Variations of plantar thermographic patterns in normal controls and non-ulcer diabetic patients: Novel classification using angiosome concept
Variations of plantar thermographic patterns in normal controls and non-ulcer diabetic patients: Novel classification using angiosome concept
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DOI：
10.1016/j.bjps.2010.12.003
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发表时间：
2011-07-01
影响因子：
2.7
通讯作者：
Nakagami, Gojiro
中科院分区：
文献类型：
--
作者：
Nagase, Takashi;Sanada, Hiromi;Nakagami, Gojiro
足底皮肤温度的测量一直是评估糖尿病患者溃疡风险的重要参数之一。红外热成像技术的最新进展使我们能够获得整个足底皮肤的温度分布图像。然而，它还没有完全阐明在何种程度上的足底热成像模式的个体差异显示正常对照组和糖尿病患者之间的不同趋势。在这项研究中，我们提出了一个新的概念分类框架与20个不同类别的足底热像模式根据足部血管体的概念。从东京大学医院糖尿病足门诊招募的32名正常志愿者和129名非溃疡糖尿病患者的热成像图像被分配到上述框架类别。在正常组中，超过65%的脚的热成像模式被分配到两个典型的类别，包括20个类别中的“蝴蝶图案”，而225只脚（87.2%）的糖尿病组被不同地分配到20个类别中的18个。这是第一项研究，它描述了详细的足底温度图模式，显示了糖尿病患者比正常人更广泛的变化。热成像将是评估日常足部护理和手术干预中循环状态的筛选选项之一。(C)2010年英国整形、重建和美容外科医生协会。由爱思唯尔有限公司出版。保留所有权利。
Thermometry of the plantar skin temperature has been one of the important parameters for assessing ulceration risks in diabetic patients. Recent progress of infrared thermographic technology allows us to obtain imaging of temperature distribution of the whole plantar skin. However, it has not been fully elucidated to what extent the individual variation of the plantar thermographic patterns shows different trends between normal controls and diabetics. In this study, we made a novel framework of conceptual classification with 20 different categories of plantar thermographic patterns according to the foot angiosome concept. The thermographic images from 32 normal volunteers and 129 non-ulcer diabetic patients, recruited from Diabetes Foot Outpatient Clinic of the University of Tokyo Hospital, were allocated to the above-mentioned framework categories. In the normal group, thermographic patterns of more than 65% of feet were allocated to the two typical categories, including the 'butterfly pattern' among the 20 categories, whereas 225 feet (87.2%) of the diabetic groups were variously allocated to 18 out of the 20 categories. This is the first study, which describes detailed plantar thermographic patterns, showing wider variations in the diabetic patients than in the normal subjects. Thermography will be one of the screening options to assess circulatory status in both daily foot care and surgical intervention. (C) 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.