Collagen fiber anisotropy characterization by polarized photoacoustic imaging for just-in-time quantitative evaluation of burn severity

Just-in-time burn severity assessment plays a vital role in burn treatment and care. However, it is still difficult to quantitatively and promptly evaluate burn severity by existing medical imaging methods via initial burn depth measurement since burn wounds are usually dynamically developed. As an elastic skeleton of skin, the degree of conformational changes of collagen fibers caused by overheating can reflect the burn severity in a timelier manner. Herein, the polarized photoacoustic technique (PPAT) for just-in-time quantitative evaluation of burn severity via collagen fiber anisotropy assessment is proposed. First, phantom experiments demonstrate the ability of PPAT for deep imaging in a transport mean free path and accurately quantify changes in microstructural order by thermal damage. Then, the Pearson correlation coefficient of the PPAT in assessing burn severity is shown to be up to 0.95, validated by burn skin samples. The PPAT provides a just-in-time quantitative strategy for burn severity evaluation.