May thermal imaging be useful in early diagnosis of lower extremities chronic venous disease?

• Autorzy: Kajewska Joanna , Stanek Agata , Sieroń Karolina , Cholewka Armand

Identyfikatory

DOI

10.2478/pjmpe-2023-0009

• Języki publikacji: EN

Abstrakty

EN

Introduction: World statistics confirmed that about 40-50% of men and 50-55% of women suffer from chronic venous disease. Currently, the Duplex ultrasound is the leading diagnostic method for chronic venous disease (CVD), but it has some limitations. Therefore, it is important to find a new diagnostic technique that will provide additional parameters, describing not only structural but also early metabolic and functional changes. Materials and Methods: This study aimed to demonstrate the usefulness of the thermal imaging technique in the diagnosis of chronic venous disease. Results were obtained for two groups: 61 patients suffering from the primary chronic venous disease (CVD group) and 30 healthy people (control group). The obtained results compared the thermal imaging parameters to data obtained from the ultrasound examination. Parameters such as the reflux duration and extent of the CEAP classification were correlated with the mean temperature of the limb, the mean temperature of the lesion (determined using two methods), and the thermal range. Based on data obtained during the study, correlation coefficients were calculated for individual parameters. Results: The results obtained show that the mean limb temperature, and especially the mean temperature of a proposed isothermal area, is significantly correlated with the range of reflux. The conducted tests showed the correlation between some thermal and ultrasonic parameters determined by Spearman's coefficient is 0.4 (p < 0.05). Conclusions: Thus, parameters such as the isothermal area and the thermal range may be used as a preliminary quantitative diagnosis, similarly to those derived from the Duplex ultrasound.

Słowa kluczowe

EN

chronic venous disease; thermal imaging; thermovision; diagnostic tool

• Wydawca: Polskie Towarzystwo Fizyki Medycznej ; De Gruyter
• Czasopismo: Polish Journal of Medical Physics and Engineering
• Rocznik: 2023
• Tom: Vol. 29, Iss. 1
• Strony: 73--84
• Opis fizyczny: Bibliogr. 41 poz., rys., tab.

Twórcy

autor

Kajewska Joanna

• Faculty of Science and Technology, University of Silesia in Katowice, Poland

autor

Stanek Agata

• Department of Internal Medicine, Angiology and Physical Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Batorego 15 St., 41-902 Bytom, Poland

• https://orcid.org/0000-0001-6939-9898

autor

Sieroń Karolina

• Department of Physical Medicine, Chair of Physiotherapy, Faculty of Health Sciences, Medical University of Silesia, Katowice, Poland

• https://orcid.org/0000-0003-1871-2666

autor

Cholewka Armand

• Faculty of Science and Technology, University of Silesia in Katowice, Poland

• https://orcid.org/0000-0003-3998-7677

Bibliografia

• 1. Robertson L, Evans C, Fowkes FG. Epidemiology of chronic venous disease. Phlebology. 2008;23(3):103-111. https://doi.org/10.1258/phleb.2007.007061
• 2. Kurz X, Kahn SR, Abenhaim L, Clement D, Norgren L, Baccaglini U. et al. Chronic venous disorders of the leg: epidemiology, outcomes, diagnosis and management. Summary of an evidence-based report of the VEINES task force. Venous Insufficiency Epidemiologic and Economic Studies. Int Angiol. 1999;18(2):83-102.
• 3. Evans CJ, Fowkes FG, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health. 1999;53(3):149-153. https://doi.org/10.1136/jech.53.3.149
• 4. Van den Oever R, Hepp B, Debbaut B, Simon I. Socio-economic impact of chronic venous insufficiency. An underestimated public health problem. Int Angiol. 1998;17(3):161-167.
• 5. Kaplan RM, Criqui MH, Denenberg JO, Bergan J, Fronek A. Quality of life in patients with chronic venous disease: San Diego population study. J Vasc Surg. 2003;37(5):1047-1053. https://doi.org/10.1067/mva.2003.168
• 6. Raha N, Suman R. Treatment of varicose veins. Curr Treat Options Cardiovasc Med. 2009;11(2):91-103. https://doi.org/10.1007/s11936-009-0010-z
• 7. Gloviczki P, Comerota AJ, Dalsing, MC, Eklof, BG, Gillespie DL et al. The care of patients with varicose veins and associated chronić venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2011;53(5Suppl):1S-48S. https://doi.org/10.1016/j.jvs.2011.01.079
• 8. Sieroń A, Cierpka L, Rybak Z, Stanek A. [Angiology texbook]. Alfa Medica Press, Bielsko Biała 2009
• 9. Nicolaides A, Kakkos S, Eklof B, Perrin M, Nelzen O, Neglen P, et al. Management of chronic venous disorders of the lower limbs - guidelines according to scientific evidence. Int Angiol. 2014;33(2):87-208.
• 10. Eklof B, Perrin M, Delis KT, Rutherford RB, Gloviczki P. Updated terminology of chronic venous disorders: the VEIN-TERM transatlantic interdisciplinary consensus document. J Vasc Surg. 2009;49(2):498-501. https://doi.org/10.1016/j.jvs.2008.09.014
• 11. Langer RD, Ho E, Denenberg JO, Fronek A, Allison M, Criqui MH. Relationships between symptoms and venous disease: the San Diego population study. Arch Intern Med. 2005;165(12):1420-1424. https://doi.org/10.1001/archinte.165.12.1420
• 12. Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation. 2005;111(18):2398-2409. https://doi.org/10.1161/01.CIR.0000164199.72440.08
• 13. Nicolaides AN, Chronic venous disease and the leukocyte-endothelium interaction: from symptoms to ulceration. Angiology. 2005;56(6Suppl):S11-S19. https://doi.org/10.1177/00033197050560i103
• 14. Raju S, Neglen P. High prevalence of nonthrombotic iliac vein lesions in chronic venous disease: a permissive role in pathogenicity. J Vasc Surg. 2006;44:136-143. https://doi.org/10.1016/j.jvs.2006.02.065
• 15. Perrin M, Ramelet AA. Pharmacological treatment of primary chronic venous disease: rationale, results and unanswered questions. Eur J Vasc Endovasc Surg. 2011;41:117-125. https://doi.org/10.1016/j.ejvs.2010.09.025
• 16. Raffetto JD, Khalil RA. Mechanisms of varicose vein formation: valve dysfunction and wall dilation. Phlebology. 2008;23:85-98. https://doi.org/10.1258/phleb.2007.007027
• 17. Berszakiewicz A, Sieroń A, Krasiński Z, Cholewka A, Stanek A. Compression therapy in venous diseases:current forms of compression materials and techniques. Adv Dermatol Allergol. 2020;XXXVII (6):836- 841. https://doi.org/10.5114/ada.2019.86991
• 18. Raffetto JD, Khalil RA. Mechanisms of Lower Extremity Vein Dysfunction in Chronic Venous Disease and Implications in Management of Varicose Veins. Vessel Plus. 2021;5:36. https://doi.org/10.20517/2574-1209.2021.16
• 19. Burnand KG, Whimster I, Naidoo A, Browse NL. Pericapillary fibrin in the ulcer-bearing skin oh the leg: the cause of lipodermatosclerosis and venous ulceration. Br Med J. 1982;285:1071-1072. https://doi.org/10.1136/bmj.285.6348.1071
• 20. James Law , David E Morris , Helen Budge , Michael E Symonds. Infrared Thermography. Handb Exp Pharmacol. 2019;251:259-282. https://doi.org/10.1007/164_2018_137
• 21. Cholewka A, Kajewska J, Kawecki M, Sieroń-Stołtny K, Stanek A. How to use thermal imaging in venous insufficiency? J Therm Anal Calorim. 2017;130:1317-1326. https://doi.org/10.1007/s10973-017-6141-7
• 22. Kajewska J, Cholewka A, Pająk J, Sieroń K, Drzazga Z, Kawecki M, Stanek A. The thermal imaging parameters in correlation with USG duplex parameters used in chronic venous disease of lower extremities diagnosis. In: 13th Quantitative Infrared Thermography Conference - Archives QIRT 2016, Gdańsk 4-8.07.2016. 2016. p. 353-359. https://doi.org/10.21611/qirt.2016.049
• 23. Cholewka A, Sieroń-Stołtny K, Kajewska J, Cholewka A, Drzazga Z, Stanek A. Thermal Diagnostics In Chronic Venous Disease. In: Vardasca R, Mendes JG (Eds). Innovative Research in Thermal Imaging for Biology and Medicine. IGI Global, 2017, 34-54. https://doi.org/10.4018/978-1-5225-2072-6.ch002
• 24. Eklöf B, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, Kistner RL, et al. American Venous Forum International Ad Hoc Committee for Revision of the CEAP Classification. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40(6):1248-1252. https://doi.org/10.1016/j.jvs.2004.09.027
• 25. Skomudek A, Gilowska I., Jasiński R, Rożek-Piechura K. Analysis of the dynamics of venous blood flow in the context of lower limb temperature distribution and tissue composition in the elderly. Clin Interv Aging. 2017;12:1371-1378. https://doi.org/10.2147/CIA.S137707
• 26. Politi S, Aloisi A, Bartoli V, Guglietta A, Magnifica F. Infrared Thermography Images Acquisition for a Technical Perspective in Screening and Diagnostic Processes: Protocol Standardized Acquisition. Cureus 2021;13(11):e19931. https://doi.org/10.7759/cureus.19931
• 27. Bauer J, Hurnik P, Zdziarski J, Mielczarek W, Podbielska H. Thermovision and its applications in medicine. Acta Bio-Opt Inf Med. 1997;3(2-4):121-31.
• 28. Ring EFJ, Ammer K. The technique of infrared imaging inmedicine. Thermol Int. 2000;10(1):7-14.
• 29. van Bemmelen PS, Bedford G, Beach K, et al. Quantitative segmental evaluation of venous valvular reflux with duplex ultrasound scanning. J Vasc Surg. 1989;10:425-431. https://doi.org/10.1016/0741-5214(89)90417-5
• 30. Labropoulos N, Tiongson J, Pryor L, et al. Definition of venous reflux in lower-extremity veins. J Vasc Surg. 2003;38:793-798. https://doi.org/10.1016/S0741-5214(03)00424-5
• 31. Hach W. [Diagnosis and surgical methods in primary varicose veins]. Langenbecks Arch Chir. 1988;Suppl2:145-151.
• 32. Cholewka A, Stanek A, Sieroń A, Drzazga Z. Thermography study of skin response due to whole-body cryotherapy. Skin Res Technol. 2012;18(2):180-187. https://doi.org/10.1111/j.1600-0846.2011.00550.x
• 33. Cholewka A, Drzazga Z, Sieroń A. Monitoring of whole body cryotherapy effects by thermal imaging: preliminary report. Phys Med. 2006;22(2):57-62. https://doi.org/10.1016/S1120-1797(06)80054-2
• 34. Nicolaides A.N. Investigation of chronic venous insufficiency. A consensus statement. Circulation. 2000;102:e126-e163. https://doi.org/10.1161/01.CIR.102.20.e126
• 35. Youn, Y.J., Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. Korean J Intern Med. 2019;34(2):269-283. https://doi.org/10.3904/kjim.2018.230
• 36. Cavezzi A.J. New Perspectives in Phlebology and Lymphology. Clin Med. 2022;11(7):1902. https://doi.org/10.3390/jcm11071902
• 37. Lurie F, Lal BK, Antignani PL, Blebea J, Bush R, Davies A,. et al. Compression therapy after invasive treatment of superficial veins of the lower extremities: Clinical practice guidelines of the American Venous Forum, Society for Vascular Surgery, American College of Phlebology, Society for Vascular Medicine, and International Union of Phlebology. Vasc Surg Venous Lymphat Disord. 2019;7(1):17-28. https://doi.org/10.1016/j.jvsv.2018.10.002
• 38. Rabe E, Partsch H, Morrison N, Meissner MH, Mosti G, et al. Risks and contraindications of medical compression treatment - A critical reappraisal. An international consensus statement. Phlebology. 2020;35(7):447-460. https://doi.org/10.1177/0268355520909066
• 39. Cholewka A, Stanek A, Klimas A, Sieroń A, Drzazga Z. Thermal imaging application in chronic venous disease Pilot study. J Therm Anal Calorim. 2014;115:1609-1618. https://doi.org/10.1007/s10973-013-3356-0
• 40. Berszakiewicz A, Kasperczyk J, Sieroń A, Krasiński Z, Cholewka A, Stanek A. The effect of compression therapy on quality of life in patients with chronic venous disease: a comparative 6-month study. Adv Dermatol Allergol. 2021;XXXVIII (3):389-395. https://doi.org/10.5114/ada.2020.92277
• 41. Berszakiewicz A, Sieroń A, Krasiński Z, Cholewka A, Stanek A. Compression therapy in venous diseases: physical assumptions and clinical effects. Adv Dermatol Allergol. 2020;XXXVII (6):842-847. https://doi.org/10.5114/ada.2019.86990

Uwagi

Opracowanie rekordu ze środków MEiN, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2022-2023).