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INFRARED THERMAL IMAGING CONTROL OF RADIATION DERMATITIS DYNAMICS.

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Infrared thermography offers an objective, quantitative method to monitor radiation-induced dermatitis during cancer therapy. This non-invasive technique accurately assesses current severity and predicts future skin toxicity, improving patient quality of life.

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Area of Science:

  • Oncology
  • Medical Imaging
  • Dermatology

Background:

  • Radiation-induced dermatitis significantly impacts cancer patients' quality of life, often necessitating radiotherapy interruptions.
  • Current dermatitis assessment relies on subjective visual examination, highlighting the need for objective, quantitative methods.
  • Early detection and prediction of radiation dermatitis severity are crucial for effective management.

Purpose of the Study:

  • To evaluate infrared thermography for monitoring radiation-induced dermatitis.
  • To assess the quantitative analysis of thermal field dynamics for predicting dermatitis severity.
  • To determine the advantages and limitations of infrared thermography in radiotherapy.

Main Methods:

  • Infrared thermography was used to examine 30 adult patients undergoing 2D conventional radiotherapy.
  • A specific approach quantified thermal fields associated solely with dermatitis.
  • Statistical analyses, including correlation and Receiver Operating Characteristic (ROC) analysis, were performed.

Main Results:

  • All patients (100%) developed dermatitis of varying severity.
  • Thermal field dynamics correlated significantly with dermatitis progression (correlation coefficient 0.74–0.84), except for radiosensitive tumors.
  • Early hyperthermia (≥ 0.7 °C) predicted severe dermatitis (grade ≥ 3) with good accuracy (AUC = 0.871).

Conclusions:

  • Infrared thermography provides a non-invasive, cost-effective tool for objective dermatitis monitoring during radiotherapy.
  • This method enables quantitative assessment of current dermatitis grade and prediction of future severity.
  • The findings support the use of infrared thermography for diverse tumor locations and patient types.