ArticleClinics (Sao Paulo, Brazil)2012
Plantar thermography is useful in the early diagnosis of diabetic neuropathy.
Article in Clinics (Sao Paulo, Brazil), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Prevalence of peripheral neuropathy in pre-diabetes: a systematic review.BMJ open diabetes research & care · 2021Pooled it
- The prevalence of cardiac autonomic neuropathy in prediabetes: a systematic review.Diabetologia · 2021Pooled it
- Article
- Investigating the Effectiveness of Electroacupuncture for Diabetic Peripheral Neuropathy and Exploring the Feasibility of Infrared Thermography as an Efficacy Assessment Tool: Study Protocol for a Randomized Controlled Trial.Journal of pain research · 2024Article
- Tibial Nerve Block as Treatment of Chronic Foot Pain.Anesthesiology and pain medicine · 2023Article
- Feature Ranking by Variational Dropout for Classification Using Thermograms from Diabetic Foot Ulcers.Sensors (Basel, Switzerland) · 2023Article
- Effect of 660/850 nm LED on the microcirculation of the foot: neurovascular biphasic reflex.Lasers in medical science · 2021Article
- Molsidomine ameliorates diabetic peripheral neuropathy complications in Wistar rats.Animal models and experimental medicine · 2021Article
- Plantar thermography predicts freedom from major amputation after endovascular therapy in critical limb ischemic patients.Medicine · 2020Article
- Performance Assessment of Low-Cost Thermal Cameras for Medical Applications.Sensors (Basel, Switzerland) · 2020Article
- A Synoptic Overview of Neurovascular Interactions in the Foot.Frontiers in endocrinology · 2020Review
- Human Tongue Thermography Could Be a Prognostic Tool for Prescreening the Type II Diabetes Mellitus.Evidence-based complementary and alternative medicine : eCAM · 2020Article
- Current methods for the assessment of skin microcirculation: Part 1.Postepy dermatologii i alergologii · 2019Review
- Reliability of Infrared Thermography Images in the Analysis of the Plantar Surface Temperature in Diabetes Mellitus.Journal of chiropractic medicine · 2018Article
- Challenges to Global Implementation of Infrared Thermography Technology: Current Perspective.Central Asian journal of global health · 2017Article
- Article
- Evolution of Skin Temperature after the Application of Compressive Forces on Tendon, Muscle and Myofascial Trigger Point.PloS one · 2015Article
- Application of infrared thermography in computer aided diagnosis.Infrared physics & technology · 2014Review
- Amplitude of sensory nerve action potential in early stage diabetic peripheral neuropathy: an analysis of 500 cases.Neural regeneration research · 2014Article
- Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study evaluated plantar thermography sensitivity and specificity in diagnosing diabetic polyneuropathy using cardiac tests (heart rate variability) as a reference standard because autonomic small fibers are affected first by this disease.
methodsSeventy-nine individuals between the ages of 19 and 79 years old (28 males) were evaluated and divided into three groups: control (n = 37), pre-diabetics (n = 13) and type 2 diabetics (n = 29). The plantar images were recorded at baseline and then minutes after a provocative maneuver (Cold Stress Test) using an infrared camera that is appropriate for clinical use. Two thermographic variables were studied: the thermal recovery index and the interdigital anisothermal technique. Heart rate variability was measured in a seven-test battery that included three spectral indexes (in the frequency domain) and four Ewing tests (the Valsalva maneuver, the orthostatic test, a deep breathing test, and the orthostatic hypotension test). Other classically recommended tests were applied, including electromyography (EMG), Michigan inventory, and a clinical interview that included a neurological physical examination.
resultsAmong the diabetic patients, the interdigital anisothermal technique alone performed better than the thermal recovery index alone, with a better sensitivity (81.3%) and specificity (46.2%). For the pre-diabetic patients, the three tests performed equally well. None of the control subjects displayed abnormal interdigital anisothermal readouts or thermal recovery indices, which precluded the sensitivity estimation in this sample of subjects. However, the specificity (70.6%) was higher in this group.
conclusionIn this study, plantar thermography, which predominately considers the small and autonomic fibers that are commonly associated with a sub-clinical condition, proved useful in diagnosing diabetic neuropathy early. The interdigital anisothermal test, when used alone, performed best.
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