Abstract
Thermography has application in the investigation of the nature and extent of tissue trauma. However, the effects of tissue injury on skin temperatures may also interfere with other diagnostic uses of thermography. Specific examples relating to the main pathological agents, (pressure, heat, cold, nuclear radiation, etc) are briefly reviewed. The effects of trauma are discussed with reference to the pathophysiology of tissues, the resulting thermal responses, and the diagnostic process. Particular emphasis is given to the example of pressure sores. In this application it has been possible to extend the subjective interpretation of thermograms (obtained after removal of pressure) to detailed studies of the time-dependence of thermographie patterns and the quantitative analyses of the areas involved. It was found in this example that the surface temperatures, after the application and relief of sufficient tissue loading, increased to a maximum and then decreased. The temperature decrease (observed after peak temperature was attained) was approximately two degrees centigrade within the first 15 minutes in the case of normal subjects. The corresponding decrease was markedly less in the case of regions involving compromized tissue.
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References
K. Lloyd Williams, Pictorial heat scanning, Phys. Med. Biol. 9: 433 (1964).
D. A. Kliot, S. J. Birnbaum, Thermographic studies of wound healing, Am. J. Obst. and Gynec. 93: 515 (1965).
S. M. Viitanen, J. Viljanto, Wound healing - a thermographie study, Annles Chirurgial et Gynecologiae Fenniae 60: 101 (1972).
L. Acciarri, L. Cugola, R. Maso, L. Nogarin, The thermographie hand, Acta Thermographica 3: 65 (1978).
R. N. Lawson, G. D. Modek, D. R. Webster, Thermographie assessment of burns and frostbite, Can. Med. Ass. J. 84: 1129 (1961).
R. Mladick, N. Georgiade, F. Thorne, A clinical evaluation of the use of thermography in determining degree of burn injury, Plastic and Reconstructive Surgery 38: 512 (1966).
G. Buwalda, Thermographie Assessment of Burns and Frostbite, in: “Medical Thermography, Bibliol. Radiol. No. 5,” Karger, Basel (1961)
M. Hackett, Color thermography in the diagnosis of burn depth, in: “Transactions of the Fifth International Congress of Plastic and Reconstructive Surgery, Melbourne,” J. T. Hueston ed. Butterworth, Sydney, London (1971).
M. Hackett and H. P. Henderson, Infrared thermography in medicine, in: Industrial and Civil Applications of Infrared Technology, SPIE Vol. 110, p. 74–77 (1977).
M. Hackett, The use of thermography in the assessment of depth of burn and blood supply of flaps, with preliminary reports on its use in Dupuytren’s contracture and treatment of varicose ulcers, Brit. J. of Plastic Surgery 27: 311 (1974).
M. Hackett, The place of thermography in medicine, Acta Thermographica 1: 176 (1976).
A. Sowa, Thermographie estimation of burn depth, Acta Thermographica 4: 30 (1971).
M. P. Hamlet, J. Veghte, W. D. Bowers, J. Boyce, Thermographic evaluation of experimentally produced frostbite of rabbit feet, Cryobiology 14: 197 (1977).
M. Tonegutti, L. Acciarri, A. Racavelli, Fundamentals of contact thermography in female breast diseases, Acta Thermographica supplement, Bertoncello Artigrafiche, Padova (1980).
M. Gautherie, D. Gros, C. H. Gros, Contribution of infrared thermography to the surveillance of irradiated breast carcinomas, Acta Thermographica 2: 23 (1977).
F. Amalric, D. Giraud, C. Altschuler, R. Amalric, J. M. Spitalier, Infrared thermographie follow-up after breast cancer curative radiotherapy, Acta Thermographica 4: 54 (1979).
E. B. Silberstein, J. Kattan, The use of thermography in radiobiological dosimetry, Acta Thermographica 2: 91 (1977).
H. E. Johns, J. R. Cunningham, “The Physics of Radiology,” Third Edition, Charles C. Thomas, Springfield, Ill. (1969).
F. Lelik, G. Kezy, Contact thermography in sports medicine, Acta Thermographica 4: 24 (1979).
H. T. Bergtholdt, Thermography and athletic injuries, in: “Medical Thermography, Theory and Clinical Applications,” S. LTematsu ed., Brentwood Publishing Corp., Los Angeles (1976).
H. T. Bergtholdt, Thermography on insensitive limbs, in: “Medical Thermography, Theory and Clinical Applications,” S. LTematsu ed., Brentwood Publishing Corp., Los Angeles (1976).
A. A. Barton, M. Barton, The clinical and thermographical evaluation of pressure sores, Age and Ageing 2: 55 (1973).
P. I. Branemark, K. Nilsson, Thermographie and microvascular studies of the peripheral circulation, in: “Medical Thermography. Biol. Radiol. No. 5,” Karger, Basel (1969).
H. Killian, “Cold and Frost Injuries - Rewarming Damages Biological, Angiological and Clinical Aspects,” Springer-Verlag, Berlin (1981).
A. Nagasawa, H. Okada, Thermal recovery, in: “Medical Thermography,” K. Atsumi ed., University of Tokyo Press, Tokyo (1973).
M. Kosiak, Etiology and pathology of ischemic ulcers, Arch. Phys. Med. Rehabil. 40: 62 (1959).
P. W. Brand, T. D. Sabin, J. F. Burke, Sensory denervation, study of its cause and its prevention in leprosy and of management of insenstive limbs, SRS Project No RC-40-M Final Report, Carville USPS Hospital, Carville, LA (1971).
P. W. Brand, Pressure sores - the problem, in: “Bedsore Biomechanics,” R. M. Kenedi, J. M. Cowden, eds., MacMillan, London (1976a).
A. A. Barton, The pathogenesis of skin wounds due to pressure, in: “Bedsore Biomechanics,” R. M. Kenedi, J. M. Cowden, eds., MacMillan, London (1976).
P. I. Branemark, Microvascular function at reduced flow rates, in: “Bedsore Biomechanics,” R. M. Kenedi, J. M. Cowden, eds., MacMillan, London (1976).
P. J. Verhonick, D. W. Lewis, H. O. Goller, Thermography in the study of decubitus ulcers, Nursing Research 21: 233 (1972).
H. Goller, D. W. Lewis, R. E. McLaughlin, Thermographie studies of human skin subjected to localized pressure, Am. J. Roent. Rad. Ther. Nucl. Med. 113: 749 (1974).
R. S. Trandel, D. W. Lewis, P. J. Verhonick, Thermographie investigation of decubitus ulcers, Bull. Prosthetics Research, Fall 1975; 137 (1975).
J. Rogers, L. F. Wilson, Preventing recurrent tissue breakdown after “pressure sore” closures, Plastic and Reconstructive Surgery, 56: 419 (1975).
G. Pye, P. Bowker, Skin temperature as an indicator of stress in soft tissue, Engineering in Medicine 5: 58 (1976).
S. D. Mahanty, Thermal response of the skin to the application of localized pressure, Arch. of Phys. Med. and Rehabil. 60: 584 (1979).
S. D. Mahanty, R. B. Roemer, Thermal and circulatory response of tissue to localized pressure applications: a mathematical model, Arch. of Phys. Med. Rehabil. 61: 335 (1980).
M. S. Bergtholdt, P. W. Brand, Thermography: an aid in the management of insensitive feet and stumps, Arch. of Phys. Med. and Rehabil. 56: 205 (1975).
P. W. Brand, Patient monitoring, in: “Bedsore Biomechanics,” R. M. Kenedi, J. M. Cowden eds., MacMillan, London (1976b).
R. Black, A. F. Filippone, Thermography in a seating program, in: Frontiers in Biomedical Engineering, Proceedings of 8th CMBÉ Conference. Canadian Medical and Biological Engineereing Society, Ottawa (1980).
R. Black, G. Hahn, Color thermography in a pediatric tissue trauma program, in: “Medical Thermography,” R. Ghys ed., European Press, Ghent (1978).
L. D. Reed, M. R. Howat, J. E. Ulrichsen, Thermographie Areameter, US Patent 4,218, 707 (1980).
A. A. Moss, H. Y. Kressel, A. C. Brito, Use of thermography to predict intestinal viability and survival after ischemic injury: blind experimental study, Investigative Radiology 16: 24 (1981).
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© 1984 Plenum Press, New York
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Reed, L.D., Black, R.C. (1984). Influence of Tissue Injury on Skin Temperature. In: Ring, E.F.J., Phillips, B. (eds) Recent Advances in Medical Thermology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-7697-2_18
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DOI: https://doi.org/10.1007/978-1-4684-7697-2_18
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