Research is intended to verify if thermal imaging can be used in diagnosing and monitoring the carpal tunnel syndrome (CTS).
This disease is not easy to diagnose using traditional methods. Also, the difficulties in monitoring carpal tunnel surgery effects necessitate new, noninvasive method, which gives more information.
The research group consists of 15 patients with CTS and control group of healthy people. All patients who were examined before surgery were also tested 4 weeks after surgery, to check the effects of treatment. In addition a lot of our patients had or will have open carpel tunnel release surgery. Diagnosis of CTS was performed by thermal imaging in both hands from phalanges to the area of the wrist on the external and palmar side of the palm.
Using infrared (IR) camera one can observe high temperature gradient on hand-tested areas and these differences prove the diagnosis. Moreover patients after surgery have better temperature distribution and it was closer to control group. Results prove that surgery is the best, and currently, the only method to treat CTS.
Thermal imaging may be helpful in diagnosing CTS.
aDepartment of Medical Physics, A. Chełkowski Institute of Physics, University of Silesia, Katowice
bDepartment and Clinic of Internal Diseases, School of Medicine with the Division of Dentistry in Zabrze, Angiology and Physical Medicine in Bytom, Medical University of Silesia, Bytom
cDepartment of Physical Medicine, School of Health Sciences in Katowice, Medical University of Silesia, Katowice
dDepartment of Physiology, Medical University of Silesia, Katowice
eDepartment of Sports Medicine and Physiology of Physical Effort, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland.
Correspondence: Teresa Kasprzyk, Department of Medical Physics, A. Chełkowski Institute of Physics, University of Silesia, 75 Pułku Piechoty 1A Street, 41–500 Chorzów, Poland (e-mail: firstname.lastname@example.org).
Abbreviations: ΔTi = temperature gradient, BMI = body mass index, CT = carpal tunnel, CTS = carpal tunnel syndrome, EMG = electromyography, IR = infrared, IRT = infrared thermography, NCV = nerve conduction velocity, ROIs = regions of interest, SE = standard error.
The authors report no funding or conflicts of interest.
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Received April 10, 2017
Received in revised form August 9, 2017
Accepted August 14, 2017