Post-Graduate Program in Human Movement and Rehabilitation, Research Group in Biophotonics and Experimental Therapeutics in Health and Esthetics - Universidade Evangélica de Goiás - UniEvangélica, Av. Universitária Km 3,5, Anápolis, Brazil.
Programa de Pós-Graduação Em Bioengenharia, Universidade Brasil - UB, Rua Carolina Fonseca 235, Itaquera 08230-030, São Paulo, SP, Brazil.
Lasers Med Sci. 2022 Aug;37(6):2639-2644. doi: 10.1007/s10103-022-03530-2. Epub 2022 Mar 2.
Cellulite is a morphological alteration of the tegument tissue, directly interfering in self-esteem with etiology and pathophysiology far from being a consensus. Although the visual diagnosis of cellulitis is well known, it does not represent the real pathological condition of the subcutaneous tissue. The aim of the study was to investigate the hypothesis that the more heterogeneous tissue pattern analyzed by infrared thermography, the more severe is the cellulite grade. Forty female participants were selected and 60 thighs were analyzed by clinical anamnesis and infrared thermography. Classical visual analysis was correlated to the tissue heterogeneity measured by thermography. R Spearman's correlation between visual evaluation and thermography was 0.92. Phototype presented a negative significant correlation of 0.67 with classical visual analysis. In the present study, we presented a simple method based on infrared thermography that can be adopted in any esthetics office with a correlation of 0.92 with the visual classic evaluation, but, besides, may be very helpful to the clinician to decide which treatment will be adopted, i.e., an aggressive and inflammatory approach such as the radiofrequency of shockwave therapy or an anti-inflammatory approach such as photobiomodulation, depending on the inflammatory status of cellulite.
橘皮组织是皮肤组织的形态改变，其病因和发病机制远未达成共识，直接影响自尊心。虽然橘皮组织的视觉诊断众所周知，但它并不能代表皮下组织的真实病理状况。本研究旨在验证以下假设，即通过红外线热成像分析的组织异质性越高，橘皮组织的严重程度越高。选择了 40 名女性参与者，对 60 条大腿进行了临床病史和红外线热成像分析。将经典的视觉分析与热成像测量的组织异质性进行相关性分析。视觉评估与热成像之间的 R Spearman 相关性为 0.92。光型与经典视觉分析呈负显著相关（r=-0.67）。在本研究中，我们提出了一种基于红外线热成像的简单方法，该方法可以在任何美容办公室采用，与经典视觉评估的相关性为 0.92，但除此之外，对于临床医生决定采用哪种治疗方法可能非常有帮助，即根据橘皮组织的炎症状态，采用侵袭性和炎症性方法（如射频或冲击波治疗）或抗炎方法（如光生物调节）。
