Development of a high-resolution infrared thermographic imaging method as a diagnostic tool for acute undifferentiated limp in young children.

Acute limp is a common presenting condition in the paediatric emergency department. There are a number of causes of acute limp that include traumatic injury, infection and malignancy. These causes in young children are not easily distinguished. In this pilot study, an infrared thermographic imaging...

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Publicado en:Medical & Biological Engineering & Computing Vol. 56; no. 6; pp. 1115 - 1126
Autores principales: Owen, R., Ramlakhan, S., Saatchi, R., Burke, D.
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Jun2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Development of a high-resolution infrared thermographic imaging method as a diagnostic tool for acute undifferentiated limp in young children.
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          Owen, R.
          Ramlakhan, S.
          Saatchi, R.
          Burke, D.
        affil: The University of Sheffield Medical School, Sheffield, UK
      sug:
        subj:
          Leg Injuries
          Lower Extremity
          Image Interpretation, Computer Assisted Methods
          Thermography Methods
          Leg Injuries Physiopathology
          Acute Disease
          Female
          Infant
          Lower Extremity Physiopathology
          Body Temperature
          Gait Physiology
          Child, Preschool
          Child
          Male
          Funding Source
          Human
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Female
          Male
      ab: Acute limp is a common presenting condition in the paediatric emergency department. There are a number of causes of acute limp that include traumatic injury, infection and malignancy. These causes in young children are not easily distinguished. In this pilot study, an infrared thermographic imaging technique to diagnose acute undifferentiated limp in young children was developed. Following required ethics approval, 30 children (mean age = 5.2 years, standard deviation = 3.3 years) were recruited. The exposed lower limbs of participants were imaged using a high-resolution thermal camera. Using predefined regions of interest (ROI), any skin surface temperature difference between the healthy and affected legs was statistically analysed, with the aim of identifying limp. In all examined ROIs, the median skin surface temperature for the affected limb was higher than that of the healthy limb. The small sample size recruited for each group, however, meant that the statistical tests of significant difference need to be interpreted in this context. Thermal imaging showed potential in helping with the diagnosis of acute limp in children. Repeating a similar study with a larger sample size will be beneficial to establish reproducibility of the results. Graphical abstract A young child with an acute undifferentiated limp undergoes thermal imaging and the follow on image analysis assists the limp diagnosis.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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