ArticlePloS one2018
A pilot study of the Leicester ED medical infrared imaging protocol in fever and sepsis.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Uses of infrared thermography in acute illness: a systematic review.Frontiers in medicine · 2024Pooled it
- Assessing the Health and Functionality of the Microcirculation Using Thermal Imaging.Journal of biophotonics · 2026Review
- Application of Infrared Thermography in Early Screening of Sepsis and Prediction of Septic Shock Risk: A Systematic Review.Emergency medicine international · 2026Review
- Utility of core to peripheral temperature gradient using infrared thermography in the assessment of patients with sepsis and septic shock in the emergency medicine department.International journal of emergency medicine · 2025Article
- Infrared image method for possible COVID-19 detection through febrile and subfebrile people screening.Journal of thermal biology · 2023Article
- Optical Thermography Infrastructure to Assess Thermal Distribution in Critically Ill Children.IEEE open journal of engineering in medicine and biology · 2022Article
- Technological Developments and Strategic Management for Overcoming the COVID-19 Challenge within the Hospital Setting in Israel.Rambam Maimonides medical journal · 2020Review
- Observational
- Mottling score is a strong predictor of 14-day mortality in septic patients whatever vasopressor doses and other tissue perfusion parameters.Critical care (London, England) · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedical Infrared Imaging (MII) is an investigative method that can be potentially used in emergency care to non-invasively detect thermal signatures associated with change in blood flow. We have developed a protocol for the use of MII in the Emergency Department (ED) and shown that it is feasible. To derive initial data for sample size calculations, we performed an exploratory study in patients with fever and sepsis.
methodsThe Leicester MII protocol was used to image the temperature patterns along the arm among three patient groups (control, fever and sepsis) of a total 56 patients. Anatomical markers were used to divide this gradient into upper arm, forearm, hand and finger regions. Variations in measurements within and between these regions were described.
resultsThe thermal gradient down the arm was successfully extracted in all patients. The distribution of values in each region of the arm was described in control, fever and sepsis patients. There was a significant gradient between upper arm and finger in controls (2.75, p < 0.0001), but no gradient in fever (p = 0.944) or sepsis (p = 0.710). This was reflected in the finger/arm difference, which was of -2.74°C (±3.50) in controls, -0.39C (±2.48) in fever, and -1.80°C (±3.09) in sepsis.
conclusionsThis study found different thermal gradients along the arm in control and febrile groups, and defined the degree of individual variation. It is likely that the difference between upper arm temperature and finger temperature (representing the temperature gradient down the arm) may be more useful than absolute measurements in future studies.
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