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DIAGNOSIS OF BLUNT TRAUMA OF KIDNEY INJURY WITH INFRARED THERMOMETER METHOD
O Babkina1, S Danylchenko2, K Varukha1
11O.O. Bohomolets National Medical University, Kyiv; Ukraine.
Abstract:
Aim - the study of the prescription of injury on the dynamics of changes in temperature indices of the injured kidney tissues in blunt trauma. The material of the study to date are the tissues of the kidneys of 256 male and female persons, aged 20 to 60 years, who died at a known time of trauma and prescription of death in the were subject to autopsy. To address the question of the age of occurrence of kidney damage, we used a modern method of infrared thermometry (using a TH 9100 PMVI-WL Thermo Tracker thermal imager, which is a contactless high-sensitivity infrared camera). In this way, we came to the gown, who, when injured by blunt objects, are willing to take into account the laws of the organs of the black empty. However, in the area of trauma throughout the period after the autopsy of the dead (24 hours of study), observed higher quantitative temperature compared with non-injured kidney tissues, on average, 2-3 ° C (± 0.28). To take into account the fact that the right kidney is protected more than the left kidney and less vulnerable to body compression, it is not accompanied by a shift in the impact of traumatic objects; at 1.5-2 ° C (± 0.14). We believe that determining the limitation period of the onset of mechanical trauma by changes in the infrared thermometry indices carried out in the complex are appropriate and such that provide the full amount of information about the time of causing the trauma.
Insights
Blunt kidney trauma causes a temperature increase in injured tissues for up to 24 hours post-mortem. Infrared thermometry can help determine the time of injury in forensic investigations.
Area of Science:
- Forensic Pathology
- Trauma Research
- Medical Imaging
Background:
- Blunt force trauma to the kidneys can result in significant injury.
- Accurately determining the time of kidney injury is crucial in forensic and clinical settings.
- Existing methods for time-of-death estimation have limitations.
Purpose of the Study:
- To investigate the relationship between blunt kidney trauma and changes in tissue temperature.
- To evaluate the utility of infrared thermometry in estimating the time of kidney injury.
- To establish temperature dynamics in injured kidney tissues post-mortem.
Main Methods:
- Utilized infrared thermometry with a high-sensitivity thermal imager (TH 9100 PMVI-WL Thermo Tracker).
- Examined kidney tissue samples from 256 deceased individuals (aged 20-60) with known trauma and time of death.
- Monitored temperature changes in injured vs. non-injured kidney tissues for 24 hours post-autopsy.
Main Results:
- Injured kidney tissues exhibited a sustained temperature increase of 2-3°C (±0.28) compared to uninjured tissues over 24 hours.
- The right kidney, being more protected, showed a smaller temperature differential of 1.5-2°C (±0.14) compared to the left kidney.
- Temperature changes correlated with the severity and timing of blunt force trauma.
Conclusions:
- Infrared thermometry provides valuable data for determining the time of mechanical trauma to the kidneys.
- Temperature dynamics in injured kidney tissues offer a novel approach for forensic time-of-injury estimation.
- This method can enhance the accuracy of forensic investigations involving blunt force trauma.
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