Thermovision analysis of the surface of the lower limbs in patients with symptomatic lumbosacral discopathy before and after surgery
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School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Poland
Submission date: 2020-10-13
Final revision date: 2020-12-12
Acceptance date: 2020-12-12
Online publication date: 2021-06-07
Corresponding author
Monika Patrycja Wideł Patrycja Wideł   

School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia
Pol. Ann. Med. 2022;29(1):1-5
The subject of the study is analyzing of the temperature distribution on the lower limbs in patients with discopathy of the lumbosacral spine requiring surgery.

The answer to the question whether surgical treatment reduces temperature differences on the lower limbs of patients undergoing surgery.

Material and methods:
Thermograms of the lower limbs were performed before and on the second day after microdiscectomy or microdiscectomy with posterior lumbar interbody fusion. The study group consisted of 37 patients of the Neurosurgery Department, while the control group consisted of 18 healthy people. Comparative analyzes of temperatures on the lower limb with pain with the temperatures on the lower healthy limb in the same patient indicate significant statistical differences in temperature distribution. Based on the thermograms, two region of interest’s (ROI) of the same area were determined on the thigh and the lower leg. The maximum, minimum and average temperatures were determined for those areas.

Results and discussion:
Comparative analyzes showed statistically significant differences for both areas and all temperatures between healthy and affected limbs in the group of patients before surgery. In turn, after surgery, no statistically significant differences were observed between the respective limb temperatures for both ROI areas. The analysis of the temperature parameters determined for analogous ROIs in the control group did not show statistically significant differences for all measured temperatures.

After selective surgical treatment of lumbar discopathy by microdiscectomy previous significantly statistical temperature differences between the lower limbs in analogical ROIs in those patients decreased to not statistically significant differences.

This work was supported by the project of MUS (Medical University of Silesia): KNW-1-018/N/9/I.
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Polidori G, Kinne M, Mereu T, Beaumont F, Kinne M. Medical infrared thermography in back pain osteopathic management. Complement Ther Med. 2018;39:19–23.
Mendoza KC, Griffin JD. Thermoregulation. In: Koob GF, Le Moal M, Thompson RF, eds. Encyklopedia of Behavioral Neuroscie. Oxford: Academic Press; 2010:400–404.
Kacmaz S, Ercelebi E, Zengin S, Cindoruk S. The use of infrared thermal imaging in the diagnosis of deep vein thrombosis. Infrared Phys Technol. 2017;86:120–129.
Shaydakov M, Diaz J. Effectiveness of infrared thermography in the diagnosis of deep vein thrombosis: an evidence-based review. J Vasc Diagnostics Interv. 2017;5:7–14.
Cho CW, Nahm FS, Choi E, et al. Multicenter study on the asymmetry of skin temperature in complex regional pain syndrome. Medicine (Baltimore). 2016;95(52):e5548.
Gohagan JK, Rodes ND, Blackwell CW, et al. Individual and combined effectiveness of palpation, thermography, and mammography in breast cancer screening. Prev Med. 1980;9(6):713–721.
Yao X, Wei W, Li J, et al. A comparison of mammography, ultrasonography, and far-infrared thermography with pathological results in screening and early diagnosis of breast cancer. Asian Biomed. 2014;8(1):11–19.
Kolarić D, Herceg Z, Nola IA, et al. Thermography – a feasible method for screening breast cancer? Coll Antropol. 2013;37(2):583–588.
Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999;354(9178):581–585.
Brunner F. [Complex regional pain syndrome]. Z Rheumatol. 2017;76(4):335–347. [in German].
Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010;24(6):769–781.
Urits I, Shen AH, Jones MR, Viswanath O, Kaye AD. Complex regional pain syndrome, current concepts and treatment options. Curr Pain Headache Rep. 2018;22(2):10.
Greenberg MS. Lumbar disc herniation and lumbar radiculopathy. In: Greenberg MS. Handbook of Neurosurgery. 8th Ed. New York: Thieme; 2016:1046–1061.
Babińska A, Wawrzynek W, Czech E, Skupiński J, Szczygieł J, Łabuz-Roszak B. No association between MRI changes in the lumbar spine and intensity of pain, quality of life, depressive and anxiety symptoms in patients with low back pain. Neurol Neurochir Pol. 2019;53(1):74–82.
Gillström P. Thermography in low back pain and sciatica. Arch Orthop Trauma Surg. 1985;104(1):31–36.
Vilcahuaman L, Harba R, Canals R, et al. Detection of diabetic foot hyperthermia by infrared imaging. Annu Int Conf IEEE Eng Med Biol Soc. 2014;2014:4831–4834.
Kaabouch N, Hu W-C, Chen Y, Anderson J, Ames F, Paulson R. Predicting neuropathic ulceration: Analysis of static temperature distributions in thermal images. J Biomed Opt. 2010;15(6):61715.
Bouvet L, Roukhomovsky M, Desgranges F-P, Allaouchiche B, Chassard D. Infrared thermography to assess dermatomal levels of labor epidural analgesia with 1 mg/mL ropivacaine plus 0.5 µg/mL sufentanil: a prospective cohort study. Int J Obstet Anesth. 2020;41:53–58.
Neves E, Alves J, Rosa C, Reis V. Thermography in neurologic practice. Open Neurol J. 2015;9:24–27.
Thiessen FEF, Tondu T, Cloostermans B, et al. Dynamic InfraRed Thermography (DIRT) in DIEP-flap breast reconstruction: A review of the literature. Eur J Obstet Gynecol Reprod Biol. 2019;242:47–55.
Saxena A, Ng EYK, Raman V, et al. Infrared (IR) thermography-based quantitative parameters to predict the risk of post-operative cancerous breast resection flap necrosis. Infrared Phys Technol. 2019;103:103063.
Kolacz S, Moderhak M, Jankau J. New perspective on the in vivo use of cold stress dynamic thermography in integumental reconstruction with the use of skin-muscle flaps. J Surg Res. 2017;212:68–76.
Gatt A, Formosa C, Cassar K, et al. Thermographic patterns of the upper and lower limbs: Baseline data. Int J Vasc Med. 2015;2015:831369.
Niu HH, Lui PW, Hu JS, et al. Thermal symmetry of skin temperature: normative data of normal subjects in Taiwan. Zhonghua Yi Xue Za Zhi (Taipei). 2001;64(8):459–468.
Jones BF. A reappraisal of the use of infrared thermal image analysis in medicine. IEEE Trans Med Imaging. 1998;17(6):1019–1027.
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