The validity of mass body temperature screening with ear thermometers in a warm thermal environment.
(75/175)
Identification of people who have a fever in public places during the occurrence of emerging infectious diseases is essential for controlling disease spread. The measurement of body temperature could identify infected persons. The environment affects body temperature, but little is known about the validity of measurements under different thermal environments. Therefore, the aim of this study was to determine the validity of measuring body temperature in cold and warm environments. We recruited 50 participants aged 18-69 years (26 males, 24 females) to measure body temperature using an axillary thermometer and an ear thermometer and by infrared thermal imaging (thermography). The body temperature obtained with an axillary thermometer was used as a reference; receiver operating characteristic (ROC) analysis was conducted to determine the validity of temperatures obtained by measurement with an ear thermometer and thermography at 36.7 degrees C (median of the axillary body temperature). The area under the ROC curve (AUC) indicates the validity of measurements. The AUC for ear thermometers in a warm environment (mean temperature: 20.0 degrees C) showed a fair accuracy (AUC: 0.74 [95% CI: 0.64-0.83]), while that (AUC: 0.62 [95% CI: 0.51-0.72]) in a cold environment (mean temperature: 12.6 degrees C) and measurements with thermography used in both environments (AUC: 0.57 [95% CI: 0.45-0.68] in a warm environment and AUC: 0.65 [95% CI: 0.54-0.76] in a cold environment) showed a low accuracy. In conclusion, in a warm environment, measurement of body temperature with an ear thermometer is a valid procedure and effective for mass body temperature screening. (+info)
Polymer coated fiber Bragg grating thermometry for microwave hyperthermia.
(76/175)
PURPOSE: Measuring tissue temperature distribution during electromagnetically induced hyperthermia (HT) is challenging. High resistance thermistors with nonmetallic leads have been used successfully in commercial HT systems for about three decades. The single 1 mm thick temperature sensing element is mechanically moved to measure tissue temperature distributions. By employing a single thermometry probe containing a fixed linear sensor array temperature, distributions during therapy can be measured with greater ease. While the first attempts to use fiber Bragg grating (FBG) technology to obtain multiple temperature points along a single fiber have been reported, improvement in the detection system's stability were needed for clinical applications. The FBG temperature sensing system described here has a very high temporal stability detection system and an order of magnitude faster readout than commercial systems. It is shown to be suitable for multiple point fiber thermometry during microwave hyperthermia when compared to conventional mechanically scanning probe HT thermometry. METHODS: A polymer coated fiber Bragg grating (PFBG) technology is described that provides a number of FBG thermometry locations along the length of a single optical fiber. The PFBG probe developed is tested under simulated microwave hyperthermia treatment to a tissue equivalent phantom. Two temperature probes, the multiple PFBG sensor and the Bowman probe, placed symmetrically with respect to a microwave antenna in a tissue phantom are subjected to microwave hyperthermia. Measurements are made at start of HT and 85 min later, when a 6 degrees C increase in temperature is registered by both probes, as is typical in clinical HT therapy. The optical fiber multipoint thermometry probe performs highly stable, real-time thermometry updating each multipoint thermometry scan over a 5 cm length every 2 s. Bowman probe measurements are acquired simultaneously for comparison. In addition, the PFBG sensor's detection system drift over 10 h is measured separately to evaluate system stability for clinical applications. RESULTS: The temperature profiles measured by the two probes simultaneously under microwave HT are in good agreement showing mean differences of 0.25 degrees C. The stability of the detection system is better than 0.3 degrees C with response times of the PFBG sensor system of 2 s for each scan over ten points. CONCLUSIONS: The single fixed multipoint fiber thermometry capability compares favorably with the scanning Bowman probe data. This offers an enabling alternative to either scanning or bundled single point temperature probes for distributed thermometry in clinical applications. (+info)
Hybrid referenceless and multibaseline subtraction MR thermometry for monitoring thermal therapies in moving organs.
(77/175)
PURPOSE: Magnetic resonance thermometry using the proton resonance frequency (PRF) shift is a promising technique for guiding thermal ablation. For temperature monitoring in moving organs, such as the liver and the heart, problems with motion must be addressed. Multi-baseline subtraction techniques have been proposed, which use a library of baseline images covering the respiratory and cardiac cycle. However, main field shifts due to lung and diaphragm motion can cause large inaccuracies in multi-baseline subtraction. Referenceless thermometry methods based on polynomial phase regression are immune to motion and susceptibility shifts. While referenceless methods can accurately estimate temperature within the organ, in general, the background phase at organ/tissue interfaces requires large polynomial orders to fit, leading to increased danger that the heated region itself will be fitted by the polynomial and thermal dose will be underestimated. In this paper, a hybrid method for PRF thermometry in moving organs is presented that combines the strengths of referenceless and multi-baseline thermometry. METHODS: The hybrid image model assumes that three sources contribute to image phase during thermal treatment: Background anatomical phase, spatially smooth phase deviations, and focal, heat-induced phase shifts. The new model and temperature estimation algorithm were tested in the heart and liver of normal volunteers, in a moving phantom HIFU heating experiment, and in numerical simulations of thermal ablation. The results were compared to multi-baseline and referenceless methods alone. RESULTS: The hybrid method allows for in vivo temperature estimation in the liver and the heart with lower temperature uncertainty compared to multi-baseline and referenceless methods. The moving phantom HIFU experiment showed that the method accurately estimates temperature during motion in the presence of smooth main field shifts. Numerical simulations illustrated the method's sensitivity to algorithm parameters and hot spot features. CONCLUSIONS: This new hybrid method for MR thermometry in moving organs combines the strengths of both multi-baseline subtraction and referenceless thermometry and overcomes their fundamental weaknesses. (+info)
Development of a method of continuous temperature measurement for microwave denture processing.
(78/175)
A method of continuously measuring temperature during microwave irradiation was developed using a metal sheathed thermocouple. The temperatures recorded by this method were compared with those measured intermittently with a mercury thermometer. Samples of Sydney tap water (50 ml) were heated using a domestic microwave oven at High and Low powers which were the maximum (500 W) and minimum (50 W or 10%) powers of the oven, respectively. At 500 W, boiling was seen to occur within 1 min and the measurement with the mercury thermometer was omitted. The continuous temperature measurement with the thermocouple showed that the boiling point was reached at about 45 s. At 50 W the 10% work was shown by the delivery of 3 s microwave radiation which was repeated every 32 s. The boiling point was recorded at about 6 min, which was much earlier than the time (10 min) noted visually. The boiling point could not be registered with the mercury thermometer method. Visual observation or intermittent temperature measurement can result in an underestimation of temperature reached during microwave irradiation. (+info)
Comparison of 3 infrared thermal detection systems and self-report for mass fever screening.
(79/175)