Thermographic Assessment of a Vascular Malformation of the Hand: A New Imaging Modality
Joseph T. Hardwicke1,2, O. Garth Titley1
1Birmingham Hand Centre, University Hospitals of Birmingham NHS Foundation Trust, Edgbaston, Birmingham B15 2WB, 2Department of Plastic Surgery, School of Clinical and Experimental Medicine, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Date of Submission: 29-Jan-2016, Date of Acceptance: 09-Mar-2016, Date of Web Publication: 30-Mar-2016.
Vascular malformations of the hand are rare. Angiography is the current Gold Standard imaging modality. Thermal imaging is an emerging noninvasive, noncontact technology that does not require intravenous contrast agents. We present the case of a patient with an arteriovenous malformation affecting the hand in which thermal imaging has been used as an adjunct to capture baseline images to allow monitoring of progression. We suggest that thermal imaging provides an adjunct that can be used in addition to clinical examination and/or angiography for the diagnosis and routine follow-up of conservatively managed arteriovenous malformations, to monitor progression or vascular steal, and also for recording recurrence after surgical excision for which there is known to be a significant incidence. With the benefit of being a noninvasive imaging modality that does not require intravenous contrast, or ionizing radiation exposure, office‑based thermal imaging may become commonplace.
Elsa Sousa, Ricardo Vardasca, Sérgio Teixeira, Adérito Seixas, Joaquim Mendes and António Costa-Ferreira (2017) A review on the application of medical infrared thermal imaging in hands. Infrared Physics & Technology85:315. doi: 10.1016/j.infrared.2017.07.020
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