Diabetes complications

Infrared Thermography Shows That a Temperature Difference of 2.2°C (4°F) or Greater Between Corresponding Sites of Neuropathic Feet Does Not Always Lead to a Diabetic Foot Ulcer

J Diabetes Sci TechnolPublished Post-hoc analysis of a trial

Authors' conclusion

Despite the high rate of hotspots on monthly thermograms, all feet remained intact. This study underscores a significant between-visit inconsistency in thermal images of neuropathic feet which should be considered when planning DFU-prevention programs for self-testing and behavior modification.

Study context

Population
Participants with neuropathic diabetic feet at risk of diabetic foot ulcer (DFU) who remained ulcer-free during 12-month follow-upulcer-free
Participants
15 participants
Primary endpoint
Long-term consistency of foot thermograms (∆T of corresponding ROIs of both feet)
Follow-up
12 months
Methodological details12-month follow-up, monthly thermograms
  • 12-month follow-up
  • Monthly thermograms

Primary result

As reported in the abstract

Plantar ROIs rated abnormal (absolute ∆T ≥ 2.2°C) · 12-month study period
Plantar regions of interests (ROIs) rated abnormal, of 2026 plantar data points
20.3%
Between-visit variability in proportion of plantar ROIs with ∆T ≥ 2.2°C (range 7.6%-30.8%, chi-square test)
P = .001

Further findings

Proportion of patients with hotspots, abnormal plantar foot temperature and abnormal whole foot temperature

Varied between visits and showed no pattern
P > 0.05 for all comparisons
Variability not related to season of assessment

Original publication

Infrared Thermography Shows That a Temperature Difference of 2.2°C (4°F) or Greater Between Corresponding Sites of Neuropathic Feet Does Not Always Lead to a Diabetic Foot Ulcer. J Diabetes Sci Technol. Published 6 May 2024. doi:10.1177/19322968241249970

Composed by AI from the published abstract and checked against it. How Briefs are made →

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