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Current Issues in Medical Thermography

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Topics in Medical Image Processing and Computational Vision

Part of the book series: Lecture Notes in Computational Vision and Biomechanics ((LNCVB,volume 8))

Abstract

Digital Medical Thermal Imaging (DMTI) is a modality of medical imaging for monitoring the surface of the skin temperature. The technology evolution over the last 50 years contributed for more accuracy in the measurements and to significantly decrease the size of the equipment making them portable today. The applications of this technique in medicine are on the peripheral vascular, neurological and musculoskeletal conditions assessing and monitoring, in such areas like: cardiology, chronic diseases, dermatology, dentistry, obstetrics, occupational medicine, oncology, physiotherapy, public health, surgery and veterinary medicine. In this chapter the technique is introduced, with its historical perspective, the fundamental physics, the human physiology concepts, the equipment characterization, the existing proposals for examination protocols, the used image processing techniques, the latest developments and applications and the current limitations and challenges.

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References

  1. NPL (2012) Thermal frequent asked questions page. URL: http://www.npl.co.uk/engineering-measurements/thermal/temperature/faqs/what-is-temperature-(faq-thermal)  Accessed 27 Jan 2012

  2. Ring EFJ (2007) The historical development of temperature measurement in medicine. Infrared Phys Technol 49:297–301

    Article  Google Scholar 

  3. Richards PL (1994) Bolometers for infrared and millimeter waves. J Appl Phys 76:1–36

    Article  MathSciNet  Google Scholar 

  4. Lisowska-Lis A, Mitkowski SA, Augusty J (2011) Infrared technique and its application in science and engineering in the study plans of students in electrical engineering and electronics. In: Proceedings of 2nd world conference on technology and engineering education (WIETE 2011), pp 104–108

    Google Scholar 

  5. Lloyd JM (1975) Thermal Imaging Systems. Plenum, New York

    Google Scholar 

  6. Lawson RN (1956) Implications of surface temperatures in the diagnosis of breast cancer. Can Med Assoc J 75:309–331

    Google Scholar 

  7. Thomas RA (1999) The thermography monitoring handbook. Coxmoor Publishing, Oxford

    Google Scholar 

  8. Houdas Y, Ring EFJ (1982) Human body temperature. Plenum Press, New York

    Google Scholar 

  9. Tortora GJ, Grabowski SR (2003) Principles of anatomy and physiology, 10th edn. Wiley, New York

    Google Scholar 

  10. Rogalski A, Chrzanowski K (2002) Infrared detection and devices. Opto-Electron Rev 10(2):111–136

    Google Scholar 

  11. FLIR (2011) FLIR R&D Handbook, Institutional webpage. http://www1.flir.com/l/5392/2011-12-05/2YFPK

  12. Rogalski A (2010) Infrared detectors, 2nd edn. CRC Press, Boca Raton

    Google Scholar 

  13. Howell KJ, Smith RE (2009) Guidelines for specifying and testing a thermal camera for medical applications. Thermology Int 19(1):5–14

    Google Scholar 

  14. Ammer K (2003) Need for standardisation of measurements in thermal imaging. In: Wiecek B (ed) Thermography and lasers in medicine. Akademickie Centrum, Lodz, pp 13–17

    Google Scholar 

  15. Ring EFJ, Ammer K, Jung A, Murawski P, Wiecek B, Zuber J, Zwolenik S, Plassmann P, Jones CD, Jones BF (2004) Standardization of infrared imaging. In: Conference proceedings of the IEEE engineering in medicine biology, vol 2, pp 1183–1185

    Google Scholar 

  16. Ring EFJ, Ammer K, Wiecek B, Plassmann P (2005) Technical challenges for the construction of a medical IR digital image database. In: Chatard, JP, Dennis PNJ (eds) Proceedings of SPIE, detectors and associated signal processing II vol 5964, pp 191–198

    Google Scholar 

  17. Schwartz RG (2006) Guidelines for neuromusculoskeletal thermography. Thermol Int 16(1):5–9

    Google Scholar 

  18. Ammer K (2008) Standard procedures for recording and evaluation of thermal images of the human body: the Glamorgan protocol. Thermol Int 18(4):125–144

    Google Scholar 

  19. Jones BF, Plassmann P (2002) Digital infrared thermal imaging of human skin. IEEE Eng Med Biol 21:41–48

    Article  Google Scholar 

  20. Gonzales RC, Woods RE (2009) Digital image processing, 3rd edn. Pearson education, Prenctice Hall, New Jersey

    Google Scholar 

  21. Jiang LJ, Ng EYK, Yeo ACB, Wu S, Pan F, Yau WY, Chen JH, Yang Y (2005) A perspective on medical infrared imaging. J Med Eng Technol 29(6):257–267

    Article  Google Scholar 

  22. Gomes J, Darsa L, Costa B, Velho L (1999) Warping and morphing of graphical objects. Morgan Kaufmann, San Francisco

    Google Scholar 

  23. Diakides NA, Diakides M, Lupo JC, Paul JL, Balcerak R (2008) Advances in medical infrared imaging. In: Diakides NA, Bronzino JD (eds) Medical infrared imaging. CRC Press, Boca Raton, pp 1–13

    Google Scholar 

  24. Ring EFJ, Ammer K (2008) Thermal imaging in diseases of the skeletal and neuromuscular systems. In: Diakides NA, Bronzino JD (eds) Medical infrared imaging. CRC Press, Boca Raton, pp 1–13

    Google Scholar 

  25. Merla A, Romani GL (2008) Biomedical applications of functional infrared imaging. In: Diakides NA, Bronzino JD, (eds) Medical infrared imaging. CRC Press, Boca Raton, pp 15.1–15.20

    Google Scholar 

  26. Gul KM, Ahmadi N, Wang Z, Jamieson C, Nasir K, Metcalfe R, Hecht HS, Hartley CJ, Naghavi M (2009) Digital thermal monitoring of vascular function: a novel tool to improve cardiovascular risk assessment. Vasc Med 14(2):143–148

    Article  Google Scholar 

  27. Kalicki B, Jung A, Ring EFJ, Saracyn M, Niemczy S (2011) Monitoring renal dialysis patients by hand thermography. Thermol Int 21(4):116–117

    Google Scholar 

  28. Novljan G, Rus RR, Koren-Jeverica A, Avčin T, Ponikvar R, Buturović-Ponikvar J (2011) Detection of dialysis access induced limb ischemia by infrared thermography in children. Ther Apher Dial 15(3):298–305

    Article  Google Scholar 

  29. Vardasca R, Ring EFJ, Plassmann P, Jones CD (2008) Thermal monitoring of hand stress during keyboard typing. In: Proceedings of 9th international conference on quantitative infrared thermography, pp 169–174

    Google Scholar 

  30. Vardasca R (2011) The use of medical thermography as a complementary examination for occupational conditions affecting the upper limbs. Thermol Int 21(4):146

    Google Scholar 

  31. Govindu NK, Babski-Reeves K (2012) Reliability of thermal readings of the skin surface over the anterior deltoid during intermittent, overhead tapping tasks. Int J Ind Ergon 42(1):136–142

    Article  Google Scholar 

  32. Campbell P, Thomas R (2008) Thermal imaging in surgery. In: Diakides NA, Bronzino JD (eds) Medical infrared imaging. CRC Press, Boca Raton, pp 19.1–19.18

    Google Scholar 

  33. Song C, Tang B, Campbell PA, Cuschieri A (2009) Thermal spread and heat absorbance differences between open and laparoscopic surgeries during energized dissections by electrosurgical instruments. Surg Endosc 23(11):2480–2487

    Google Scholar 

  34. Steiner G, Sobottka SB, Koch E, Schackert G, Kirsch M (2011) Intraoperative imaging of cortical cerebral perfusion by time-resolved thermography and multivariate data analysis. J Biomed Opt 16(1):016001

    Article  Google Scholar 

  35. Mercer JB, De Weerd L, Miland AO, Wuem S (2010) Pre-, intra- and postoperative use of dynamic infrared thermography (DIRT) provides valuable information on skin perfusion in perforator flaps during reconstructive surgery. In: Proceedings of inflammation, vol 11, pp 313–320

    Google Scholar 

  36. Mikulska D (2008) Dermatoscopy and thermal imaging: a comparative investigation of melanocytic nevi of the skin. Thermol Int 18(3):101–106

    Google Scholar 

  37. Burton C, Judy D, Brooks B, Fennie K, Lyder C (2011) Improving the detection of pressure ulcers using the TMI image med system. Adv Skin Wound Care 24(1):18–24

    Article  Google Scholar 

  38. Di Carlo A (2011) Telethermography assisted by thermal stimulation an innovative method to improve the accuracy of the technique. Thermol Int 21(4):114–115

    Google Scholar 

  39. Laino L, Di Carlo A (2010) Telethermography: an objective method for evaluating patch test reactions. Eur J Dermatol 20(2):175–180

    Google Scholar 

  40. Roback K (2010) An overview of temperature monitoring devices for early detection of diabetic foot disorders. Expert Rev Med Devices 7(5):711–718

    Article  Google Scholar 

  41. Bagavathiappan S, Philip J, Jayakumar T, Raj B, Rao PN, Varalakshmi M, Mohan V (2010) Correlation between plantar foot temperature and diabetic neuropathy: a case study by using an infrared thermal imaging technique. J Diabetes Sci Technol 4(6):1386–1392

    Google Scholar 

  42. Hewlett A, Kalil A, Strum R, Zeger W, Smith P (2011) Evaluation of an infrared thermal detection system for fever recognition during the H1N1 influenza pandemic. Infect Control Hosp Epidemiol 32(5):504–506

    Article  Google Scholar 

  43. Howell KJ, Smith RE (2011) Temperature of the face in children and fever screening by thermography. Thermol Int 21(3):85–89

    Google Scholar 

  44. Ring EFJ, Jung A, Kalicki B, Zuber J, Rustecka A, Vardasca R (2011) Infrared thermal imaging for fever detection in children. Thermol Int 21(4): 122

    Google Scholar 

  45. Mercer JB, Ring EFJ (2009) Fever screening and infrared thermal imaging: concerns and guidelines. Thermol Int 19(3):67–69

    Google Scholar 

  46. Ring EFJ, Machin G, Jung A (2011) New standards for infrared thermal imaging and applications for fever detection. Thermology Int 21(4):118–119

    Google Scholar 

  47. Jedrusik-Pawłowska M, Niedzielska I, Bogucki R, Kajewski B (2010) Effectiveness of hyperbaric oxygen therapy in mandibular osteoradionecrosis shown by thermography monitoring. Med Sci Monit 16(2): MT1–8

    Google Scholar 

  48. Wu CL, Yu KL, Chuang HY, Huang MH, Chen TW, Chen CH (2009) The application of infrared thermography in the assessment of patients with coccygodynia before and after manual therapy combined with diathermy. J Manip Physiol Ther 32(4):287–293

    Article  Google Scholar 

  49. Glehr M, Stibor A, Sadoghi P, Schuster C, Quehenberger F, Gruber G, Leithner A, Windhager R (2011) Thermal imaging as a noninvasive diagnostic tool for anterior knee pain following implantation of artificial knee joints. Int J Thermodyn 14:71

    Google Scholar 

  50. Gratt B (2008) Infrared imaging applied to dentristy. In: Diakides NA, Bronzino JD (eds) Medical infrared imaging, vol 20. CRC Press, Boca Raton, pp 1–8

    Google Scholar 

  51. Jafarzadeh H, Udoye CI, Kinoshita J (2008) The application of tooth temperature measurement in endodontic diagnosis: a review. J Endod 34:1435–1440

    Article  Google Scholar 

  52. Kennedy DA, Lee T, Seely D (2009) A comparative review of thermography as a breast cancer screening technique. Integr Cancer Ther 8:9–16

    Article  Google Scholar 

  53. Ammer K (2011) Screening for breast carcinoma: what is the place of infrared thermal imaging? Thermol Int 21(3):81–84

    Google Scholar 

  54. Lovett KM, Liang BA (2011) Risks of online advertisement of direct-to-consumer thermography for breast cancer screening. Nat Rev Cancer 11:827–828

    Google Scholar 

  55. Craciunescu OI, Stauffer PR, Soher BJ, Wyatt CR, Arabe O, Maccarini P, Das SK, Cheng KS, Wong TZ, Jones EL (2009) Accuracy of real time noninvasive temperature measurements using magnetic resonance thermal imaging in patients treated for high grade extremity soft tissue sarcomas. Med Phys 36(11):4848–4858

    Article  Google Scholar 

  56. Păunică SC, Dumitriu A, Mogoş M, Georgescu O, Mogoş I (2009) The evaluation of the periodontium in patients with leukemia using thermographic imaging. Hematology 14(6):341–346

    Article  Google Scholar 

  57. Agarwal-Kozlowski K, Large AC, Beck H (2009) Contact- free infrared thermography for assessing effects during acupuncture: a randomized, single-blinded, placebo-controlled crossover clinical trial. Anesthesiology 111(3):632–639

    Article  Google Scholar 

  58. Wang L, Litscher G (2010) Modern technology for acupuncture research: a short review from the medical university of graz. Chin Med 1:59–62

    Article  Google Scholar 

  59. Vardasca R (2011) Thermal symmetry of the limbs in healthy subjects. Thermol Int 21(4):146

    Google Scholar 

  60. Purohit R (2008) Use of infrared imaging in veterinary medicine. In: Diakides NA, Bronzino JD (eds) Medical infrared imaging, vol 21. CRC Press, Boca Raton, pp 1–8

    Google Scholar 

  61. Barone S, Paoli A, Razionale AV (2006) A biomedical application combining visible and thermal 3D imaging, XVIII Congreso internactional de Ingenieria Grafica, Barcelona, pp 1–9

    Google Scholar 

  62. Schaefer G, Huguet J, Zhu SY, Plassmann P, Ring EFJ (2006) Adopting the DICOM standard for medical infrared images In: Proceedings of the 28th Annual International conference of the IEEE—engineering in medicine and biology society, New York, pp 236–239

    Google Scholar 

  63. Schaefer G (2008) Storage and retrieval of medical thermograms. In: Diakides NA, Bronzino JD (eds) Medical infrared imaging, vol 23. CRC Press, Boca Raton, pp 1–15

    Google Scholar 

  64. Schaefer G, Tait RJ, Howell K, Hopgood AA, Woo P, Harper J (2008) Automated overlay of infrared and visual medical images. In: Dong F, Ghinea G, Chen SY (eds). User centered design for medical visualization, pp 174–183

    Google Scholar 

  65. Vardasca R, Bajwa UI (2008) Impact of noise removal techniques on measurement of medical thermal images. Thermol Int 18(4):153

    Google Scholar 

  66. Bajwa UI, Vardasca R, Ring EFJ, Plassmann P (2010) Comparison of boundary detection techniques to improve image analysis in medical thermography. Imaging Sci J 58:12–19

    Article  Google Scholar 

  67. Vardasca R (2008) Template based alignment and interpolation methods comparison of regions of interest in thermal images. In: Proceedings of the 3rd research student workshop, faculty of advanced technology, University of Glamorgan, South Wales, pp 21–24

    Google Scholar 

  68. Vardasca R (2009) Hand thermogram standardisation with barycentric warp model. In: Proceedings of the 4th research student workshop, faculty of advanced technology. University of Glamorgan, South Wales, pp 73–75

    Google Scholar 

  69. Hildebrandt C, Raschner C, Ammer K (2010) An overview of recent application of medical infrared thermography in sports medicine in austria. Sensors 10:4700–4715

    Article  Google Scholar 

  70. Norton PR, Horn SB, Pellegrino JG, Perconti P (2008) Infrared detectors and detector arrays.In: Diakides NA, Bronzino JD (eds) Medical infrared imaging, vol 3. CRC Press, Boca Raton, pp 1–26

    Google Scholar 

  71. Costello JT, McInerney CD, Bleakley CM, Selfe J, Donnelly AE (2011) The use of thermal imaging in assessing skin temperature following cryotherapy: a review. J Therm Biol 37(2):103–110

    Google Scholar 

  72. Buddharaju P, Pavlidis I (2008) Physiology-based face recognition in the thermal infrared spectrum. In: Diakides NA, Bronzino JD (eds) Medical infrared imaging, vol 13. CRC Press, Boca Raton, pp 1–16

    Google Scholar 

  73. Grubisic I, Gjenero L, Lipic T, Sovic I, Skala T (2011) Active 3D scanning based 3D thermography system and medical applications. In: Proceedings of the 34th International Convention MIPRO, pp 269–273

    Google Scholar 

  74. Ammer K (2011) Repeatability of identification of hot spots in thermal images is influenced by image processing. Thermol Int 21(2):40–46

    Google Scholar 

  75. Vardasca R (2010) The need of a standard false colour scale for medical thermography analysis. Thermol Int 20(4):145

    Google Scholar 

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Acknowledgments

Foundation for Science and Technology, Lisbon, through the 3° Quadro Comunitário de Apoio, the POCTI and FEDER programs, and project PEst-C/CTM/LA0025/2011 (Strategic Project—LA 25—2011–2012). Projects “AAL4ALL—Padrão de Cuidados Primários para Serviços de AAL” (nº 13852) and “Do-IT—Desenvolvimento e Operacionalização da Investigação de Translação” (nº 13853), co-financed by European Community Fund through COMPETE—Programa Operacional Factores de Competitividade. We thank the Hospital de Braga (Portugal) and the collaboration from its staff in the Department of Obstetrics and Gynecology.

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Vardasca, R., Simoes, R. (2013). Current Issues in Medical Thermography. In: Tavares, J., Natal Jorge, R. (eds) Topics in Medical Image Processing and Computational Vision. Lecture Notes in Computational Vision and Biomechanics, vol 8. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0726-9_12

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