Transcript Curs de termografie clinica - Foaia Arpaseana > Foaia Arpaseana

Curs de termografie
clinica
Tampa,Florida
Septembrie 2006
Provide information on thermal imaging –
noting the non-invasive aspect.
Advise to wear loose fitting garments on day of
test.
Try not to use creams on body
Avoid getting too much sun
Note any moles, scars etc.
Try to avoid smoking
Avoid strong exercise or physiotherapy on day
of exam.
Recommendations to subject prior
to test – use handout sheet –
Thermal imaging is a very
efficient and easy test when
conducted properly.
Note any drug therapy
Have a mat for feet & place for
jewelry
Avoid chairs for back exams
Standardize distances - Use a
measuring tape and make
markings. Record settings on
patient chart for repeat studies
on same subject.
Two Commercial Materials:
Wavelength for clinical infrared
imaging
8-12 micron is preferable
NEDT – noise equivalent Delta T –
temperature differences
Radiometric aspect – be able to
measure specific temperatures on
the image.
Cooling methods – LN2 is the most
stable at temperature, does not
vary – low noise – the gold
standard – quicker to temperature
– excellent for clinical.
Thermal range – physiological – for
clinical applications, the operator
should not have to worry about
pre-setting this range.
Be able to repeat exact elements
Subject should not be sweating or overly
cold. Delayed equilibration protocol is
debatable in the medical literature.
Room Temperature factors - Keep room
comfortable for patient. No abnormal
drafts. For sympathetic/vascular – 22-24
Celsius to avoid reflex vasoconstriction.
Lighting issues Avoid incandescent lighting
in test area or direct sunlight.
Have a wall thermometer – document
temperature at time of test.
Time of Day factors – be aware of influence
of the Circadian Rhythm. Most stable
period of day is between 9 and 11:30
a.m.
Documentation




Have good input forms for staff
Use representative images in report –
transfer to word processing document. Hard to refute when
combined with good narrative.
Use the power of the Internet & PC’s
SYMMETRY IS THE NORM – ideally one side
of the body should have the same thermal distribution as
the other side. Determine how far out of symmetry the
subject appears on the thermal image.
Image Analysis & Reports

Pros & Cons of Third Party Reading Provides

Automated Reports




second opinion, but third parties do not have complete familiarity
with the patient. Third party readers should have familiarity with
specialty area or health area involved.
– issues of liability if there are
errors in programming. Use stored phrase library system
with word processor. Reports can be kept concise. It’s not
solely diagnostic at the current time.
Audio notes – can be stored in word processing.
Explain equipment and describe facility
What is hot and what is not and
where – start with this when looking at the image.
Relate to Anatomy – Thermal Landmarks
Arii de interes




Oncologie: neo
mamar
Neurologie:s. de
canal carpian,
algodistrofie,
nevralgii,manageme
nt
-ul durerii cronice
Tulb. Vasculare:
tromboflebita profun
- da, arteriopatii,
picior diabetic



Dermatologie:
melanom malign
Chirurgie: viabilitate
tisulara,
neurochirurgie
Cardiologie: aria de
revascularizare,
termografie I.C.
Arii de interes





Medicina
neonatala:
septicemia
Reumatologie: PR,
artroze, artrite,
afectiuni ale
coloanei
Osteopatie
Acupunctura
Chiropractica



Medicina fizica
Ortopedie
Stomatologie