Non-contact infrared thermometers and thermal scanners for human body temperature monitoring: a systematic review

In recent years, non-contact infrared thermometers (NCITs) and infrared thermography (IRT) have gained prominence as convenient, non-invasive tools for human body temperature measurement. Despite their widespread adoption in a range of settings, there remain questions about their accuracy under varying conditions. This systematic review sought to critically evaluate the performance of NCITs and IRT in body temperature monitoring, synthesizing evidence from a total of 72 unique settings from 32 studies. The studies incorporated in our review ranged from climate-controlled room investigations to clinical applications. Our primary findings showed that NCITs and IRT can provide accurate and reliable body temperature measurements in specific settings and conditions. We revealed that while both NCITs and IRT displayed a consistent positive correlation with conventional, contact-based temperature measurement tools, NCITs demonstrated slightly superior accuracy over IRT. A total of 29 of 50 settings from NCIT studies and 4 of 22 settings from IRT studies achieved accuracy levels within a range of ±0.3 °C. Furthermore, we found that several factors influenced the performance of these devices. These included the measurement location, the type of sensor, the reference and tool, individual physiological attributes, and the surrounding environmental conditions. Our research underscores the critical need for further studies in this area to refine our understanding of these influential factors and to develop standardized guidelines for the use of NCITs and IRT

Inner Eye Canthus Localization for Human Body Temperature Screening

In this paper, we propose an automatic approach for localizing the inner eye canthus in thermal face images. We first coarsely detect 5 facial keypoints corresponding to the center of the eyes, the nosetip and the ears. Then we compute a sparse 2D-3D points correspondence using a 3D Morphable Face Model (3DMM). This correspondence is used to project the entire 3D face onto the image, and subsequently locate the inner eye canthus. Detecting this location allows to obtain the most precise body temperature measurement for a person using a thermal camera. We evaluated the approach on a thermal face dataset provided with manually annotated landmarks. However, such manual annotations are normally conceived to identify facial parts such as eyes, nose and mouth, and are not specifically tailored for localizing the eye canthus region. As additional contribution, we enrich the original dataset by using the annotated landmarks to deform and project the 3DMM onto the images. Then, by manually selecting a small region corresponding to the eye canthus, we enrich the dataset with additional annotations. By using the manual landmarks, we ensure the correctness of the 3DMM projection, which can be used as ground-truth for future evaluations. Moreover, we supply the dataset with the 3D head poses and per-point visibility masks for detecting self-occlusions. The data will be publicly released

Infrared Thermography for the Assessment of Lumbar Sympathetic Blocks in Patients with Complex Regional Pain Syndrome

[ES] El síndrome de dolor regional complejo (SDRC) es un trastorno de dolor crónico debilitante que suele afectar a una extremidad, y se caracteriza por su compleja e incomprendida fisiopatología subyacente, lo que supone un reto para su diagnóstico y tratamiento. Para evitar el deterioro de la calidad de vida de los pacientes, la consecución de un diagnóstico y tratamiento tempranos marca un punto de inflexión. Entre los diferentes tratamientos, los bloqueos simpáticos lumbares (BSLs) tienen como objetivo aliviar el dolor y reducir algunos signos simpáticos de la afección. Este procedimiento intervencionista se lleva a cabo inyectando anestesia local alrededor de los ganglios simpáticos y, hasta ahora, se realiza frecuentemente bajo el control de diferentes técnicas de imagen, como los ultrasonidos o la fluoroscopia. Dado que la termografía infrarroja (TIR) ha demostrado ser una herramienta eficaz para evaluar la temperatura de la piel, y teniendo en cuenta el efecto vasodilatador que presentan los anestésicos locales inyectados, se ha considerado el uso de la IRT para la evaluación de los BSLs. El objetivo de esta tesis es, estudiar la capacidad de la TIR como una técnica complementaria para la evaluación de la eficacia en la ejecución de los BSLs. Para cumplir este objetivo, se han realizado tres estudios implementando la TIR en pacientes diagnosticados de SDRC de miembros inferiores sometidos a BSLs. El primer estudio se centra en la viabilidad de la TIR como herramienta complementaria para la evaluación de la eficacia ejecución de los BSLs. Cuando se realizan los BSLs, la colocación correcta de la aguja es crítica para llevar realizar el procedimiento técnicamente correcto y, en consecuencia, para lograr los resultados clínicos deseados. Para verificar la posición de la aguja, tradicionalmente se han utilizado técnicas de imagen, sin embargo, los BSLs bajo control fluoroscópico no siempre aseguran su exacta ejecución. Por este motivo, se han aprovechado las alteraciones térmicas inducidas por los anestésicos locales y se han evaluado mediante la TIR. Así, cuando en las imágenes infrarrojas se observaron cambios térmicos en la planta del pie afectado tras la inyección de lidocaína, se consideró que el BSL era exitoso. El segundo estudio trata del análisis cuantitativo de los datos térmicos recogidos en el entorno clínico a partir de diferentes parámetros basados en las temperaturas extraídas de ambos pies. Según los resultados, para predecir adecuadamente los BSLs exitosos, se deberían analizar las temperaturas de las plantas de los pies durante los primeros cuatro minutos tras la inyección del anestésico local. Así, la aplicación de la TIR en el entorno clínico podría ser de gran ayuda para evaluar la eficacia de ejecución de los BSLs mediante la evaluación de las temperaturas de los pies en tiempo real. Por último, el tercer estudio aborda el análisis cuantitativo mediante la implementación de herramientas de machine learning (ML) para evaluar su capacidad de clasificar automáticamente los BSLs. En este estudio se han utilizado una serie de características térmicas extraídas de las imágenes infrarrojas para evaluar cuatro algoritmos de ML para tres momentos diferentes después del instante de referencia (inyección de lidocaína). Los resultados indican que los cuatro modelos evaluados presentan buenos rendimientos para clasificar automáticamente los BSLs entre exitosos y fallidos. Por lo tanto, la combinación de parámetros térmicos junto con de clasificación ML muestra ser eficaz para la clasificación automática de los procedimientos de BSLs. En conclusión, el uso de la TIR como técnica complementaria en la práctica clínica diaria para la evaluación de los BSLs ha demostrado ser totalmente eficaz. Dado que es un método objetivo y relativamente sencillo de implementar, puede permitir que los médicos especialistas en dolor identifiquen los bloqueos realizados fallidos y, en consecuencia, puedan revertir esta situación.[CA] La síndrome de dolor regional complex (SDRC) és un trastorn de dolor crònic debilitant que sol afectar una extremitat, i es caracteritza per la seua complexa i incompresa fisiopatologia subjacent, la qual cosa suposa un repte per al seu diagnòstic i tractament. Per a evitar la deterioració de la qualitat de vida dels pacients, la consecució d'un diagnòstic i tractament primerencs marca un punt d'inflexió. Entre els diferents tractaments , els bloquejos simpàtics lumbars (BSLs) tenen com a objectiu alleujar el dolor i reduir alguns signes simpàtics de l'afecció. Aquest procediment intervencionista es duu a terme injectant anestèsia local al voltant dels ganglis simpàtics i, fins ara, es realitza freqüentment sota el control de diferents tècniques d'imatge, com els ultrasons o la fluoroscopia. Atés que la termografia infraroja (TIR) ha demostrat ser una eina eficaç per a avaluar la temperatura de la pell, i tenint en compte l'efecte vasodilatador que presenten els anestèsics locals injectats, s'ha considerat l'ús de la TIR per a l'avaluació dels BSLs. L'objectiu d'aquesta tesi és, estudiar la capacitat de la TIR com una tècnica complementària per a l'avaluació de l'eficàcia en l'execució dels BSLs. Per a complir aquest objectiu, s'han realitzat tres estudis implementant la TIR en pacients diagnosticats de SDRC de membres inferiors sotmesos a BSLs. El primer estudi avalua la viabilitat de la TIR com a eina complementària per a l'analisi de l'eficàcia en l'execució dels BSLs. Quan es realitzen els BSLs, la col·locació correcta de l'agulla és crítica per a dur a terme el procediment tècnicament correcte i, en conseqüència, per a aconseguir els resultats clínics desitjats. Per a verificar la posició de l'agulla, tradicionalment s'han utilitzat tècniques d'imatge, no obstant això, els BSLs baix control fluoroscòpic no sempre asseguren la seua exacta execució. Per aquest motiu, s'han aprofitat les alteracions tèrmiques induïdes pels anestèsics locals i s'han avaluat mitjançant la TIR. Així, quan en les imatges infraroges es van observar canvis tèrmics en la planta del peu afectat després de la injecció de lidocaIna, es va considerar que el BSL era exitós. El segon estudi tracta de l'anàlisi quantitativa de les dades tèrmiques recollides en l'entorn clínic a partir de diferents paràmetres basats en les temperatures extretes d'ambdós peus. Segons els resultats, per a predir adequadament l'execució exitosa d'un BSL, s'haurien d'analitzar les temperatures de les plantes dels peus durant els primers quatre minuts després de la injecció de l'anestèsic local. Així, l'implementació de la TIR en l'entorn clínic podria ser de gran ajuda per a avaluar l'eficàcia d'execució dels BSLs mitjançant l'avaluació de les temperatures dels peus en temps real. El tercer estudi aborda l'anàlisi quantitativa mitjançant la implementació d'eines machine learning (ML) per a avaluar la seua capacitat de classificar automàticament els BSLs. En aquest estudi s'han utilitzat una sèrie de característiques tèrmiques extretes de les imatges infraroges per a avaluar quatre algorismes de ML per a tres moments diferents després de l'instant de referència (injecció de lidocaïna). Els resultats indiquen que els quatre models avaluats presenten bons rendiments per a classificar automàticament els BSLs en exitosos i fallits. Per tant, la combinació de paràmetres tèrmics juntament amb models de classificació ML mostra ser eficaç per a la classificació automàtica dels procediments de BSLs. En conclusió, l'ús de la TIR com a tècnica complementària en la pràctica clínica diària per a l'avaluació dels BSLs ha demostrat ser totalment eficaç. Atés que és un mètode objectiu i relativament senzill d'implementar, pot ajudar els metges especialistes en dolor a identificar els bloquejos realitzats fallits i, en conseqüència, puguen revertir aquesta situació.[EN] Complex regional pain syndrome (CRPS) is a debilitating chronic pain condition that usually affects one limb, and it is characterized by its misunderstood underlying pathophysiology, resulting in both challenging diagnosis and treatment. To avoid the patients' impairment quality of life, the achievement of both an early diagnosis and treatment marks a turning point. Among the different treatment approaches, lumbar sympathetic blocks (LSBs) are addressed to alleviate the pain and reduce some sympathetic signs of the condition. This interventional procedure is performed by injecting local anaesthetic around the sympathetic ganglia and, until now, it has been performed under different imaging techniques, including the ultrasound or the fluoroscopy approaches. Since infrared thermography (IRT) has proven to be a powerful tool to evaluate skin temperatures and taking into account the vasodilatory effects of the local anaesthetics injected in the LSB, the use of IRT has been considered for the LSBs assessment. Therefore, the purpose of this thesis is to evaluate the capability of IRT as a complementary assessment technique for the LSBs procedures performance. To fulfil this aim, three studies have been conducted implementing the IRT in patients diagnosed with lower limbs CRPS undergoing LSBs. The first study focuses on the feasibility of IRT as a complementary assessment tool for LSBs performance, that is, for the confirmation of the proper needle position. When LSBs are performed, the correct needle placement is critical to carry out the procedure technically correct and, consequently, to achieve the desired clinical outcomes. To verify the needle placement position, imaging techniques have traditionally been used, however, LSBs under radioscopic guidance do not always ensure an exact performance. For this reason, the thermal alterations induced by the local anaesthetics, have been exploited and assessed by means of IRT. Thus, the LSB procedure was considered successfully performed when thermal changes within the affected plantar foot were observed in the infrared images after the lidocaine injection. The second study deals with the quantitative analysis of the thermal data collected in the clinical setting through the evaluation of different temperature-based parameters extracted from both feet. According to the results, the proper LSB success prediction could be achieved in the first four minutes after the block through the evaluation of the feet skin temperatures. Therefore, the implementation of IRT in the clinical setting might be of great help in assessing the LSBs performance by evaluating the plantar feet temperatures in real time. Finally, the third study addresses the quantitative analysis by implementing machine learning (ML) tools to assess their capability to automatically classify LSBs. In this study, a set of thermal features retrieved from the infrared images have been used to evaluate four ML algorithms for three different moments after the baseline time (lidocaine injection). The results indicate that all four models evaluated present good performance metrics to automatically classify LSBs into successful and failed. Therefore, combining infrared features with ML classification models shows to be effective for the LSBs procedures automatic classification. In conclusion, the use of IRT as a complementary technique in daily clinical practice for LSBs assessment has been evidenced entirely effective. Since IRT is an objective method and it is not very demanding to perform, it is of great help for pain physicians to identify failed procedures, and consequently, it allow them to reverse this situation.Cañada Soriano, M. (2022). Infrared Thermography for the Assessment of Lumbar Sympathetic Blocks in Patients with Complex Regional Pain Syndrome [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/181699TESI

Dynamic Thermal Imaging for Intraoperative Monitoring of Neuronal Activity and Cortical Perfusion

Neurosurgery is a demanding medical discipline that requires a complex interplay of several neuroimaging techniques. This allows structural as well as functional information to be recovered and then visualized to the surgeon. In the case of tumor resections this approach allows more fine-grained differentiation of healthy and pathological tissue which positively influences the postoperative outcome as well as the patient's quality of life. In this work, we will discuss several approaches to establish thermal imaging as a novel neuroimaging technique to primarily visualize neural activity and perfusion state in case of ischaemic stroke. Both applications require novel methods for data-preprocessing, visualization, pattern recognition as well as regression analysis of intraoperative thermal imaging. Online multimodal integration of preoperative and intraoperative data is accomplished by a 2D-3D image registration and image fusion framework with an average accuracy of 2.46 mm. In navigated surgeries, the proposed framework generally provides all necessary tools to project intraoperative 2D imaging data onto preoperative 3D volumetric datasets like 3D MR or CT imaging. Additionally, a fast machine learning framework for the recognition of cortical NaCl rinsings will be discussed throughout this thesis. Hereby, the standardized quantification of tissue perfusion by means of an approximated heating model can be achieved. Classifying the parameters of these models yields a map of connected areas, for which we have shown that these areas correlate with the demarcation caused by an ischaemic stroke segmented in postoperative CT datasets. Finally, a semiparametric regression model has been developed for intraoperative neural activity monitoring of the somatosensory cortex by somatosensory evoked potentials. These results were correlated with neural activity of optical imaging. We found that thermal imaging yields comparable results, yet doesn't share the limitations of optical imaging. In this thesis we would like to emphasize that thermal imaging depicts a novel and valid tool for both intraoperative functional and structural neuroimaging

Correlation between measured stress and attention with thermal imaging techniques

Thermal imaging techniques enable an easier way to detect interaction compared to RGB or depth cameras and are therefore more comprehensively used in Human Computer Interaction (HCI) as a sensory system enabling novel interactive systems with the help of computer vision techniques. This makes it possible to use a thermal camera which operates in the Far Infrared (FIR) spectrum for the processing of humans skin temperature which is indicative of stress and therefore suits for detecting stress. Stress is considered of being one major cause for several sicknesses. Human's health can suffer because of stress and this includes also one's performance. Stress can affect the attention to different tasks. The evolution of techniques especially the computer technology overwhelmed a lot of people with an increasing need for computers in every department of work. This enables multi-tasking with several tasks being done simultaneously quite easily but also enabling a surge of stress. Having several tasks simultaneously to do can affect the outcome of them because a lack of concentration can occur or attention to the important task drops because of stress. The correlation between stress and attention can be investigated and based on a positive relation between them one can point to stress decreasing mechanisms in the case of performance slumps. In this thesis we show that through thermal imaging techniques it is possible to detect objects of interest. We investigate how thermal cameras can be used for detecting one's stress and which areas of a human are suitable for measuring stress. We moreover discuss the relation between stress and attention. Based on this researches an application will be implemented which will be able to detect stress. Using this application in a user study, where subjects perform several different stress generating tasks, we examine how stress affects attention and vice versa. Furthermore some areas which could benefit from the examined stress and attention relation are named.Wärmebildkameras machen es möglich Interaktionen einfacher als RGB Kameras zu erkennen und werden daher in der Mensch Computer Interaktion (HCI) als ein Sensorsystem benutzt, wodurch neuartige interaktive Systeme mit Hilfe von Computer Vision Techniken möglich werden. Dies macht es möglich eine Wärmebildkamera, die im fernen Infrarot Spektrum operiert, zu benutzen um die Hauttemperatur von Menschen zu verarbeiten, die hinweisend für Stress ist und daher gut zur Stresserkennung dient. Stress wird als eine der Hauptursachen für viele Krankheiten angesehen wobei dadurch die Gesundheit und Leistungsfähigkeit eines Menschen leiden kann. Stress kann die Aufmerksamkeit auf verschiedene Aufgaben beeinflussen. Die Technologieentwicklung, vor allem die der Computertechnologie, überforderte viele Menschen mit einem größeren Computerbedarf in allen Arbeitsbereichen. Das machte Multitasking auch am Arbeitsplatz leichter möglich. Diese Arbeitsweise kann aber durch einen Konzentrations- oder Aufmerksamkeitsverlust aufgrund von Stress das Ergebnis beeinflussen. Die Beziehung zwischen Stress und Aufmerksamkeit kann untersucht werden und bei einem positiven Ergebnis stressreduzierende Maßnahmen vorgeschlagen werden falls sich ein Leistungsabfall bemerkbar macht. In dieser Abschlussarbeit werden wir zeigen, dass es durch Wärmebildtechniken möglich ist gewünschte Objekte erkennen zu lassen. Wir werden untersuchen wie Wärmebildkameras benutzt werden können um Stress zu erkennen und welche Körperteile eines Menschen dafür geeignet sind. Darüber hinaus werden wir die Beziehung zwischen Stress und Aufmerksamkeit untersuchen. Basierend auf die Untersuchungen werden wir eine passende Applikation programmieren, die Stress erkennen kann. Diese Applikation wird in einer Nutzerstudie eingesetzt, in der die Teilnehmer viele verschiedene stresserzeugende Aufgaben bearbeiten um zu untersuchen wie Stress und Aufmerksamkeit zusammenhängen. Des Weiteren werden einige Anwendungsgebiete aufgezählt welche von den Ergebnissen profitieren können

Robotics and Intelligent Systems Against a Pandemic

The outbreak of the novel coronavirus and its disease COVID-19 presents an unprecedented challenge for humanity. Intelligent systems and robotics particularly are helping the fight against COVID-19 several ways. Potential technology-driven solutions in this accelerating pandemic include, but are not limited to, early detection and diagnosis, assistive robots, indoor and outdoor disinfection robots, public awareness and patrolling, contactless last-mile delivery services, micro- and nano-robotics and laboratory automation. This article sheds light on the roles robotics and automation can play in fighting this disastrous pandemic and highlights a number of potential applications to transform this challenge into opportunities. The article also highlights the ethical implications of robotics and intelligent systems during the emergency side and in the post-pandemic world

Analysis Of Feature Reduction Algorithms To Estimate Human Stress Conditions

Stress is a normal reaction of the human organism which triggered in situations that require a certain level of activation. This reaction has both positive and negative effects on everyone’s life. Thermal-based imaging has shown promising results in detecting stress in a non-contact and non-invasive manner. Therefore, this study aimed to present analyse of the performance of feature classify when combining with feature selection algorithm to estimate human stress based on the facial feature of thermal imaging. Three hybrid classifiers, Support Vector Machine (SVM), Decision Tree (DT) and Logistic Regression (LR) combined with feature reduction analysis, Principal Component Analyse (PCA) and Analysis of Variance (ANOVA) was evaluated with 10-fold validation to compute classification accuracy. Four statistical features was extracted; mean, maximum, minimum and standard deviation of the gray scale value from six area regions of interest. Results showing that hybrid classifier DT-ANOVA achieves higher accuracy of 62% compared to others 90 combination classifiers. The findings demonstrated that DT-ANOVA performs well with a small dataset, while SVM and LR can improve the accuracy when fused with ANOVA for a big dataset. The findings also suggested that ANOVA can provides comparable performance as PCA