Thermal imaging in total knee replacement and its relation with inflammation markers

Total knee replacement is an end-stage surgical treatment of osteoarthritis patients to improve their quality of life. The study presents a thermal imaging-based approach to assess the recovery of operated-knees. The study focuses on the potential of thermal imaging for total knee replacement and it...

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Autores principales:	Viney Lohchab, Jaspreet Singh, Prasant Mahapatra, Vikas Bachhal, Aman Hooda, Karan Jindal, MS Dhillon
Formato:	article
Lenguaje:	EN
Publicado:	AIMS Press 2021
Materias:	image analysis inflammatory markers non-invasive assessment skin temperature thermal imaging Biotechnology TP248.13-248.65 Mathematics QA1-939
Acceso en línea:	https://doaj.org/article/40863ac1693b4c36a4969f1fab4e8fd7
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spelling	oai:doaj.org-article:40863ac1693b4c36a4969f1fab4e8fd72021-11-23T02:41:57ZThermal imaging in total knee replacement and its relation with inflammation markers10.3934/mbe.20213851551-0018https://doaj.org/article/40863ac1693b4c36a4969f1fab4e8fd72021-09-01T00:00:00Zhttps://www.aimspress.com/article/doi/10.3934/mbe.2021385?viewType=HTMLhttps://doaj.org/toc/1551-0018Total knee replacement is an end-stage surgical treatment of osteoarthritis patients to improve their quality of life. The study presents a thermal imaging-based approach to assess the recovery of operated-knees. The study focuses on the potential of thermal imaging for total knee replacement and its relation with clinical inflammatory markers. A total of 20 patients with bilateral knee replacement were included for thermal imaging and serology, where data was acquired on pre-operative day and five post-operative days. To quantify the inflammation, the temperature-based parameters (like mean differential temperature, relative percentage of raised temperature) were evaluated from thermal images, while the clinically proven inflammation markers were obtained from blood samples for clinical validation. Initially, the knee region was segmented by applying the automatic method, subsequently, the mean skin temperature was calculated and investigated for a statistical relevant relationship with inflammatory markers. After surgery, the mean skin temperature was first increased (>2.15 ℃ for different views) then settled to pre-operative level by 90th day. Consequently, the mean differential temperature showed a strong correlation with erythrocyte sedimentation rate (r > 0.893) and C-reactive protein (r > 0.955). Also, the visual profile and relative percentage of raised temperature showed promising results in quantifying the temperature changes both qualitatively and quantitatively. This study provides an automatic and non-invasive way of screening the patients for raised levels of skin temperature, which can be a sign of inflammation. Hence, the proposed temperature-based technique can help the clinicians for visual assessment of post-operative recovery of patients.Viney LohchabJaspreet SinghPrasant MahapatraVikas Bachhal Aman HoodaKaran Jindal MS DhillonAIMS Pressarticleimage analysisinflammatory markersnon-invasive assessmentskin temperaturethermal imagingBiotechnologyTP248.13-248.65MathematicsQA1-939ENMathematical Biosciences and Engineering, Vol 18, Iss 6, Pp 7759-7773 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	image analysis inflammatory markers non-invasive assessment skin temperature thermal imaging Biotechnology TP248.13-248.65 Mathematics QA1-939
spellingShingle	image analysis inflammatory markers non-invasive assessment skin temperature thermal imaging Biotechnology TP248.13-248.65 Mathematics QA1-939 Viney Lohchab Jaspreet Singh Prasant Mahapatra Vikas Bachhal Aman Hooda Karan Jindal MS Dhillon Thermal imaging in total knee replacement and its relation with inflammation markers
description	Total knee replacement is an end-stage surgical treatment of osteoarthritis patients to improve their quality of life. The study presents a thermal imaging-based approach to assess the recovery of operated-knees. The study focuses on the potential of thermal imaging for total knee replacement and its relation with clinical inflammatory markers. A total of 20 patients with bilateral knee replacement were included for thermal imaging and serology, where data was acquired on pre-operative day and five post-operative days. To quantify the inflammation, the temperature-based parameters (like mean differential temperature, relative percentage of raised temperature) were evaluated from thermal images, while the clinically proven inflammation markers were obtained from blood samples for clinical validation. Initially, the knee region was segmented by applying the automatic method, subsequently, the mean skin temperature was calculated and investigated for a statistical relevant relationship with inflammatory markers. After surgery, the mean skin temperature was first increased (>2.15 ℃ for different views) then settled to pre-operative level by 90th day. Consequently, the mean differential temperature showed a strong correlation with erythrocyte sedimentation rate (r > 0.893) and C-reactive protein (r > 0.955). Also, the visual profile and relative percentage of raised temperature showed promising results in quantifying the temperature changes both qualitatively and quantitatively. This study provides an automatic and non-invasive way of screening the patients for raised levels of skin temperature, which can be a sign of inflammation. Hence, the proposed temperature-based technique can help the clinicians for visual assessment of post-operative recovery of patients.
format	article
author	Viney Lohchab Jaspreet Singh Prasant Mahapatra Vikas Bachhal Aman Hooda Karan Jindal MS Dhillon
author_facet	Viney Lohchab Jaspreet Singh Prasant Mahapatra Vikas Bachhal Aman Hooda Karan Jindal MS Dhillon
author_sort	Viney Lohchab
title	Thermal imaging in total knee replacement and its relation with inflammation markers
title_short	Thermal imaging in total knee replacement and its relation with inflammation markers
title_full	Thermal imaging in total knee replacement and its relation with inflammation markers
title_fullStr	Thermal imaging in total knee replacement and its relation with inflammation markers
title_full_unstemmed	Thermal imaging in total knee replacement and its relation with inflammation markers
title_sort	thermal imaging in total knee replacement and its relation with inflammation markers
publisher	AIMS Press
publishDate	2021
url	https://doaj.org/article/40863ac1693b4c36a4969f1fab4e8fd7
work_keys_str_mv	AT vineylohchab thermalimagingintotalkneereplacementanditsrelationwithinflammationmarkers AT jaspreetsingh thermalimagingintotalkneereplacementanditsrelationwithinflammationmarkers AT prasantmahapatra thermalimagingintotalkneereplacementanditsrelationwithinflammationmarkers AT vikasbachhal thermalimagingintotalkneereplacementanditsrelationwithinflammationmarkers AT amanhooda thermalimagingintotalkneereplacementanditsrelationwithinflammationmarkers AT karanjindal thermalimagingintotalkneereplacementanditsrelationwithinflammationmarkers AT msdhillon thermalimagingintotalkneereplacementanditsrelationwithinflammationmarkers
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Thermal imaging in total knee replacement and its relation with inflammation markers

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