Distant thermography methods for diagnosis of dermal burns depth

Authors

  • N. V. Tuzyuk I. Horbachevsky Ternopil National Medical University
  • S. Y. Zaporozhan I. Horbachevsky Ternopil National Medical University
  • M. T. Huk I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2021.3.12537

Keywords:

thermometry, temperature drop, burns depth

Abstract

The aim of the work: to assess the possibility of using the method of non-contact thermography to determine the depth of a burn injury using a medical thermal imager ULIRVISION Т1-120.

Materials and Methods. The analysis of the results of thermographic study of wound burn surfaces with stage I-II-III skin lesions, using the method of non-contact determination of the depth of thermal lesions using a medical thermal imager ULIRVISION Т1-120, was performed. There were examined 63 patients with degree I-III dermal burns. Thermograms were analyzed using the IRSee Software package.

Results and Discussion. For the first time in Ukraine, using the ULIRVISION Т1-120 thermal imager, statistical reliability was established between the values ​​of the average temperature and the depth of skin lesions at various degrees of burns. Thermographic measurements were obtained within the first two days after injury (mean time 26±3.1 h, median 18 h). Average temperature of the stage I wound was (35.23±0.31) ° C, stage II – (31.20±0.49) ° С, stage III (29.31±0.52) ° С. Average body temperature in the control group – (33.11±0.38) ° С. Indicator of the temperature difference between the affected area and healthy skin ΔT at stage I burns was (1.3±0.6) ° C, stage II – (2.1±1.1) ° C, stage III – (3.2±1.6) ° С The reliability was established between the average temperature values ​​in the groups of patients with degrees I, II and III of dermal burns.

References

WHO | Burns [Internet]. WHO. [cited 2017 May 18]. Retrieved from: http://www.who.int/mediacentre/factsheets/fs365/en/.

Paul, D.W., Ghassemi, P., Ramella-Roman, J.C., Prindeze, N.J., Moffatt, L.T., & Alkhalil, A. (2015). Noninvasive ima­ging technologies for cutaneous wound assessment: A review. Wound Repair Regen off Publ. Wound Heal Soc. Eur. Tissue Repair Soc., 23 (2), 149-146.

Jayachandran, M., Rodriguez, S., Solis, E., Lei, J., & Godavarty, A. (2016). Critical review of noninvasive optical technologies for wound imaging. Adv. Wound Care. 1; 5(8), 349-359.

Miccio, J., Parikh, S., Marinaro, X., Prasad, A., McClain, S., & Singer, A.J. (2016). Forwаrd-looking infrared imaging predicts ultimate burn depth in a porcine vertical injury progression mo­del. Burns J. Int. Soc. Burn Inj., 42 (2), 397-404.

Lawson, R.N., Wlodek, G.D., & Webster, D.R. (1961). Thermographic assessment of burns and frostbite. Can. Med. Assoc. J., 84, 1129-1131.

Hackett, M.E. (1974). 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. Br. J. Plast. Surg., 27 (4), 311-317.

Kaiser, M., Yafi, A., Cinat, M., Choi, B., & Durkin, A.J. (2011). Noninvasive assessment of burn wound severity using optical technology: a review of current and future modalities. Burns J. Int. Soc. Burn Inj., 37 (3), 377-386.

Singer, A.J., Relan, P., Beto, L., Jones-Koliski, L., Sandoval, S., & Clark, R.A. (2016). Infrared thermal imaging has the potential to reduce unnecessary surgery and delays to necessary surgery in burn patients. J. Burn Care Res. 37 (6), 350-355.

Still, J.M., Law, E.J., Klavuhn, K.G., Island, T.C., & Holtz, J.Z. (2001). Diagnosis of burn depth using laser induced Indo­cyanine green fluorescence: A preliminary clinical trial. Burns, 27, 364 371.

Sagaidachnyi, A.A., Fomin, A.V., Usanov, D.A., & Skripal, A.V. (2017). Thermography-based blood flow imaging in human skin of the hands and feet: a spectral filtering approach. Physiol. Meas, 38 (2), 272-288.

Jaspers, M.E.H., Maltha, I., Klaessens, J.H.G.M., de Vet H.C.W., Verdaasdonk, R.M., van Zuijlen, P.P.M. (2016). Insights into the use of thermography to assess burn wound healing potential: a reliable and valid technique when compared to laser Doppler imaging. J. Biomed. Opt., 21 (9), 960-906.

Ammer, K. (2008). The Glamorgan Protocol for recording and evaluation of thermal images of the human body. Thermol. Int., 18, 125-144.

Carrière, M.E., de Haas, L.E.M., & Pijpe, A. (2020). Vali­dity of thermography for measuring burn wound healing potential. Wound Repair and Regeneration: Official Publication of the Wound Healing Society [and] the European Tissue Repair So­ciety, 28 (3), 347-354.

Agarwal, P., Sharma, D., Wankhede, S., & Patel, L.K. (2018). Thermometry: A simple objective method for burn depth assessment. Indian J. Burns, 26, 72-76.

Kovalenko, A.O. (2015). Zastosuvannia termometrii dlia vyznachennia hlybyny dermalnykh opikiv [Application of thermometry to determine the depth of dermal burns]. Klinichna khirurhiia. – Clinical Surgery, 4, 66-68 [іn Ukrainian].

Published

2021-12-03

How to Cite

Tuzyuk, N. V., Zaporozhan, S. Y., & Huk, M. T. (2021). Distant thermography methods for diagnosis of dermal burns depth. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 34–39. https://doi.org/10.11603/2414-4533.2021.3.12537

Issue

Section

EXPERIENCE OF WORK