Clinical Applications

Abstract

The study of the diagnostic accuracy of Infrared Thermal Imaging in the diagnosis of orthopaedic injuries in childhood has been motivated by the high incidence of these injuries throughout the world, being one of the most common reasons for urgent medical consultation. Diagnosis of musculoskeletal injuries usually involves radiography, but this exposes children without fractures to unnecessary ionising radiation. This chapter assesses whether infrared thermography could provide a viable alternative in cases of trauma. To evaluate the accuracy of this technique new thermographic variables have been added to those commonly analysed, such as the extent of the injury and the difference in the size of the area that is at an equal temperature or higher than the maximum temperature of the healthy area. Non-linear cataloguing methods (decision tree models) have also been applied. With the protocol presented, infrared thermal imaging had a sensitivity of 0.91, a specificity of 0.88 and a negative predictive value of 0.95 for diagnosing musculoskeletal injuries.