Use of a smartphone thermometer to monitor thermal conductivity changes in diabetic foot ulcers: a pilot study.
OBJECTIVE
To investigate the dependability of a thermal gadget connecting to a smartphone. Comparing the exact temperature of damaged tissue with adjacent parts of the limb and to evaluate the changes in thermal conductivity of hard-to-heal wounds in patients with a diabetic foot ulcer (DFU).


METHODS
Potential candidates were divided into three groups and selected from different hospitals in Tehran. Group 1 contained patients with inflammation, Group 2 were patients with vascular complications, and Group 3 were patients who were managing to control their glucose levels to an acceptable level, according to their medical records (i.e. 'healthy cases'). All thermal images were taken without any external stimulus, in room temperature conditions after 15 minutes' rest. All medical records were confirmed by therapeutic supervisors. Moreover, the tissue conditions in patients were considered in the computational part of the study. The temperatures of the ulcer and adjacent tissues were observed and compared. The collected data were used in a suggested model for human tissues and the method of calculation in this study was trial and error. In this study, patients in Group 2 were considered in the computational section of the study.


RESULTS
Temperature difference between the wounds and adjacent tissues for the big toe in three patients in Group 2 was 2.2ºC for the healthier candidate and almost 6.9ºC in the worst case. By comparing the thermal conductivity of normal and damaged tissues, a significant reduction in thermal conductivity was observed for the candidate with the worst status of big toe by about 84.3%. For the other two candidates in this category, it was almost 68.86% and 20.47%.


CONCLUSION
The variation in thermal conductivity represents the change in tissue properties. Thermal conductivity can be applied for early DFU detection. This data may allow introduction of the smartphone thermometer as an authentic and alternative apparatus that is beneficial in diabetic clinics as well as self-assessment by patients. Moreover, due to the decrease in thermal conductivity, this study suggests using intelligent thermal sheets in vulnerable parts of the diabetic foot.
['Maddah|Erfan|E|', 'Beigzadeh|Borhan|B|']
D000368:Aged D001696:Biomechanical Phenomena D001786:Blood Glucose D001831:Body Temperature D002908:Chronic Disease D003925:Diabetic Angiopathies D017719:Diabetic Foot D005260:Female D006214:Hallux D006801:Humans D007249:Inflammation D008297:Male D008875:Middle Aged D010781:Photography D010865:Pilot Projects D012867:Skin D000068997:Smartphone D013814:Thermal Conductivity D013821:Thermometers D014945:Wound Healing
smartphone thermometer thermal conductivity diabetic foot ulcer temperature chronic wound