Abstract
The Aim of the study was to identify the temperature difference between physiologically healthy and pathologically hand affected by carpal tunnel syndrome (CTS). For the purposes of this study were created two databases of 190 thermograms of dorsal side of hands. The first database consists of normal thermograms of physiologically healthy hands called reference group (RG n= 174). The second is the database with 16 pathological hands ( CTS n=16) with clinically diagnosed CTS in 9 patients. Pre-surgical thermograms of the volunteers’ hands affected by CTS were obtained using infrared thermography (Thermocamera Fluke Ti55/20). We have observed the temperature distribution in the entire hand and partial temperatures for two years. The main significant areas for this study were the center point of carpals (T1) and the area of distal phalanges on middle fingers (T5). The Index of Median Nerve (D MI=(T1-T5) were determined based on resulting data. Test results obtained from measurements of the two points on the dorsal side of hands have showed that the temperature of CTS hands is typically higher in the phalanges as opposed to the wrist (D MI≤0; 75,0%), while the temperature is the lowest in the distal phalanges (T5) of healthy hands (D MI>0, 68.4%). The calculated sensitivity of diagnostic test with the confidence interval 0,750±0.202 and the specificity of diagnostic test with the confidence interval 0,684±0.069 show that thermography could be a promising method in the diagnostic process of CTS.
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References
Jesensek Papez, B., Palfy, M., Mertik, M., Turk, Z.: Infrared thermography based on artificial intelligence as a screening method for carpal tunnel syndrome diagnosis. J. Int. Med. Res. 37(3), 779–790 (2009) PMID: 19589261
Niehof, S.P., et al.: Thermography imaging during static and controlled thermoregulation in complex regional pain syndrome type 1: diagnostic value and involvement of the central sympathetic system. BioMedical Engineering Online 5, 30 (2006), doi:10.1186/1475-925X-5-30
Jesensek Papez, B., Palfy, M., Turk, Z.: Infrared thermography based on artificial intelligence for carpal tunnel syndrome diagnosis. The Journal of International Medical Research J. Int. Med. Res. 36(6), 1363–1370 (2008)
Ming, Z., Siivola, J., Pietikainen, S., Närhi, M., Hänninen, O.: Postoperative relieve of abnormal vasoregulation in carpal tunnel syndrome. Clin. Neurol. Neurosurg. 109(5), 413–417 (2007) PMID: 17400369
Ring, E., Ammer, K.: The technique of infrared imaging in medicine. Thermology International 10, 7–14 (2000)
Jones, C., Ring, E., Plassmann, P., Ammer, K., Wiecek, B.: Standardisation of infrared imaging: a reference atlas for clinical thermography—initial results. Thermology International 15, 157–158 (2005)
Gold, J.E., Cherniack, M., Hanlon, A., Dennerlein, J.T., Dropkin, J.: Skin temperature in the dorsal hand of office workers and severity of upper extremity musculoskeletal disorders. European Journal of Applied Physiology 93(1-2), 245–251 (2004)
http://arthritis.about.com/od/carpal/ss/carpaltunnelqa_6.htm
Jakubowska, T., Wiecek, B., Wysocki, M., Drews- Peszynski, C.: Thermal signatures for breast cancer screening comparative study. In: Proc. IEEE EMBEC, Cancun, pp. 1117–1120 (2003)
Szu, H., Kopriva, I., Hoekstra, P., Diakides, N., Diakides, M., Buss, J., Lupo, J.: Early Tumor Detection by Multiple Infrared Unsupervised Neural Nets fusion. In: Proc. IEEE EMBC, Cancun, pp. 1133–1136 (2003)
Qi, H., Kuruganti, P.T., Liu, Z.: Early detection of breast cancer using thermal texture maps. In: IEEE Int. Symp. on Biomedical Imaging, Washington DC, pp. 309–312 (2002)
Stevens, J.C., Witt, J.C., Smith, B.E., Weaver, A.L.: The frequency of carpal tunnel syndrome in computer users at a medical facility. Neurology 56, 1568–1570 (2001)
Ammer, K.: Thermology 2009- a computer- assisted literature survey. Thermology International 20(1), 5–10 (2010)
Zvarová, J.: Základy statistiky pro biomedicínské obory I.; Biomedicínska statistika. Univerzita Karlova v Prahe, Nakladateľstvo Karolinum (2007) ISBN: 978-80-7184-786-1
Deniz, F.E., Oksüz, E., Sarikaya, B., Kurt, S., Erkorkmaz, U., Ulusoy, H., Arslan, S.: Comparison of the diagnostic utility of Electromyography, Ultrasonography, Computed Tomography, Magnetic Resonance Imaging in idiopathic Carpal Tunnel Syndrome determined by clinical findings. Neurosurgery (September 12, 2011) [Epub. ahead of print] Pub. Med. PMID: 21869718
Visser, L.H., Smidt, M.H., Lee, M.L.: High-resolution sonography versus EMG in the diagnosis of carpal tunnel syndrome. Journal of Neurology, Neurosurgery and Psychiatry [J. Neurol. Neurosurg. Psychiatry] 79(1), 63–67 (2008); Date of Electronic Publication (April 30, 2007) England NLM ID: 2985191R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-330X (Electronic) Linking ISSN: 00223050 NLM ISO Abbreviation: J. Neurol. Neurosurg. Psychiatr. Subsets: MEDLINE
Emad, M.R., Najafi, S.H., Sepehrian, M.H.: The effect of provocative tests on electrodiagnosis criteria in clinical carpal tunnel syndrome. Electromyogr. Clin. Neurophysiol. 50(6), 265–268 (2010) PMID: 21061772 [Pub. Med - indexed for MEDLINE]
Miland, A.O., Mercer, J.B.: Effect of a short period of abstinence from smoking on rewarming patterns of the hands following local cooling. Eur. J. Appl. Physiol. 98, 161–168 (2006), doi:10.1007/s00421-006-0261-2; (accepted: June 9, 2006) Published online: July 28, 2006, © Springer-Verlag (2006)
Thomsen, J.F., Gerr, F., Atroshi, I.: Carpal tunnel syndrome and the use of computer mouse and keyboard: A systematic review. BMC Musculoskelet Disord 6(9), 134 (2008) Review. PMID:18838001 [Pub.Med - indexed for MEDLINE]
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Tkáčová, M., Hudák, R., Živčák, J., Živčáková, I. (2013). Infrared Thermography in the Evaluation of Carpal Tunnel Syndrome. In: Madarász, L., Živčák, J. (eds) Aspects of Computational Intelligence: Theory and Applications. Topics in Intelligent Engineering and Informatics, vol 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30668-6_23
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DOI: https://doi.org/10.1007/978-3-642-30668-6_23
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