Faculty of Dentistry, Department of Dentistry, Reims University Hospital, Reims, France; MEDYC, UMR CNRS 7369, Biophotonic and Technologies for Health Team, Reims, France.
Department of General, Digestive and Endocrine Surgery, Reims University Hospital, Reims, France.
Photodiagnosis Photodyn Ther. 2018 Sep;23:9-11. doi: 10.1016/j.pdpdt.2018.05.007. Epub 2018 May 12.
Hidradenitis suppurativa (HS) is a chronic, inflammatory, and recurrent skin disease. Surgical excision of wounds appears to be the only curative treatment for the prevention of recurrence of moderate to severe stages. Magnetic resonance imaging (MRI) is a standard reference examination for the detection of HS peri-anal inflammatory fistula. In this case study, the use of real-time medical infrared thermography, in combination with MRI as appropriate imaging, is proposed. The aim is to assist surgeons in the pre- and peri-surgical management of severe perianal hidradenitis suppurativa with the intent to ensure that all diseased lesions were removed during surgery and therefore to limit recurrence. The results show that medical infrared thermography (MIT), coupled with MRI, could be highly effective strategy to address thermally distinguished health tissues and inflammatory sites during excision, as characterised by differential increases in temperature. Medical infrared thermography could be used to check the total excision of inflammatory lesions as a noninvasive method that is not painful, not radiant, and is easily transportable during surgery. Ultimately, this method could be complementary with MRI in providing clinicians with objective data on the status of tissues below the perianal skin surface in the pre- and per-operating management of severe hidradenitis suppurativa.
化脓性汗腺炎（HS）是一种慢性、炎症性和复发性皮肤病。手术切除病灶似乎是预防中重度阶段复发的唯一根治性治疗方法。磁共振成像（MRI）是检测肛门周围炎性瘘管的标准参考检查。在本病例研究中，提出了实时医学红外热成像与 MRI 相结合的使用方法。目的是帮助外科医生对严重的肛门周围化脓性汗腺炎进行术前和围手术期管理，以确保手术过程中切除所有病变，并因此限制复发。结果表明，医学红外热成像（MIT）与 MRI 结合使用可能是一种非常有效的策略，可在切除过程中区分受热健康组织和炎症部位，其特征是温度差异增加。医学红外热成像可以作为一种非侵入性、无痛、非辐射的方法，在手术过程中很容易进行，用于检查炎症病变的完全切除。最终，该方法可与 MRI 互补，为临床医生提供肛门周围皮肤表面以下组织的状态的客观数据，用于严重化脓性汗腺炎的术前和围手术期管理。
