Automated Pressure Injury Assessment and Documentation Generation Using Vision-Language Model.

Journal: Studies in health technology and informatics
Published Date:

Abstract

Pressure injury assessment and documentation are crucial but time-consuming tasks in healthcare settings, with current inter-rater reliability among assessors only reaching 60-70%. This study presents an automated approach using the Florence-2 vision-language model for pressure injury assessment and clinical description generation. The model was trained on 946 pressure injury images, augmented to 275 images per grade through various transformations. Results demonstrate robust performance across pressure injury grades with F1 scores ranging from 73.17% to 95.00%, and strong capability in generating standardized clinical descriptions (BERTScore: 85.58%). Despite challenges in distinguishing between Stage 3 and 4 injuries, the integrated approach shows potential for improving assessment consistency and documentation efficiency in clinical settings. This solution addresses the critical needs for standardization and efficiency in pressure injury documentation while maintaining clinical accuracy.

Authors

  • Chao-Ying Chang
    National Yang Ming Chiao Tung University, Taipei, Taiwan.
  • Yu-Ting Shen
    Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Ultrasound Research and Education Institute, Tongji University School of Medicine, Tongji University Cancer Center, Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, National Clnical Research Center of Interventional Medicine, Shanghai, 200072, PR China.
  • Wen-Sheng Lien
    National Yang Ming Chiao Tung University, Taipei, Taiwan.
  • Chun-Hsuan Chen
    National Yang Ming Chiao Tung University, Taipei, Taiwan.
  • Hong-Han Shuai
    National Yang Ming Chiao Tung University, Taipei, Taiwan.