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Automated multi-class wound assessment using dedicated instance segmentation models for boundary detection and classification

quality89

Updated 2 h ago · first seen 11 Sept 2026

paper_01M294H36T2EXATZARNNEKEKKP

Published: 11 Sept 2026; T1 · 2 h ago
arXiv: 2603.27325; T1 · 2 h ago
Category: cs.CV; T1 · 2 h ago

Abstract

Accurate wound classification (WC) and boundary segmentation are essential for guiding clinical decisions in chronic and acute wound management. However, most existing artificial intelligence (AI) models are limited, focusing on a narrow set of wound types, limited variations in wound severity, or a single task (segmentation or classification), which reduces their clinical applicability. This study presents two dedicated instance segmentation models based on You Only Look Once (YOLO)v11 that perform wound boundary segmentation (WBS) and WC across five clinically relevant wound types: burn injury (BI), pressure injury, diabetic foot ulcer, vascular ulcer, and surgical wound. A wound-type balanced dataset of 2,963 annotated images was created to train the models for both tasks, using five-fold cross-validation. Models trained on the original, non-augmented dataset performed consistently across folds, though BI detection accuracy was relatively low; augmenting the dataset with rotation, flipping, and variations in brightness, saturation, and exposure significantly improved performance, particularly for visually subtle BI cases. Among the tested variants, YOLOv11x achieved the best WBS performance (F1-score: 0.9341; mAP50: 0.9629). For WC, YOLOv11m achieved the highest mAP50 (0.9194) and mAP50-95 (0.6950), whereas YOLOv11l achieved the highest F1-score (0.8797). The lightweight YOLOv11n provided comparable accuracy at lower computational cost, making it suitable for resource-constrained deployments. Supported by confusion matrices and visual detection outputs, the results confirm robustness against complex backgrounds and high intra-class variability, demonstrating the potential of YOLOv11-based architectures for accurate, real-time wound analysis in clinical and remote care settings.

Authors 4

Mehedi Hasan Tusar, Fateme Fayyazbakhsh, Igor Melnychuk, Ming C. Leu

Specification

Official page: arxiv.org/abs/2603.27325
Source:arXiv (Atom API + RSS)T1observed 2 h agohigh
Arxiv announce type: replace
Source:arXiv (Atom API + RSS)T1observed 2 h agohigh
arXiv id: 2603.27325
Source:arXiv (Atom API + RSS)T1observed 2 h agohigh
Categories: cs.CV, cs.AI
Source:arXiv (Atom API + RSS)T1observed 2 h agohigh
DOI: 10.36922/AIH026250065
Source:arXiv (Atom API + RSS)T1observed 2 h agohigh
PDF: arxiv.org/pdf/2603.27325
Source:arXiv (Atom API + RSS)T1observed 2 h agohigh
Primary category: cs.CV
Source:arXiv (Atom API + RSS)T1observed 2 h agohigh
Published: 11 Sept 2026
Source:arXiv (Atom API + RSS)T1observed 2 h agohigh

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Attributed facts

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T110

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2 h ago

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10 claims · 10 properties

Official pageofficial_url1

Claim history for Official page
Value	Valid from → to	Status	Source	Confidence	Extractor
https://arxiv.org/abs/2603.27325	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

Abstractabstract1

Claim history for Abstract
Value	Valid from → to	Status	Source	Confidence	Extractor
Accurate wound classification (WC) and boundary segmentation are essential for guiding clinical decisions in chronic and acute wound management. However, most existing artificial intelligence (AI) models are limited, focusing on a narrow set of wound types, limited variations in wound severity, or a single task (segmentation or classification), which reduces their clinical applicability. This study presents two dedicated instance segmentation models based on You Only Look Once (YOLO)v11 that perform wound boundary segmentation (WBS) and WC across five clinically relevant wound types: burn injury (BI), pressure injury, diabetic foot ulcer, vascular ulcer, and surgical wound. A wound-type balanced dataset of 2,963 annotated images was created to train the models for both tasks, using five-fold cross-validation. Models trained on the original, non-augmented dataset performed consistently across folds, though BI detection accuracy was relatively low; augmenting the dataset with rotation, flipping, and variations in brightness, saturation, and exposure significantly improved performance, particularly for visually subtle BI cases. Among the tested variants, YOLOv11x achieved the best WBS performance (F1-score: 0.9341; mAP50: 0.9629). For WC, YOLOv11m achieved the highest mAP50 (0.9194) and mAP50-95 (0.6950), whereas YOLOv11l achieved the highest F1-score (0.8797). The lightweight YOLOv11n provided comparable accuracy at lower computational cost, making it suitable for resource-constrained deployments. Supported by confusion matrices and visual detection outputs, the results confirm robustness against complex backgrounds and high intra-class variability, demonstrating the potential of YOLOv11-based architectures for accurate, real-time wound analysis in clinical and remote care settings.	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

Arxiv announce typearxiv_announce_type1

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replace	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

arXiv idarxiv_id1

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2603.27325	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

Authorsauthors1

Claim history for Authors
Value	Valid from → to	Status	Source	Confidence	Extractor
Mehedi Hasan Tusar, Fateme Fayyazbakhsh, Igor Melnychuk, Ming C. Leu	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

Categoriescategories1

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cs.CV, cs.AI	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

DOIdoi1

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Value	Valid from → to	Status	Source	Confidence	Extractor
10.36922/AIH026250065	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

PDFpdf_url1

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https://arxiv.org/pdf/2603.27325	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

Primary categoryprimary_category1

Claim history for Primary category
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cs.CV	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

Publishedpublished_at1

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11 Sept 2026	11 Sept 2026 21:03 UTC → current	current	arXiv (Atom API + RSS)T1	high	deterministic

Claims are temporal and append-only: a new observation closes the previous claim (valid_to) instead of overwriting it. Conflicting claims from different sources are kept side by side and flagged — never averaged. Methodology →

Source documents
Source	Document	Type	Tier	Last observed	Snapshots
arXiv (Atom API + RSS)	rss.arxiv.org/rss/cs.CV	feed	T1· Official	2 h ago	1

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