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A New Perspective on the Diagnosis of Septic Arthritis: High-Resolution Thermal Imaging

Aims: An increase in temperature in an area suspected of septic arthritis is a clinically important finding. The aim of this study is to evaluate temperature changes in septic arthritis with a high-resolution thermal camera. Methods: A total of 49 patients, who were evaluated with a prediagnosis of...

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Autores principales: Gunay, Huseyin, Bakan, Ozgur Mert, Mirzazade, Javad, Sozbilen, Murat Celal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961626/
https://www.ncbi.nlm.nih.gov/pubmed/36836106
http://dx.doi.org/10.3390/jcm12041573
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author Gunay, Huseyin
Bakan, Ozgur Mert
Mirzazade, Javad
Sozbilen, Murat Celal
author_facet Gunay, Huseyin
Bakan, Ozgur Mert
Mirzazade, Javad
Sozbilen, Murat Celal
author_sort Gunay, Huseyin
collection PubMed
description Aims: An increase in temperature in an area suspected of septic arthritis is a clinically important finding. The aim of this study is to evaluate temperature changes in septic arthritis with a high-resolution thermal camera. Methods: A total of 49 patients, who were evaluated with a prediagnosis of arthritis (septic or non-septic), were included in this study. A temperature increase in the knee with suspected septic arthritis was evaluated by using thermal imaging and compared with the opposite-side joint. Then, in order to confirm the diagnosis, a culture was taken using routine intra-articular aspiration. Results: The thermal measurements were compared in 15 patients with septic arthritis and 34 patients with non-septic arthritis. The mean temperature was 37.93 °C in the septic group, while it was 36.79 °C in the non-septic group (p < 0.000 *). The mean temperature difference in both joints was 3.40 °C in the septic group, while it was 0.94 °C in the non-septic group (p < 0.000 *). While the mean temperature was 37.10 °C in the group with septic arthritis, it was measured to be 35.89 °C in the group non-septic arthritis (p < 0.020). A very strong positive correlation was found between the difference in the mean temperatures of both groups and the values of the hottest and coldest points (r = 0.960, r = 0.902). Conclusions: In the diagnosis of septic arthritis, thermal imagers can be used as a non-invasive diagnostic tool. A quantitative value can be obtained to indicate to a local temperature increase. In future studies, specially designed thermal devices can be developed for septic arthritis.
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spelling pubmed-99616262023-02-26 A New Perspective on the Diagnosis of Septic Arthritis: High-Resolution Thermal Imaging Gunay, Huseyin Bakan, Ozgur Mert Mirzazade, Javad Sozbilen, Murat Celal J Clin Med Article Aims: An increase in temperature in an area suspected of septic arthritis is a clinically important finding. The aim of this study is to evaluate temperature changes in septic arthritis with a high-resolution thermal camera. Methods: A total of 49 patients, who were evaluated with a prediagnosis of arthritis (septic or non-septic), were included in this study. A temperature increase in the knee with suspected septic arthritis was evaluated by using thermal imaging and compared with the opposite-side joint. Then, in order to confirm the diagnosis, a culture was taken using routine intra-articular aspiration. Results: The thermal measurements were compared in 15 patients with septic arthritis and 34 patients with non-septic arthritis. The mean temperature was 37.93 °C in the septic group, while it was 36.79 °C in the non-septic group (p < 0.000 *). The mean temperature difference in both joints was 3.40 °C in the septic group, while it was 0.94 °C in the non-septic group (p < 0.000 *). While the mean temperature was 37.10 °C in the group with septic arthritis, it was measured to be 35.89 °C in the group non-septic arthritis (p < 0.020). A very strong positive correlation was found between the difference in the mean temperatures of both groups and the values of the hottest and coldest points (r = 0.960, r = 0.902). Conclusions: In the diagnosis of septic arthritis, thermal imagers can be used as a non-invasive diagnostic tool. A quantitative value can be obtained to indicate to a local temperature increase. In future studies, specially designed thermal devices can be developed for septic arthritis. MDPI 2023-02-16 /pmc/articles/PMC9961626/ /pubmed/36836106 http://dx.doi.org/10.3390/jcm12041573 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gunay, Huseyin
Bakan, Ozgur Mert
Mirzazade, Javad
Sozbilen, Murat Celal
A New Perspective on the Diagnosis of Septic Arthritis: High-Resolution Thermal Imaging
title A New Perspective on the Diagnosis of Septic Arthritis: High-Resolution Thermal Imaging
title_full A New Perspective on the Diagnosis of Septic Arthritis: High-Resolution Thermal Imaging
title_fullStr A New Perspective on the Diagnosis of Septic Arthritis: High-Resolution Thermal Imaging
title_full_unstemmed A New Perspective on the Diagnosis of Septic Arthritis: High-Resolution Thermal Imaging
title_short A New Perspective on the Diagnosis of Septic Arthritis: High-Resolution Thermal Imaging
title_sort new perspective on the diagnosis of septic arthritis: high-resolution thermal imaging
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961626/
https://www.ncbi.nlm.nih.gov/pubmed/36836106
http://dx.doi.org/10.3390/jcm12041573
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