A comparison of non-invasive imaging modalities: Infrared thermography, spectrophotometric intracutaneous analysis and laser Doppler imaging for the assessment of adult burns

Burke-Smith, Alexandra; Collier, Jonathan; Jones, Isabel

doi:10.1016/j.burns.2015.06.023

Cited by 67 publications

(52 citation statements)

References 33 publications

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“…The reasons for study exclusion during the final review were as follows: review article (n = 7), incomplete data (n = 26), letter (n = 2), or case report (n = 2). The remaining 10 non-randomized studies were included in the final analysis [1, [23][24][25][26][27][28][29][30][31].…”

Section: Evaluation Of Heterogeneitymentioning

confidence: 99%

Diagnostic accuracy of laser Doppler imaging in burn depth assessment: Systematic review and meta-analysis

Shin

2016

Burns

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Section: Evaluation Of Heterogeneitymentioning

confidence: 99%

Diagnostic accuracy of laser Doppler imaging in burn depth assessment: Systematic review and meta-analysis

Shin

2016

Burns

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“…It uses a low-intensity monochromatic laser beam to scan across a tissue surface and determine flux of blood cells moving through the dermal microvasculature [14,15]. For this reason, LDPI revealed to be a precious evidence-based adjunct to clinical evaluation of burn depth [16], as well as alterations due to systemic sclerosis [17], scleroderma, and primary Raynaud's phenomenon [18].…”

Section: Introductionmentioning

confidence: 99%

Nickel-Related Intestinal Mucositis in IBS-Like Patients: Laser Doppler Perfusion Imaging and Oral Mucosa Patch Test in Use

Borghini

Puzzono

Rosato

et al. 2016

Biol Trace Elem Res

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Nickel (Ni) is often the trigger of irritable bowel syndrome (IBS)-like gastrointestinal disorders: its ingestion may cause allergic contact mucositis, identifiable by means of oral mucosa patch test (omPT). OmPT effectiveness has been proven, but it is still an operator-dependent method. Laser Doppler perfusion imaging (LDPI) was tested to support omPT in Ni allergic contact mucositis diagnosis. Group A: 22 patients with intestinal/systemic symptoms related to the ingestion of Ni-containing foods. Group B: 12 asymptomatic volunteers. Ni-related symptoms and their severity were tested by a questionnaire. All patients underwent Ni omPT with clinical evaluation at baseline (T0), after 30 min (T1), after 2 h (T2), and after 24-48 h (T3). LDPI was performed to evaluate the mean mucosal perfusion at T0, T1, and T2. Statistical analysis was performed by ANOVA test and Bonferroni multiple-comparison test. All 22 Ni-sensitive patients (group A) presented oral mucosa hyperemia and/or edema at T2. Eight out of the same 22 patients presented a local delayed vesicular reaction at T3 (group A1), unlike the remaining 14 out of 22 patients (group A2). All 12 patients belonging to control group B did not show any alteration. The mean mucosal perfusion calculated with LDPI showed an increase in both subgroups A1 and A2. In group B, no significant perfusion variations were observed. LDPI may support omPT for diagnostic purposes in Ni allergic contact mucositis. This also applies to symptomatic Ni-sensitive patients without aphthous stomatitis after 24-48 h from omPT and that could risk to miss the diagnosis.

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“…More than a decade later, the diagnostic technique was first tested on a large series of burn patients in a study by Hackett et al This study demonstrated that it was more accurate than clinical evaluation (75% vs 90%). Many studies have been conducted since, using a wide range of thermal imagers, overall reporting promising results . However, cumbersome and low‐resolution equipment hampered the regular use of thermography in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…Thermal imagers display the temperature distribution of the skin in a thermal image by detecting infrared emission from the skin. Several studies have examined the diagnostic role of different types of thermal imagers in burn wound assessment . These studies concluded that areas of deeply burned skin appear colder on a thermal image than unaffected skin.…”

Section: Introductionmentioning

confidence: 99%

Validity of thermography for measuring burn wound healing potential

Carrière

Haas

Pijpe

et al. 2019

Wound Repair Regeneration

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Accurate assessment of burn wound depth and the associated healing potential is vital in determining the need for surgical treatment in burns. Infrared thermography measures the temperature of the burn wound noninvasively, thereby providing indirect information on its blood flow. Previous research demonstrated that a small, lowpriced, handheld thermal imager has an excellent reliability, but a moderate validity for measuring burn wound healing potential. A new and more sensitive version of this convenient device has become available. The aim of this study was to evaluate the validity of thermography for measuring burn wound healing potential, compared to Laser Doppler Imaging (LDI) as a reference standard. Thermal images and LDI scans were obtained from burn wounds between 2 and 5 days postburn. Temperature differences between burned and nonburned skin (ΔT) were calculated. To evaluate validity, ΔT values were compared to the healing potential categories assessed by LDI. Two receiver operating characteristic curves were created and two ΔT cutoff values were calculated to illustrate the ability to discriminate between burn wounds that heal in a time period of less than 14 days, between 14 and 21 days, and more than 21 days. Between June and October 2018, 43 burn wounds in 32 patients were measured. ΔT cutoff values of 0.6 C (sensitivity 68%, specificity 95%) and −2.3 C (sensitivity 30%, specificity 95%) were calculated to discriminate between burn wounds that heal in <14 and ≥14 days, and burn wound that heal in ≤21 and >21 days, respectively. This study shows a good validity of the feasible thermal imager for the assessment of burn wound healing potential. Therefore, we consider it a promising technique to be used for triage in local hospitals and general practices, and as a valuable addition to clinical evaluation in burn centers.

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A comparison of non-invasive imaging modalities: Infrared thermography, spectrophotometric intracutaneous analysis and laser Doppler imaging for the assessment of adult burns

Cited by 67 publications

References 33 publications

Diagnostic accuracy of laser Doppler imaging in burn depth assessment: Systematic review and meta-analysis

Diagnostic accuracy of laser Doppler imaging in burn depth assessment: Systematic review and meta-analysis

Nickel-Related Intestinal Mucositis in IBS-Like Patients: Laser Doppler Perfusion Imaging and Oral Mucosa Patch Test in Use

Validity of thermography for measuring burn wound healing potential

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