Evaluation of Smartphones Equipped with Light Detection and Ranging Technology for Circumferential and Volumetric Measurements in Lower Extremity Lymphedema

Lower extremity lymphedema (LEL) requires precise limb measurements for treatment evaluation and compression garment design. Tape measurement (TM) is the standard method but is time-consuming. Smartphones with light detection and ranging (LiDAR) technology may offer fast and efficient alternatives f...

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Main Authors: Masato Tsuchiya, Kanako Abe, Satoshi Kubo, Ryuichi Azuma
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Biosensors
Subjects:
Online Access:https://www.mdpi.com/2079-6374/15/6/381
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author Masato Tsuchiya
Kanako Abe
Satoshi Kubo
Ryuichi Azuma
author_facet Masato Tsuchiya
Kanako Abe
Satoshi Kubo
Ryuichi Azuma
author_sort Masato Tsuchiya
collection DOAJ
description Lower extremity lymphedema (LEL) requires precise limb measurements for treatment evaluation and compression garment design. Tape measurement (TM) is the standard method but is time-consuming. Smartphones with light detection and ranging (LiDAR) technology may offer fast and efficient alternatives for three-dimensional imaging and measurement. This study evaluated the accuracy, reliability, and time efficiency of LiDAR measurements compared with those of TM in patients with LEL. A healthy volunteer and 55 patients were included. Circumferences of the foot, ankle, calf, knee, and thigh and the volume were measured using TM and smartphones with LiDAR. The water displacement method was used to validate volume measurements. The measurement time, reliability, correlation, agreement, and systematic differences between the methods were assessed. LiDAR showed excellent reliability in the healthy volunteer (inter-rater intraclass correlation coefficients: 0.960–0.988) and significantly reduced the measurement time compared with TM (64.0 ± 15.1 vs. 115.3 ± 30.6 s). In patients with LEL, strong correlations and agreements were observed for ankle, calf, and knee measurements. However, foot and thigh measurements showed lower correlations and larger discrepancies. LiDAR has excellent accuracy and reliability in measuring the circumference and volume of the lower leg and has the potential to reduce the time required to acquire data. Limitations include lower accuracy for foot and thigh measurements and the current workflow complexity, which requires the use of multiple software tools.
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spelling doaj-art-d38aa05182f7442eaf86640d4960b70a2025-08-20T02:24:18ZengMDPI AGBiosensors2079-63742025-06-0115638110.3390/bios15060381Evaluation of Smartphones Equipped with Light Detection and Ranging Technology for Circumferential and Volumetric Measurements in Lower Extremity LymphedemaMasato Tsuchiya0Kanako Abe1Satoshi Kubo2Ryuichi Azuma3Department of Plastic and Reconstructive Surgery, National Defense Medical College, Saitama 3598513, JapanCenter for Palliative Care, National Defense Medical College, Saitama 3598513, JapanDepartment of Plastic and Reconstructive Surgery, National Defense Medical College, Saitama 3598513, JapanDepartment of Plastic and Reconstructive Surgery, National Defense Medical College, Saitama 3598513, JapanLower extremity lymphedema (LEL) requires precise limb measurements for treatment evaluation and compression garment design. Tape measurement (TM) is the standard method but is time-consuming. Smartphones with light detection and ranging (LiDAR) technology may offer fast and efficient alternatives for three-dimensional imaging and measurement. This study evaluated the accuracy, reliability, and time efficiency of LiDAR measurements compared with those of TM in patients with LEL. A healthy volunteer and 55 patients were included. Circumferences of the foot, ankle, calf, knee, and thigh and the volume were measured using TM and smartphones with LiDAR. The water displacement method was used to validate volume measurements. The measurement time, reliability, correlation, agreement, and systematic differences between the methods were assessed. LiDAR showed excellent reliability in the healthy volunteer (inter-rater intraclass correlation coefficients: 0.960–0.988) and significantly reduced the measurement time compared with TM (64.0 ± 15.1 vs. 115.3 ± 30.6 s). In patients with LEL, strong correlations and agreements were observed for ankle, calf, and knee measurements. However, foot and thigh measurements showed lower correlations and larger discrepancies. LiDAR has excellent accuracy and reliability in measuring the circumference and volume of the lower leg and has the potential to reduce the time required to acquire data. Limitations include lower accuracy for foot and thigh measurements and the current workflow complexity, which requires the use of multiple software tools.https://www.mdpi.com/2079-6374/15/6/381lymphedemaLiDARsmartphonescircumference measurementvolumetric measurement
spellingShingle Masato Tsuchiya
Kanako Abe
Satoshi Kubo
Ryuichi Azuma
Evaluation of Smartphones Equipped with Light Detection and Ranging Technology for Circumferential and Volumetric Measurements in Lower Extremity Lymphedema
Biosensors
lymphedema
LiDAR
smartphones
circumference measurement
volumetric measurement
title Evaluation of Smartphones Equipped with Light Detection and Ranging Technology for Circumferential and Volumetric Measurements in Lower Extremity Lymphedema
title_full Evaluation of Smartphones Equipped with Light Detection and Ranging Technology for Circumferential and Volumetric Measurements in Lower Extremity Lymphedema
title_fullStr Evaluation of Smartphones Equipped with Light Detection and Ranging Technology for Circumferential and Volumetric Measurements in Lower Extremity Lymphedema
title_full_unstemmed Evaluation of Smartphones Equipped with Light Detection and Ranging Technology for Circumferential and Volumetric Measurements in Lower Extremity Lymphedema
title_short Evaluation of Smartphones Equipped with Light Detection and Ranging Technology for Circumferential and Volumetric Measurements in Lower Extremity Lymphedema
title_sort evaluation of smartphones equipped with light detection and ranging technology for circumferential and volumetric measurements in lower extremity lymphedema
topic lymphedema
LiDAR
smartphones
circumference measurement
volumetric measurement
url https://www.mdpi.com/2079-6374/15/6/381
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