The PERFORM-P (Principles of Evidence-based Reporting in FORensic Medicine-Pathology version)," Forensic Science International, vol. 327, p. 110962, Oct. 2021, doi: 10.1016/j.forsciint.2021.110962.
[2] D. Afandi, “Visum et Repertum Perlukaan: Aspek Medikolegal dan Penentuan Derajat Luka,” Majalah kedokteran Indonesia, vol. 60, no. 4, 2010.
[3] I. B. S. Putra Pidada, M. S. Tri Artanti, I. A. Wiraagni, and D. Y. Priyambodo, "Description of clinical forensic profile'visum et repertum' quality in Yogyakarta 2011-2016," IJETV, vol. 3, no. 02, Dec. 2017, doi: 10.18099/ijetv.v3i02.10622.
[4] W. R. Oliver, "Image Processing in Forensic Pathology," Clinics in Laboratory Medicine, vol. 18, no. 1, pp. 151–180, 1998, doi: https://doi.org/10.1016/S0272-2712(18)30185-9.
[5] S. Tohnak, A. Mehnert, M. Mahoney, and S. Crozier, "Dental identification system based on unwrapped CT images," in 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Minneapolis, MN: IEEE, Sep. 2009, pp. 3549–3552. doi: 10.1109/IEMBS.2009.5332483.
[6] M. A. Rasel, M. Hasan, A. S. Azad, and S. Akther, "Imaging techniques to extract information: New born baby's skin birthmark," in 2017 IEEE Region 10 Humanitarian Technology Conference (R10-HTC), Dhaka: IEEE, Dec. 2017, pp. 38–42. doi: 10.1109/R10-HTC.2017.8288901.
[7] C. Serrano, B. Acha, T. Gómez-Cía, J. I. Acha, and L. M. Roa, "A computer-assisted diagnosis tool for the classification of burns by depth of injury," Burns, vol. 31, no. 3, pp. 275–281, 2005, doi: https://doi.org/10.1016/j.burns.2004.11.019.
[8] R. Khoo and S. Jansen, "The Evolving Field of Wound Measurement Techniques: A Literature Review," Wounds: a compendium of clinical research and practice, vol. 28, no. 6, pp. 175–181.
[9] M. R. Friesen, C. Hamel, and R. McLeod, "A mHealth Application for Chronic Wound Care: Findings of a User Trial," Int. J. Environ. Res. Public Health, vol. 10, no. 11, pp. 6199–6214, 2013, doi: https://doi.org/10.3390/ijerph10116199.
[10] Sridhar, Digital Image Processing. OUP India, 2011.
[11] "Goyal et al. - 2017 - Fully convolutional networks for diabetic foot ulc.pdf."
[12] L. Wang, P. C. Pedersen, E. Agu, D. M. Strong, and B. Tulu, "Area Determination of Diabetic Foot Ulcer Images Using a Cascaded Two-Stage SVM-Based Classification," IEEE Trans. Biomed. Eng., vol. 64, no. 9, pp. 2098–2109, Sep. 2017, doi: 10.1109/TBME.2016.2632522.
[13] X. Liu, C. Wang, F. Li, X. Zhao, E. Zhu, and Y. Peng, "A framework of wound segmentation based on deep convolutional networks," in 2017 10th International Congress on Image and Signal Processing, BioMedical Engineering and Informatics (CISP-BMEI), Shanghai: IEEE, Oct. 2017, pp. 1–7. doi: 10.1109/CISP-BMEI.2017.8302184.
[14] F. Li, C. Wang, X. Liu, Y. Peng, and S. Jin, "A Composite Model of Wound Segmentation Based on Traditional Methods and Deep Neural Networks," Computational Intelligence and Neuroscience, vol. 2018, pp. 1–12, May 2018, doi: 10.1155/2018/4149103.
[15] U. S. Kumar and N. M. Sudharsan, "Enhancement techniques for abnormality detection using thermal image," J. eng., vol. 2018, no. 5, pp. 279–283, May 2018, doi: 10.1049/joe.2017.0899.
[16] K. Wantanajittikul, S. Auephanwiriyakul, N. Theera-Umpon, and T. Koanantakool, "Automatic segmentation and degree identification in burn color images," in The 4th 2011 Biomedical Engineering International Conference, Chiang Mai, Thailand: IEEE, Jan. 2012, pp. 169–173. doi: 10.1109/BMEiCon.2012.6172044.
[17] A. F. M. Hani, L. Arshad, A. S. Malik, A. Jamil, and F. Y. B. Bin, "Haemoglobin distribution in ulcers for healing assessment," in 2012 4th International Conference on Intelligent and Advanced Systems (ICIAS2012), Kuala Lumpur, Malaysia: IEEE, Jun. 2012, pp. 362–367. doi: 10.1109/ICIAS.2012.6306219.
[18] D. Filko, D. Antonic, and D. Huljev, "Application for wound analysis and management," in The 12th IEEE International Conference on e-Health Networking, Applications and Services, Lyon, France: IEEE, Jul. 2010, pp. 68–73. doi: 10.1109/HEALTH.2010.5556533.
[19] M. F. Ahmad Fauzi, I. Khansa, K. Catignani, G. Gordillo, C. K. Sen, and M. N. Gurcan, "Computerized segmentation and measurement of chronic wound images," Computers in Biology and Medicine, vol. 60, pp. 74–85, May 2015, doi: 10.1016/j.compbiomed.2015.02.015.

[20] NA, "Getting Started with YOLO v4," Getting Started with YOLO v4. [Online]. Available: https://www.mathworks.com/help/vision/ug/getting-started-with-yolo-v4.html

[21] Changhan Wang et al., "A unified framework for automatic wound segmentation and analysis with deep convolutional neural networks," in 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Milan: IEEE, Aug. 2015, pp. 2415–2418. doi: 10.1109/EMBC.2015.7318881.

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