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Infrared thermography: experience from a decade of pediatric imaging
Amulya K Saxena1, Günter H Willital
1Department of Pediatric Surgery, Medical University of Graz, Graz, Austria. amulya.saxena@meduni-graz.at
Insights
Infrared thermography (IRT) is a feasible, non-invasive tool for diagnosing and monitoring pediatric conditions. This technique offers objective, repeatable assessments for various pathologies in children.
Area of Science:
- Medical imaging
- Pediatric diagnostics
- Non-invasive monitoring
Background:
- Clinical application of infrared thermography (IRT) in pediatrics requires evaluation.
- Identifying pediatric pathologies diagnosable and followable with IRT is crucial.
Purpose of the Study:
- To assess the feasibility of clinical IRT in pediatric patients.
- To identify specific pediatric conditions amenable to IRT diagnosis and follow-up.
Main Methods:
- Real-time computer-assisted IRT performed on 285 pediatric patients (1 week-16 years) over 10 years (1990-2000).
- 483 examinations conducted, measuring temperature in degrees C with computer-analyzed color images.
- Data stored on floppy discs for analysis.
Main Results:
- IRT demonstrated excellent utility in follow-up cases including hemangiomas, vascular malformations, reimplanted digits, burns, and post-biomaterial implant monitoring in gastroschisis/omphalocele.
- In emergency settings, IRT was valuable for rapid diagnosis of extremity thrombosis, varicoceles, inflammation, abscesses, gangrene, and wound infections.
- IRT provided objective, repeatable results via color images.
Conclusions:
- Infrared thermography is a safe, non-invasive, and effective diagnostic and follow-up tool for the pediatric population.
- The technique requires no sedation or anesthesia, allowing for repeated examinations.
- Periodic thermographic studies are a useful and reproducible method for long-term monitoring of pediatric lesions.
Abstract:
The aim of this study was to evaluate the feasibility of clinical application of infrared thermography (IRT) in the pediatric population and to identify pathological states that can be diagnosed as well as followed up using this non-invasive technique. In real time computer-assisted IRT, 483 examinations were performed over a period of 10 years from 1990-2000 on 285 patients in the pediatric age group (range 1 week-16 years) presenting with a wide range of pathologies. The temperature was measured in centigrade ( degrees C), and color images obtained were computer analyzed and stored on floppy discs. IRT was found to be an excellent noninvasive tool in the follow-up of hemangiomas, vascular malformations and digit amputations related to reimplantation, burns as well as skin and vascular growth after biomaterial implants in newborns with gastroschisis and giant omphaloceles. In the emergency room, it was a valuable tool for rapid diagnosis of extremity thrombosis, varicoceles, inflammation, abscesses, gangrene and wound infections. In conclusion, IRT can be performed in the pediatric age group, is non-invasive, without any biological side effects, requires no sedation or anesthesia and can be repeated as desired for follow-ups, with objective results that can demonstrated as colored images. Periodic thermographic studies to follow progression of lesions seem to be a useful and reproducible method for repeated and long-term examination.
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