Evaluation of smartphone-assisted infrared thermal imaging efficiency in carpal tunnel syndrome

Abstract Background Thermography is an industrial method for surface temperature measurements, and although it is medically safe and non-invasive, its place in daily practice has been limited. With the development of technology, thermal cameras have become more accessible and practical via adaptatio...

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Main Authors: Kaya Turan, Osman Görkem Muratoğlu, Tuğrul Ergün, Haluk Çabuk
Format: Article
Language:English
Published: SpringerOpen 2024-02-01
Series:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41983-024-00801-3
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author Kaya Turan
Osman Görkem Muratoğlu
Tuğrul Ergün
Haluk Çabuk
author_facet Kaya Turan
Osman Görkem Muratoğlu
Tuğrul Ergün
Haluk Çabuk
author_sort Kaya Turan
collection DOAJ
description Abstract Background Thermography is an industrial method for surface temperature measurements, and although it is medically safe and non-invasive, its place in daily practice has been limited. With the development of technology, thermal cameras have become more accessible and practical via adaptation to mobile phones. Among patients evaluated with bilateral nerve conduction studies (NCS) for suspected carpal tunnel syndrome (CTS), those with electrophysiological findings consistent with mild-to-moderate unilateral CTS were accepted for this prospective study. The hands with positive NCS findings were the study group, and the unaffected hands were the control group. The images were evaluated with the thermal analysis software (FLIR Tools ver. 6.4, Windows 10) and compared with NCS for statistical significance. In addition, thermal images were examined by three orthopaedic surgeons, and interobserver correlation was analyzed. Our study aims to evaluate the mobile phone-assisted thermal camera (FLIR One Pro, FLIR Systems, Wilsonville, OR, USA) as a suitable tool to diagnose CTS. Results 48 patients, 35 women and 13 men were included in the study. Bilaterally, a total of 96 hands were evaluated. 18 patients had mild, and 30 patients had moderate NCS stages unilaterally. The mean temperature difference at the region of interest in the palm, first and third fingers were statistically significant between the study and control groups (p < 0.05). NCS values and stages were correlated with the temperature difference in the third finger (p = 0.002). The inter-observer reliability was high (ICC = 0.858) while detecting temperature differences. Conclusions Since smartphone-assisted thermal cameras are easy and convenient to use, we think they are helpful in the daily practice of diagnosing mild-to-moderate carpal tunnel syndrome.
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spelling doaj.art-f2e9145813124080a3defea6531503552024-03-05T18:01:51ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292024-02-016011510.1186/s41983-024-00801-3Evaluation of smartphone-assisted infrared thermal imaging efficiency in carpal tunnel syndromeKaya Turan0Osman Görkem Muratoğlu1Tuğrul Ergün2Haluk Çabuk3Medicine Faculty of Istinye University, Department of Orthopedics and Traumatology, Istinye University Liv HospitalDepartment of Orthopedics and Traumatology, Istanbul Medicana International HospitalDepartment of Orthopedics and Traumatology, Istanbul Medicana International HospitalMedicine Faculty of Istinye University, Department of Orthopedics and Traumatology, Istinye University Liv HospitalAbstract Background Thermography is an industrial method for surface temperature measurements, and although it is medically safe and non-invasive, its place in daily practice has been limited. With the development of technology, thermal cameras have become more accessible and practical via adaptation to mobile phones. Among patients evaluated with bilateral nerve conduction studies (NCS) for suspected carpal tunnel syndrome (CTS), those with electrophysiological findings consistent with mild-to-moderate unilateral CTS were accepted for this prospective study. The hands with positive NCS findings were the study group, and the unaffected hands were the control group. The images were evaluated with the thermal analysis software (FLIR Tools ver. 6.4, Windows 10) and compared with NCS for statistical significance. In addition, thermal images were examined by three orthopaedic surgeons, and interobserver correlation was analyzed. Our study aims to evaluate the mobile phone-assisted thermal camera (FLIR One Pro, FLIR Systems, Wilsonville, OR, USA) as a suitable tool to diagnose CTS. Results 48 patients, 35 women and 13 men were included in the study. Bilaterally, a total of 96 hands were evaluated. 18 patients had mild, and 30 patients had moderate NCS stages unilaterally. The mean temperature difference at the region of interest in the palm, first and third fingers were statistically significant between the study and control groups (p < 0.05). NCS values and stages were correlated with the temperature difference in the third finger (p = 0.002). The inter-observer reliability was high (ICC = 0.858) while detecting temperature differences. Conclusions Since smartphone-assisted thermal cameras are easy and convenient to use, we think they are helpful in the daily practice of diagnosing mild-to-moderate carpal tunnel syndrome.https://doi.org/10.1186/s41983-024-00801-3Carpal tunnel syndromeThermographyInfraredSmart-phone-assistedElectromyography
spellingShingle Kaya Turan
Osman Görkem Muratoğlu
Tuğrul Ergün
Haluk Çabuk
Evaluation of smartphone-assisted infrared thermal imaging efficiency in carpal tunnel syndrome
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Carpal tunnel syndrome
Thermography
Infrared
Smart-phone-assisted
Electromyography
title Evaluation of smartphone-assisted infrared thermal imaging efficiency in carpal tunnel syndrome
title_full Evaluation of smartphone-assisted infrared thermal imaging efficiency in carpal tunnel syndrome
title_fullStr Evaluation of smartphone-assisted infrared thermal imaging efficiency in carpal tunnel syndrome
title_full_unstemmed Evaluation of smartphone-assisted infrared thermal imaging efficiency in carpal tunnel syndrome
title_short Evaluation of smartphone-assisted infrared thermal imaging efficiency in carpal tunnel syndrome
title_sort evaluation of smartphone assisted infrared thermal imaging efficiency in carpal tunnel syndrome
topic Carpal tunnel syndrome
Thermography
Infrared
Smart-phone-assisted
Electromyography
url https://doi.org/10.1186/s41983-024-00801-3
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AT osmangorkemmuratoglu evaluationofsmartphoneassistedinfraredthermalimagingefficiencyincarpaltunnelsyndrome
AT tugrulergun evaluationofsmartphoneassistedinfraredthermalimagingefficiencyincarpaltunnelsyndrome
AT halukcabuk evaluationofsmartphoneassistedinfraredthermalimagingefficiencyincarpaltunnelsyndrome