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[外周关节关节炎的热成像诊断]

[Thermographic diagnosis of arthritis in peripheral joints].

作者信息

Oblinger W, Engel J M, Franke M

出版信息

Z Rheumatol. 1985 Mar-Apr;44(2):77-81.

PMID:4050143
Abstract

The measurement of absolute temperatures on the surface of the human body using quantitative thermography allows this technique to be used in rheumatology, for the diagnosis and monitoring the course of inflammatory diseases of the locomotor system. The patient is exposed to a room temperature of 18 degrees C and the skin temperature measured over the joint for a defined area (region of interest). Inflamed joints show distinctly higher absolute temperatures than normal ones within the observation time of 40 minutes. Moreover, the skin over healthy joints cools faster and to a greater extent than skin over inflamed joints, whose temperatures remain the same or even rise minimally in more acute cases. Using two measurements, the determination of the absolute temperatures (static thermography), and the changes in these temperatures within a definite time interval (dynamic thermography) it is thus possible to establish a diagnosis of arthritis in the regions of the peripheral joints with the help of standardised nomograms with an accuracy of more than 90%, and to follow the course of the disease more exactly.

摘要

使用定量热成像技术测量人体表面的绝对温度,使得该技术可用于风湿病学领域,用于诊断和监测运动系统炎症性疾病的病程。患者暴露于18摄氏度的室温下,并在关节上方的特定区域(感兴趣区域)测量皮肤温度。在40分钟的观察时间内,发炎的关节显示出明显高于正常关节的绝对温度。此外,健康关节上方的皮肤比发炎关节上方的皮肤冷却得更快且程度更大,在更急性的情况下,发炎关节的温度保持不变甚至略有上升。通过两次测量,即绝对温度的测定(静态热成像)以及在一定时间间隔内这些温度的变化(动态热成像),借助标准化的列线图,在外周关节区域诊断关节炎的准确率超过90%,并且能够更准确地跟踪疾病的病程。

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