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At least 19 recordsLinked to original sources

Breast cancer screening of the high risk population with clinical examination and thermography. A combination of telethermography and plate thermography.

On a total of 2523 patients, including the High Risk group, a breast screening was made by clinical exploration and Thermography used as a selective method for the cases due for a Mammography. Although the electronic thermographic examination was done according to the criteria established by the School of Marseilles, we excluded from these criteria the vascular asymmetry test. Such a controversial parameter was substituted by the data given by the angiographic analysis of contact thermography. The results obtained were compared to those referenced in a previous study. The analysis of the compiled data indicated that even if we weren 't the sensitivity of the technique, we did get improvements diagnosing less false positive results with the new procedure (91.43%) than with the previous study (87.65%) (p less than 0.001). The predictive Value (+) was 0.4133 in the present group against the previous 0.10, which meant that 41.33% of the cancers diagnosed were true cancers, against 10% in the previous group. Summing up the analysis showed a higher rate of positive global detections (p less than 0,0005) with our present analytic criteria for Thermography.

Breast Neoplasms↗

Thermography of human arterial system by means of new thermography catheters.

In this case report, we present the first clinical application of three thermography catheters for temperature measurements in the coronary arteries, the aorta, and the femoral arteries. The entire procedure was performed successfully without complications. Larger clinical studies are required in order to examine the feasibility for the application of the aortic and the peripheral artery thermography catheters and the clinical significance of temperature measurements in these arteries. Cathet Cardiovasc Intervent 2001;54:51-58.

Aorta↗

Comparative effectiveness of videothermography, contact thermography, and infrared beam thermography for scanning relative skin temperature.

Videothermography (Video TRM), infrared beam thermography (IRTHRM), and contact thermography (Contact TRM) are utilized to detect asymmetries in temperatures between paired limbs. This information is controversially used in many diagnostic procedures in rehabilitation medicine. In this study, the effectiveness of the above techniques for scanning skin heat patterns and detecting asymmetries is compared. The skin over both lower limbs was imaged with each technique sequentially on 139 male and 15 female patients reporting lower limb pain. Images were also made of an electronic heat producer in order to determine relative accuracy. Contact TRM was unable to accurately image many areas with curved surfaces and was unable to produce accurate recordings when several sensors with differing temperature ranges had to be used on the same subject. It was also relatively inaccurate when imaging the heat producer. Video TRM was easy to use and produced excellent recordings but was difficult to transport. IRTHRM used in conjunction with a grid map of the body was the simplest and least expensive system to use for scanning and was as accurate as Video TRM.

Adolescent↗

New balloon-thermography catheter for in vivo temperature measurements in human coronary atherosclerotic plaques: a novel approach for thermography?

Although ex vivo studies showed marked thermal heterogeneity in atheromatic plaques, in in vivo human studies trivial temperature variations are recorded due to the cooling effect of blood flow. We investigated a new balloon-thermogaphy catheter for temperature measurements during coronary flow interruption. A thermistor probe is positioned at the distal segment of the catheter. At the opposite site of the thermistor, a balloon is placed. By inflation of the balloon, coronary flow is interrupted. Ten patients with effort angina were studied. Coronary flow velocity was continuously recorded. Temperature was recorded at the proximal vessel wall and at the lesion before, during, and after complete interruption of blood flow by inflation of the balloon. DeltaTp was assigned as the difference between the background temperature and the maximal temperature during and after balloon inflation. DeltaTl was assigned as the difference between the atherosclerotic plaque and the proximal vessel wall. The procedure was not complicated. DeltaTp during and after balloon inflation was 0.01 +/- 0.01 degrees C and -0.003 +/- -0.01 degrees C (P < 0.001), respectively. DeltaTl was 0.07 +/- 0.04 degrees C at baseline, 0.17 +/- 0.06 degrees C (59.3% +/- 11.8% increase) during, and 0.07 +/- 0.05 degrees C after flow interruption (P < 0.001). DeltaTl was greater than DeltaTp during and after impairment of flow (P < 0.001). In vivo atherosclerotic plaque temperature recording seems to be feasible with this new balloon-thermography catheter. This device may introduce a new approach for the detection of thermal heterogeneity in plaques by addressing the issue of cooling effect of blood flow.

Aged↗

Childhood linear scleroderma: a possible role of thermography for evaluation.

Linear scleroderma is a rare, at times debilitating, disease with an unpredictable course. Currently, there is no satisfactory objective method for assessment of disease activity upon which to base therapeutic decisions. We evaluated 11 children with 18 linear scleroderma lesions (mean age 11.7 years, mean duration of disease 5.1 years) for disease severity and the presence of immunologic abnormalities, and attempted to correlate these results with thermography. Positive thermography was defined as warmer than surrounding skin or opposite limb by 0.5 degrees C. Six patients were thermography positive. Mean age, sex, disease duration and the presence of hypergammaglobulinemia and autoantibodies were similar in thermography positive and thermography negative patients. Six of 18 linear scleroderma lesions were thermography positive. All 3 new or expanding lesions were thermography positive. All 3 lesions that were resolving clinically were thermography negative. Three of 12 lesions that were clinically unchanged over a 6-month period were also thermography positive. In summary, thermography is a noninvasive test that appears to demonstrate active lesions in linear scleroderma. It is not influenced by previous soft tissue damage induced by linear scleroderma and may enable better monitoring of the effectiveness of proposed therapies.

Adolescent↗

Thermography as an aid to the clinical lameness evaluation.

Thermography has been shown to be a practical aid in the clinical evaluation of lameness. This modality specifically increases the accuracy of diagnosis. Thermography represents skin temperature, usually pictorially. The techniques involve contacting and noncontacting modalities. Noncontacting thermography, which detects infrared radiation, is the most accurate. In order to be accurate, thermography must be performed in a temperature-controlled, draft-free area. The area should be protected from sunlight to avoid erroneous heating of the skin, and the hair length should be uniform. Thermography detects heat before it is perceptible during routine physical examination; therefore, it is useful for early detection of laminitis, stress fractures, and tendinitis. It offers a noninvasive means of evaluating the blood supply to an injured part and offers one of the only reliable means to evaluate blood flow to the foot of horses with navicular syndrome. Thermography also is useful for the early identification of stress injuries to the contralateral limb of convalescing orthopedic patients. Thermography is an excellent adjunct to clinical and radiographic examination. It is complementary to other imaging techniques such as ultrasonography and scintigraphy.

Animals↗

[Attempts at placental localization by means of plate thermography (author's transl)].

The value of plate thermography in the determination of placental localization was investigated in 120 cases, and compared with the results obtained by the ultrasonic B-Scan method. The duration of pregnancy in these cases ranged from 15 to 37 weeks. The results of plate thermography corresponded with ultrasonic localization in 94 cases (78.3%), but the placenta was incorrectly localized by plate thermography in 26 patients. The highest degree of correspondence was observed in the group of anterior wall placentae, the localisation of the placenta by plate thermography being correct in 52 out of 62 cases. The group of posterior wall placentae showed the lowest rate or correspondence, plate thermography giving the correct localization in only 32 out of 45 cases. Hence, plate thermography does not appear to be of sufficient accuracy for clinical use or scientific investigations. Furthermore, no accurate determination of placental surface area and placental thickness is possible with plate thermography. For all these reasons it may be concluded that this method is greatly inferior to the ultrasonic B-Scan method in respect to placental localization.

Diagnostic Errors↗

Literature survey on biomedical applications of thermography.

Thermography is a noninvasive technique through which temperatures are monitored and recorded, thereby allowing visualization of heat flow. There are three types of thermography: liquid crystal thermography (LCT), infrared thermography (IRT) and microwave thermography (MWT). This paper presents a survey of the literature pertinent to the biomedical applications of these types of thermography. The noninvasive and high resolution characteristics of the thermographic systems make them valuable diagnostic as well as therapeutic aids. Typical research areas include detection of blood flow, diagnosis of joint inflammation and cancer, thermal modeling of various body parts, and use in reproductive problems. The survey discloses that thermography has found applications in various fields in medicine, veterinary medicine, pharmacy, and dentistry.

Cardiovascular Diseases↗

Diagnostic thermography.

Thermography is a practical aid in the clinical evaluation of the equine patient. It is particularly germane to the evaluation of lameness. This modality specifically increases the accuracy of diagnosis. Thermography is the pictorial representation of skin temperature. The technique involves the detection of infrared radiation, which can be directly correlated to blood flow. To be accurate, thermography must be performed in a controlled area free of drafts. The area should be protected from sunlight to avoid erroneous heating of the skin, and the horse's hair length should be uniform. Thermography detects heat before it is perceptible during routine physical examination and thus is useful for the early detection of laminitis, stress fractures, and tendinitis. It offers a noninvasive means of evaluating the blood supply to an injured region and represents one of the only reliable noninvasive means to evaluate blood flow to the foot of the horse. Thermography is also useful for the early identification of stress injuries to the contralateral limb of convalescing orthopedic patients. Thermography is an excellent adjunct to clinical examination as well as being complementary to other imaging techniques such as radiology, ultrasonography, and scintigraphy.

Animals↗

Thermography and colour duplex ultrasound assessments of arterio-venous fistula function in renal patients.

Vascular and clinical assessments of arterio-venous fistula (AVF) function and access are important in patients undergoing or preparing to undergo renal dialysis. Objective assessment techniques include colour duplex ultrasound and more recently medical infrared thermography. Ideally, these should help assess problems relating to fistula failure or to vascular steal from the hand which can result from excessive fistula blood flow. The clinical value of thermography, as yet, has not been assessed for this patient group. The aims of this study were therefore to investigate the relationships between thermography skin temperature measurement and (a) quantitative ultrasound measurement of AVF blood flow, and (b) qualitative clinical assessment of vascular steal from the hands. Fifteen adult patients underwent thermal imaging of the upper limbs, colour duplex ultrasound to derive AVF blood flow from brachial artery blood flow measurements, and a clinical evaluation for vascular steal. Temperature measurements were extracted from the thermograms, including bilateral arm and hand (Fistula -- Non-Fistula) differences, for comparison with derived AVF blood flow and steal grading. Derived AVF blood flow ranged from 30 to 1,950 ml min(-1), with a mean rate close to one litre per minute. Thermography detected the warmer superficial veins in proximity to the patent fistulas, with bilateral differences in fistula region skin temperature correlated with derived AVF blood flow (using maximum temperature measurements the correlation was +0.71 [p < 0.01]; and using mean temperature measurements the correlation was +0.56 [p < 0.05]). When thermography measurements were compared with the clinical assessment of steal the mean hand temperature differences separated steal from non-steal patients with an accuracy of greater than 90%. In summary, we have now demonstrated the potential clinical value of medical infrared thermography for assessing AVF function in renal patients.

Adult↗