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Quantitative Visualization and Detection of Skin Cancer Using Dynamic Thermal Imaging
Published on: May 5, 2011
Evaluation of the Predictive Validity of Thermography in Identifying Extravasation With Intravenous Chemotherapy
Yuko Matsui1, Ryoko Murayama, Hidenori Tanabe
1Kanazawa Medical University, Japan (Drs Matsui, Motoo, Sakai, and Konya, and Ms Kinoshita), Kanazawa Medical University Hospital, Japan (Mr Wagatsuma, Ms Michibuchi), University of Tokyo, Japan (Drs Murayama, Oe, and Sanada, and Mr Tanabe), and Kanazawa University, Japan (Dr Sugama). Yuko Matsui, PhD, RN, is an associate professor at the Kanazawa Medical University School of Nursing, where she conducts research involving chemotherapy and patient safety. Ryoko Murayama, PhD, RN, is a project associate professor in the Department of Advanced Nursing Technology at the University of Tokyo's Graduate School of Medicine, where she conducts research involving infusion therapy and patient safety. Hidenori Tanabe, ME, is a collaborative researcher in the Department of Advanced Nursing Technology in the University of Tokyo's Graduate School of Medicine, and at Terumo Corporation, where he conducts research involving infusion therapy and patient safety. Makoto Oe, PhD, RN, is a project lecturer in the Department of Advanced Nursing Technology in the University of Tokyo's Graduate School of Medicine, where she conducts research involving skin and wound care nursing. Yoshiharu Motoo, MD, PhD, is a professor in the Kanazawa Medical University Graduate School of Medicine's Department of Medical Oncology, where he conducts research involving chemotherapy. Takanori Wagatsuma, MSN, RN, CNS, is a clinical oncology nurse at Kanazawa Medical University Hospital. Michiko Michibuchi, RN, is a clinical nurse specialist at Kanazawa Medical University Hospital. Sachiko Kinoshita, MSN, RN, WOCN, is a senior assistant professor at Kanazawa Medical University's School of Nursing, where she conducts research involving skin and wound care nursing. Keiko Sakai, PhD, RN, is a professor at the Kanazawa Medical University School of Nursing, where she conducts research involving nursing education. Chizuko Konya, PhD, RN, WOCN, is a professor at Kanazawa Medical University's School of Nursing, where she conducts research involving skin and wound care nursing. Junko Sugama, PhD, RN, is a unit leader professor in the Advanced Health Care Science Research Unit Innovative Integrated Bio-Research Core Institute for Frontier Science Initiative at the Kanazawa University, where she conducts research involving skin and wound care nursing. Hiromi Sanada, PhD, RN, is a professor in the Department of Gerontological Nursing/Wound Care Management in the University of Tokyo's Graduate School of Medicine, where she conducts research involving skin and wound care nursing.
Abstract:
Early detection of extravasation is important, but conventional methods of detection lack objectivity and reliability. This study evaluated the predictive validity of thermography for identifying extravasation during intravenous antineoplastic therapy. Of 257 patients who received chemotherapy through peripheral veins, extravasation was identified in 26. Thermography was performed every 15 to 30 minutes during the infusions. Sensitivity, specificity, positive predictive value, and negative predictive value using thermography were 84.6%, 94.8%, 64.7%, and 98.2%, respectively. This study showed that thermography offers an accurate prediction of extravasation.

