Department of Department of Orthopedics, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China , linyuan@ccmu.edu.cn
Abstract: (1383 Views)
Background:To explore the accuracy of infrared thermal imaging and ultrasound in evaluating knee osteoarthritis (KOA) dysfunction. Materials and Methods:From November 2021 to June 2022, 50 KOA patients diagnosed by our hospital were selected. According to the results of ultrasound examination, the subjects were separated into mild group (30 cases) as well as moderate to severe group (20 cases). Pain as well as dysfunction was assessed using the visual analog Scale (VAS) and Western Ontario and McMaster osteoarthritis index (WOMAC). The forward-looking infrared (FLIR) thermal imager was used for infrared thermal imaging on the day of treatment as well as 1 month later. Results:The degree of cartilage wear detected by ultrasound was strongly correlated with the pain of knee osteoarthritis (r=0.674, P<0.05) and WOMAC osteoarthritis index (r=0.643, P <0.05). The knee temperature in the moderate to severe group was higher relative to the mild group (P<0.05, figure 2). The reliability and repeatability of the two infrared thermal imaging tests in knee were good (ICC=0.78). The knee temperature was positively correlated with the degree of cartilage wear under ultrasound (r=0.426, P<0.05, table 2). The knee temperature was positively related to pain (r=0.403, P<0.05) and WOMAC osteoarthritis index (r=0.382, P<0.05). Conclusion:Combined application of infrared thermal imaging and ultrasound in the evaluation process of knee osteoarthritis can assess the pain and dysfunction of knee osteoarthritis to a certain extent.
1. 1. Michael JW, Schlüter-Brust KU, Eysel P (2010) The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee. Dtsch Arztebl Int, 107(9): 152-62. [DOI:10.3238/arztebl.2010.0152] [PMID] []
2. Benner RW, Shelbourne KD, Bauman SN, et al. (2019) Knee Osteoarthritis: Alternative Range of Motion Treatment. Orthop Clin North Am, 50(4): 425-32. [DOI:10.1016/j.ocl.2019.05.001] [PMID]
4. Mahmoudian A, Lohmander LS, Mobasheri A, et al. (2021) Early-stage symptomatic osteoarthritis of the knee - time for action. Nat Rev Rheumatol, 17(10): 621-32. [DOI:10.1038/s41584-021-00673-4] [PMID]
5. Yeoh PSQ, Lai KW, Goh SL, et al. (2021) Emergence of Deep Learning in Knee Osteoarthritis Diagnosis. Comput Intell Neurosci, 2021: 4931437. [DOI:10.1155/2021/4931437] [PMID] []
6. Turkiewicz A, Díaz Y, Duarte-Salles T, et al. (2022) Knee and hip osteoarthritis and risk of nine cancers in a large real-world matched cohort study. Rheumatology (Oxford), 61(6): 2325-34. [DOI:10.1093/rheumatology/keab733] [PMID]
7. Sinatti P, Sánchez Romero EA, Martínez-Pozas O, et al. (2022) Effects of Patient Education on Pain and Function and Its Impact on Conservative Treatment in Elderly Patients with Pain Related to Hip and Knee Osteoarthritis: A Systematic Review. Int J Environ Res Public Health, 19(10). [DOI:10.3390/ijerph19106194] [PMID] []
8. Kijowski R, Demehri S, Roemer F, et al. (2020) Osteoarthritis year in review 2019: imaging. Osteoarthritis Cartilage, 28(3): 285-95. [DOI:10.1016/j.joca.2019.11.009] [PMID]
9. Oo WM, Linklater JM, Hunter DJ (2017) Imaging in knee osteoarthritis. Curr Opin Rheumatol, 29(1): 86-95. [DOI:10.1097/BOR.0000000000000350] [PMID]
10. Jones IA, Togashi R, Wilson ML, et al. (2019) Intra-articular treatment options for knee osteoarthritis. Nat Rev Rheumatol, 15(2): 77-90. [DOI:10.1038/s41584-018-0123-4] [PMID] []
11. Dainese P, Wyngaert KV, De Mits S, et al. (2020) Association between knee inflammation and knee pain in patients with knee osteoarthritis: a systematic review. Osteoarthritis Cartilage, 30(4): 516-34. [DOI:10.1016/j.joca.2021.12.003] [PMID]
12. Kandemirli GC, Basaran M, Kandemirli S, et al. (2020) Assessment of knee osteoarthritis by ultrasonography and its association with knee pain. J Back Musculoskelet Rehabil, 33(4): 711-7. [DOI:10.3233/BMR-191504] [PMID]
13. Hayashi D, Roemer FW, Guermazi A (2016) Imaging for osteoarthritis. Ann Phys Rehabil Med, 59(3): 161-9. [DOI:10.1016/j.rehab.2015.12.003] [PMID]
14. Fokam D and Lehmann C (2018) Clinical assessment of arthritic knee pain by infrared thermography. J Basic Clin Physiol Pharmacol, 30(3). [DOI:10.1515/jbcpp-2017-0218] [PMID]
15. Verstockt J, Verspeek S, Thiessen F, et al. (2022) Skin Cancer Detection Using Infrared Thermography: Measurement Setup, Procedure and Equipment. Sensors (Basel), 22(9). [DOI:10.3390/s22093327] [PMID] []
16. Usamentiaga R, Venegas P, Guerediaga J, et al. (2014) Infrared thermography for temperature measurement and non-destructive testing. Sensors (Basel), 14(7): 12305-48. [DOI:10.3390/s140712305] [PMID] []
17. Barbosa JS, Amorim A, Arruda M, et al. (2020) Infrared thermography assessment of patients with temporomandibular disorders. Dentomaxillofac Radiol, 49(4): 20190392. [DOI:10.1259/dmfr.20190392] [PMID] []
18. Sung YT and Wu JS (2018) The visual analogue scale for rating, ranking and paired-comparison (VAS-RRP): A new technique for psychological measurement. Behav Res Methods, 50(4): 1694-715. [DOI:10.3758/s13428-018-1041-8] [PMID] []
19. García-Coronado JM, Martínez-Olvera L, Elizondo-Omaña RE, et al. (2019) Effect of collagen supplementation on osteoarthritis symptoms: a meta-analysis of randomized placebo-controlled trials. Int Orthop, 43(3): 531-8. [DOI:10.1007/s00264-018-4211-5] [PMID]
20. Jogi SP, Thaha R, Rajan S, et al. (2022) Device for Assessing Knee Joint Dynamics During Magnetic Resonance Imaging. J Magn Reson Imaging, 55(3): 895-907. [DOI:10.1002/jmri.27877] [PMID]
21. Katsurada T, Nishida M, Sakamoto N (2017) Imaging (X-ray - CT - MRI - ultrasound). Nihon Rinsho, 75(3): 387-91.
22. Huang PH, Chen JW, Lin CP, et al. (2012) Far infra-red therapy promotes ischemia-induced angiogenesis in diabetic mice and restores high glucose-suppressed endothelial progenitor cell functions. Cardiovasc Diabetol, 11: 99. [DOI:10.1186/1475-2840-11-99] [PMID] []
23. Paczesny Ł and Kruczyński J (2011) Ultrasound of the knee. Semin Ultrasound CT MR, 32(2): 114-24. [DOI:10.1053/j.sult.2010.11.002] [PMID]
24. Erhart-Hledik JC, Mahtani GB, Asay JL, et al. (2021) Changes in knee adduction moment wearing a variable-stiffness shoe correlate with changes in pain and mechanically stimulated cartilage oligomeric matrix levels. J Orthop Res, 39(3): 619-27. [DOI:10.1002/jor.24770] [PMID]
25. Denoble AE, Hall N, Pieper CF, et al. (2010) Patellar skin surface temperature by thermography reflects knee osteoarthritis severity. Clin Med Insights Arthritis Musculoskelet Disord, 3: 69-75. [DOI:10.4137/CMAMD.S5916] [PMID] []
26. Oo WM, Linklater JM, Bennell KL, et al. (2021) Are OMERACT knee osteoarthritis ultrasound scores associated with pain severity, other symptoms, and radiographic and magnetic resonance imaging findings? J Rheumatol, 48(2): 270-8. [DOI:10.3899/jrheum.191291] [PMID]
27. Chopp-Hurley JN, Wiebenga EG, Bulbrook BD, et al. (2020) Evaluating the relationship between quadriceps muscle quality captured using ultrasound with clinical severity in women with knee osteoarthritis. Clin Biomech (Bristol, Avon), 80: 105165. [DOI:10.1016/j.clinbiomech.2020.105165] [PMID]
Zhang B, Zhao X, Chen T, Ren S, Lin Y. The accuracy of infrared thermal imaging and ultrasound in evaluating knee osteoarthritis dysfunction. Int J Radiat Res 2023; 21 (3) :447-451 URL: http://ijrr.com/article-1-4862-en.html