Thermography applied in the diagnostic assessment of bone fractures
Tóm tắt
Infrared thermography has been used in many medical applications. Objective: The objective of this study was to investigate, through systematic review and meta-analysis, studies using medical thermography for the diagnosis fractures and clinical follow-up of bone healing. Methods: Articles were selected from SciELO, MEDLINE/PubMed, Lilacs, Google Scholar, and Science Direct databases, between the years 2000 to 2020, using the descriptors: medical image/clinical diagnosis/bone fracture/bone consolidation/thermographic analysis identified by the Health Sciences and Medical Subject Headings, in English, Portuguese, and Spanish. The results of the studies were combined through the fixed effects model using the Mantel–Haenszel method and random effects analysis using the DerSimonian–Laird method. The quality of the studies was evaluated using the QUADAS-2 scale and the level of evidence, by the GRADE system, regarding the effectiveness of infrared thermography in diagnosing bone fractures. Results: of 364 articles identified, 12 studies were selected for quantitative analysis. The meta-analysis showed a sensitivity of up to 97.5% and specificity of 98.8% in detecting bone injuries. Conclusions: The evaluation of bone fractures by infrared medical thermography has demonstrated high sensitivity, reliability, and efficacy as a complementary method for monitoring. Thus, it can minimize the use of ionizing radiation-based examinations such as X-rays.
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