Systematic review evaluates indocyanine green imaging for burn depth assessment, indicating limited accuracy for certain burns.
Key Points
The study aims to evaluate the effectiveness of indocyanine green fluorescence imaging for assessing burn depth compared to established methods.
Conducted a systematic literature search in PubMed/MEDLINE, Cochrane, and Google Scholar.
Included studies from 1995 to 2024 comparing ICG to reference methods like clinical assessments and biopsies.
Performed independent data extraction and risk of bias assessments using the Newcastle–Ottawa Scale.
Presented study selection using PRISMA 2020 guidelines.
Nine studies with 151 patients were included in the review.
ICG fluorescence imaging showed high accuracy in identifying nonviable tissue but inconsistent results in differentiating between superficial and deep burns.
ICG-guided assessments reduced excision in 50% of burn sites in one study.
Methodological differences across studies limited the ability to compare results effectively.