Three-dimensional laser scanning technology for accurate lower limb edema assessment in heart failure patients: a feasibility study - Report - MDSpire

Three-dimensional laser scanning technology for accurate lower limb edema assessment in heart failure patients: a feasibility study

  • By

  • Lorenzo Lippi

  • Mauro Nascimben

  • Alessio Turco

  • Fjorelo Refati

  • Valter De Michelis

  • Alessandro de Sire

  • Marco Invernizzi

  • Lia Rimondini

  • July 15, 2026

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Evaluation of Three-Dimensional Laser Scanning for Precise Measurement of Lower Limb Edema in Heart Failure Patients

Overview

This feasibility study evaluates three-dimensional laser scanning (3DLS) for measuring lower limb edema in heart failure patients. The findings indicate that 3DLS shows significant correlation with traditional circumferential methods.

Background

Lower limb edema is prevalent in older adults with heart failure, impacting their physical well-being and functional capacity. Accurate measurement of edema is crucial for effective management and treatment. Traditional methods, such as circumferential measurement, may lack the precision needed for optimal clinical decision-making.

Data Highlights

MethodCorrelation with CMp-value
DELA VERT-3DLS0.856< 0.001

Key Findings

  • 3DLS demonstrated significant correlations with traditional circumferential measurement (CM).
  • DELA VERT-3DLS method had the highest correlation (r = 0.856; p < 0.001).
  • Bland–Altman analysis indicated a trend of overestimation among digital methods compared to CM.
  • The study involved 8 heart failure patients with a mean age of 73 years.
  • Further studies with larger cohorts are needed to confirm the feasibility and reliability of 3DLS.

Clinical Implications

Further studies are needed to explore the clinical applicability of 3DLS for assessing lower limb edema in heart failure patients.

Conclusion

The preliminary results indicate that further research is necessary to validate these findings in larger populations.

Related Resources & Content

  1. NICE, Overview | Chronic heart failure in adults: diagnosis and management, 2025 -- Guidance
  2. JACC, Inferior Vena Cava Ultrasound to Guide Decongestion in Acute Decompensated Heart Failure: A Randomized Controlled Trial, 2025 -- JACC: Heart Failure
  3. PubMed, Clinimetric properties of clinical objective measurement methods for screening, diagnosis, and/or evaluation of lower limb lymphoedema: a systematic review, 2025 -- PubMed
  4. Obesity Surgery — Three-Dimensional Optical Imaging: A Novel Approach for Objective Assessment of Body Shape Alterations Following Bariatric Surgery
  5. Knee Surgery, Sports Traumatology, Arthroscopy — Assessment of a Novel 3D Ultrasound Technique for Evaluating Static Lengths and Lengthening Characteristics of the Gastrocnemius Medialis Muscle and Achilles Tendon In Vivo: Validity and Reliability Analysis
  6. Evaluation of Three-Dimensional Ultrasound for Visualizing Knee Osteophytes: A Comparative Analysis with Computed Tomography
  7. Clinical Research in Cardiology — Prognostic Significance of Left Atrial Reservoir Strain Temporal Patterns in Patients with Heart Failure and Reduced Ejection Fraction
  8. Overview | Chronic heart failure in adults: diagnosis and management | Guidance | NICE
  9. Inferior Vena Cava Ultrasound to Guide Decongestion in Acute Decompensated Heart Failure: A Randomized Controlled Trial | JACC: Heart Failure
  10. Clinimetric properties of clinical objective measurement methods for screening, diagnosis, and/or evaluation of lower limb lymphoedema: a systematic review with narrative synthesis of results - PubMed

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