Dynamic and Static mode in medical thermal image
In thermography, we have the choice to observe the moment, in static, the evolution or cause ourselves the chance, that's the dynamic mode.
Dynamic mode request a broad experience in order to master the consequences of the stimulation and their limits. It requests too to catch the desired instant because dynamic is by definition fugace...
A lot of things can be observe, the change voluntary provoqued or the fall back to normality, evolution or new equilibria's point.
Observation of the change itself
At left, original situation, static mode, inverted grey palette.
At right, dynamic observation after subject kept in her hands a gel cool pack at a temperature of around 10°C during 3 minutes.
Quality of image is completely changing and patterns are now well sharp. Of course first image allows already to analyze the situation but second is clearly easier to interprete and this finally remove minor points from the observation.
In some case, this is the only way to reveal an infection or illness who's quite discrete without this kind of protocol.
Post-observation, the restore to the "normality"
Material is here the same, a classical coolpack containing gel with a temperature of around 10°C, kept in hand during 30 seconds.
One major point is coolpack must absolutely be dry!! That's the Reason why we don't use simply water, to avoid the effect of water on skin who will polluting the observation, covering it in fact.
This protocol can replace an heavy examination with echography combinated with Larsen. the aim is studying the global vascularization by checking restoration time and his level on the hand after a cooling.
Source of the protocol: Dual-mode Imaging of CutaneousTissue Oxygenation and Vascular Function
Protocol case with static cold and hot stimulation
We will here use gel pouches to avoid to wet the skin with a temperature of around 5°C during 2 minutes, a little pause and next using a massaging device (image is high resolution, each thermal scale is readable, click on it) .
Which conclusion could we have after this experiment?
An excessive stimulation can cover what we want study
A stimulation can help to normalize what we observe same if the scene is polluted, a stimulation can refresh the situation
Cold allow a physiological response who permit to observe where reaction are not normal
Hot stimulation is used with great success, in stimulation because static hot encourage body laziness
We see that stimulation have a very long impact on body meaning too to be use with case and a good mastering of the consequences
The most impressive lesson seems that 10 minutes of stimulation impacts the hand up to one hour later.
But, in detail, was the impact really so impressive? Well global medium value of the hand increased by 3.5°C after this exercise and the pain area increased by around 5.5°C and with an homogeneity improvement too.
This thermal camera is very sensitive meaning that the stimulation is improving the situation and pinpoint better the pain area, main pain is corresponding to the patient's experience.
All of this means that stimulation, in some case is better, than a long rest with unpredictable results. Forcing the body to react with a controlled stimulation allow a better measurement and permit a comparison for cases under treatment. Keep in mind that a treatment can be long and that season and weather are changing, a cold/hot stimulation can then erase environment effect and allowing a more neutral situation where the real body situation is displayed. This means too that you are more relaxed into the timing of the examination and can perform the stimulation 10 minutes to one hour in advance.
Let's compare now on the target itself: middle finger and index.
1 = Static situation, start and 2 = dynamic, final situation. This is performed in an uncontrolled area, by choice.
Results are impressive, we see that despite the thermal contrast decrease, image is far more readable. Worst, that pain area was not readable in static mode but perfectly displayed after dynamic stimulation.
And, finally, here is the precision of the result we can obtain with a focusing on the middle left of the last articulation as the source of the problem:
We can see that middle finger have a light problem but that index's last articulation demonstration a problem with light inflammatory at the left middle of it. The thermography can allow here to identify location and improve diagnose with additional information.
This is the copy/paste affection linked to the use of one hand for CTRL-c and ctrl-v.
An improvement of the images can still be done to use a plate at a body level temperature in order to decrease contrast and physical crisp during thermal shoot.
French version: Statique versus dynamique en thermographie médicale