Thermography in Rheumatology

  • J. M. Engel


As a medical discipline, rheumatology has come of age. A remarkable transition has occurred from empiric spa treatment to the multidisciplinary specialty of today. Scientific efforts of the last decades have led to a better understanding of inflammatory, metabolic and immunologic processes, even if the causes and primary pathogenic pathways are still obscure. A diversity of medical disciplines now help the rheumatologist in disease management and differential diagnosis. Technical progress in X-ray techniques and scintigraphic scanning provide detailed views of structural and functional changes in various rheumatic diseases. Enhancement in biochemical methods continues to enlarge the spectrum of laboratory tests available to monitor the systemic course of disease, and secondary changes in different organ systems. Among the more recent technical methods, temperature measurements, particularly infrared thermography (IRT), is contributing to this progress. Even if IRT is not yet a routine procedure in every rheumatology unit, recent technical progress is such that thermology will soon leave the laboratory and experimental stage. The time has come to establish thermological methods as a routine for clinical rheumatology.


Infrared Thermography Skin Surface Temperature Surface Temperature Distribution Surface Temperature Measurement Skin Microcirculation 
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  1. 1.
    E. F. J. Ring, A. J. Collins, P. A. Bacon, J. A. Cose, Quantitation of thermography in arthritis using multi-isothermal analysis, Ann. Rheum. Arthr. 33:353 (1974).Google Scholar


  1. 1.
    P. A. Bacon, E. F. J. Ring and A. J. Collins, Thermography in the assessment of anti-rheumatic agents, Rheum. Arthr. 105–110 (1977).Google Scholar
  2. 2.
    P. A. Bacon, J. Davies, E. F. J. Ring, Benoxaprofen–dose range studies using quantitative thermography, J. Rheumatol. Suppl. 6 48–53 (1980).Google Scholar
  3. 3.
    H. A. Bird, E. F. J. Ring, Thermography and radiology in the localization of infection, Rheum. Rehab. 17: 103–106 (1978).Google Scholar
  4. 4.
    N. F. Boas, Thermography in rheumatoid arthritis, Ann. of the N. Y. Ac. Sci. 121: 223–234 (1964).ADSCrossRefGoogle Scholar
  5. 5.
    A. J. Collins, E. F. J. Ring, Measurement of inflammation in man and animals by radiometry, Br. J. Pharm. 44: 145–152 (1972).Google Scholar
  6. 6.
    A. Collins, E. F. J. Ring, P. A. Bacon, J. D. Brookshaw, Thermography and radiology complementary methods for the study of inflammatory diseases, Clin. Radiol. 27: 237–243 (1976).Google Scholar
  7. 7.
    L. Daenens, Thermology in a rheumatological private practice, Medicamundi 26: 107–111 (1981).Google Scholar
  8. 8.
    J-M. Engel, J. A. Cosh, E. F. J. Ring, D. P. Page, T. Van Waes, D. Schoenfeld, Thermography in locomotor diseases. Recommended procedure. Thermographie terminology, Acta Thermographica 2: 299306 (1978).Google Scholar
  9. 9.
    J-M. Engel, Quantitative infrarot-tele-thermographie, Verh. Dtsch. Ges. Rheumatol. 6: 280–283 (1980).Google Scholar
  10. 10.
    J-M. Engel, THERMOTOM - Ein Software-Paket fur die thermographische Bildanalyse in der Rheumatologie, Z. Biomed. Technik. 26: 53 (1981).CrossRefGoogle Scholar
  11. 11.
    J-M. Engel, Thermographie–die andere Dimension der Diagnostik, DMW 106: 27: 879–81 (1981).Google Scholar
  12. 12.
    K. H. Friedrich, Assessment criteria for infra-red thermography systems, Acta Thermographica 4: 68–76 (1980).Google Scholar
  13. 13.
    I. Fujimasa, Y. Sakurai, K. Atsumi, Digitalizing approaches to thermogram analysis, in: “Medical Thermography,” K. Atsumi ed., University of Tokyo Press, (1973).Google Scholar
  14. 14.
    J. R. S. Hales, M. Iriki, Differential thermal influences on skin blood flow through capillaries and arteriovenous anastomoses and on sympathetic activity, Bibl. Anat. 189–191 (1977).Google Scholar
  15. 15.
    T. Hashimoto, Y. Katsuta, Clinical application of infrared thermography to the study of Raynaud’s phenomenon in collagen diseases, in: “Medical Thermography,” K. Atsumi ed., University of Tokyo Press (1973).Google Scholar
  16. 16.
    S. Katz, T. Masterfano, A preliminary report on the clinical testing of a new elastomeric liquid crystal film, in: “Thermal characteristics of tumors. Applications in detection and treatment,” Annals of the New York Academy of Sciences, 335 New York (1981).Google Scholar
  17. 17.
    Y. Mishima, K. Hara, S. Oohashi, Thermography in peripheral vascular diseases, in: “Medical Thermography,” K. Atsumi ed., University of Tokyo Press, (1973).Google Scholar
  18. 18.
    B. H. Phillips, E. F. J. Ring, Quantitation in medical thermography,I. Mech. Eng. 6: 107–111 (1977).Google Scholar
  19. 19.
    E. F. J. Ring, Quantitative medical thermography, SPIE Industrial Civil Appl. Infrared Techn. 110: 78–84 (1977).Google Scholar
  20. 20.
    E. F. J. Ring, C. Watson, J. Barker, Infrarot-Thermographie und thermische Clearence der Haut, in: “Thermologie Fachberichte,” 2 J. M. Engel ed., Baden-Baden (1981).Google Scholar
  21. 21.
    E. F. J. Ring, Kontaktthermographie der planta pedis, in: “Thermologie Fachberichte,” 2 J. M. Engel ed., Baden-Baden ( 1981.Google Scholar
  22. 22.
    D. Rusch, Dynamische Quantitative Thermographie, in: “Thermologie Fachberichte,” 2 J. M. Engel ed., Baden-Baden (1981).Google Scholar
  23. 23.
    D. Rusch, Thermographische Befunde bei ankylosierender Spondylitis, Akt. Rheumatol. 7: 102–108 (1982).CrossRefGoogle Scholar
  24. 24.
    R. S. Salisbury, M. De Silva, B. L. Hazleman, G. Parr, D. P. Page-Thomas, Thermography and the assessment of inflammation, Ann. Rheum. Dis. 40: 524 (1981).CrossRefGoogle Scholar
  25. 25.
    G. Strobel, J. M. Engel, Dynamische Thermographie bei peripheren Zirkulationsstorungen, in: “Thermologie Fachberischte,” 1, J. M. Engel ed., Baden-Baden71981).Google Scholar
  26. 26.
    G. Stuttgen, U. Flesch, T. Siebel, Erythementwicklung im thermographischen Bild, Der Hautarzt. 32: 622–628 (1981).Google Scholar
  27. 27.
    E. R. Tichauer, The objective corroboration of back pain through thermography, J. Occup. Med. 19: 727–731 (1977).Google Scholar
  28. 28.
    S. M. Viitanen, A. L. Laaksonen, Thermography in juvenile rheumatoid arthritis, Acta Rheum. Scand. 16: 91–98 (1970).Google Scholar
  29. 29.
    C. E. Wexler, Thermographic evaluation of trauma (spine), Acta Thermographica 5: 3–5 (1980).Google Scholar

Copyright information

© Plenum Press, New York 1984

Authors and Affiliations

  • J. M. Engel
    • 1
  1. 1.Staatliches RheumakrankenhausBaden-BadenWest Germany

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