Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

A Study on the Infrared Thermographic Imaging in Diagnosis of the Central Type of Herniated Disc

중앙형 추간판탈출증의 진단에서 체열촬영의 의의

  • Song Bong-Keun (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Lee Jong-Duk (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Pak Yong-Hyun (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Song Un-Yong (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kim Jung-Gyl (Department of Internal Medicine, College of Oriental Medicine, Wonkwang University)
  • 송봉근 (원광대학교 광주한방병원) ;
  • 이종덕 (원광대학교 광주원광병원) ;
  • 박용현 (원광대학교 광주원광병원) ;
  • 송운용 (원광대학교 광주한방병원) ;
  • 김중길 (원광대학교 광주한방병원)
  • Published : 1998.12.30
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Abstract

Infrared thermographic imaging visualizes noninvasively various abnormal condition by detecting the skin temperature. As the imaging represents the objective condition by the changes in blood flow under the control of autonomic nervous system, it is used to diagnosis and monitor the lumboscral radiculopathy. And asymmetry is important in the diagnosis of disc herniation. The most common type of disc herniation occurs psoterolaterally. This frequently causes nerve root compression leading to a radiculopathy in the distribution of the involved nerve root, most of which also provoke the asymmetric changes in thermography. Central disc herniation, which accounts for 5% to 35% of disc herniation, is typically associated with low back pain. But radiculopathy is usually abscent unless central disc heriniaton is large enough to cause compression of the cauda equina. To evalute the diagnostic value of the thermographic imaging in the diagnosis of central disc herniation, the imaging of 15 normal subjects and 48 patients with central disc herniation documented by CT scan were analyzed. The patients had either bilateral radiculophathy or no radiculopathy. The imaging of patient group with non rediculopathy did not show any significant thermal difference to control. While bilateral radiculopathy group reveled hypothermic pattern compared twith control. Thermal difference between left and right side did not present any significance in non radiculopathy group but hypothermia in bilateral radiculopathy group. Large herniation group demonstrated hyperthemic pattern while the others showed no significant change. Cranial caudal thermal difference did not show any difference between experiment groups. These results shows that infrared thermographic imaging can be used central disc herniation with bilateral radiculopathy, while it seems to little useful on the diagnosis of non radiculopathic disc herniation.

Keywords

References

  1. 대한신경외과학회지 v.19 요추간반탈출증 환자에서 컴퓨터 적외선 체열촬영의 의의 김영수;조용은;오성훈
  2. 대한침구학회지 v.12 no.1 침구학 분야에서 thermography의 활용성에 관한 문헌적 고찰 윤계숙;이윤호;최용태
  3. J. neurosurg. v.56 Liquid crystal thermography of the spine and extremities;Its value in the diagnosis of spinal root syndromes Pochaczecsky, R.;Wexler, C.E.;Meyers, P.H.
  4. J. Neurosurg. v.69 no.4 Quantification of thermal asynmetry Part 2: Application in low back pain an sciatica Uematsu, S.;Jankel, W.R.;Edwin, D.H.;Kim, W.;Kozikowski, J.;Rosenbaum, A.(et al.)
  5. 대한신경외과학회지 v.22 요추간반탈출증 환자에서 수술전후 컴퓨터 적외선 체열촬영 소견 김영수;조용은
  6. Thermology v.2 AMA Council report : Thermography in neurological and musculoskeletal conditions AMA Council on Scientific Affairs
  7. Textbook of Spinal Disorders Stephen, I.E.
  8. Imaging Modalities in Spinal Disorders Kricun, M.E.
  9. Am. J. Roentgenol. v.10 The anatomic basis of vertebrogenic pain and the autonomic syndrome associated with lumber dick extrusion Jinkins, J.R.;Whittemore, A.R.;Bradeley, W.G.
  10. Spine v.17 no.9 Computed tomographic follow-up study of forty-eight cases of nonoperatively treated lumbar intervertebral disc herniation Maigne, J.Y.;Rime, B.;Delignet, B.
  11. Clin. Ter. v.141 no.9 Telethermography in the diagnosis of lumbo-sciatica syndromes Pappalardo, A.;di Girolamo, F.;Brignone, G.;Pindaro, L.(et al.)
  12. The Second Albert Memorial Symposium Basic concept of thermology and its application in the study of the sympathetic nervous system Hobbins, W.B.
  13. J. Manipulative Physiol. Ther. v.12 no.6 Infrared thermographic imaging, magnetic resonance imaging, CT scan and myelography in low back pain Thomas, D.;Cullum, D.;Siahamis, G.;Langlois, S.
  14. J. Manipulative Physiol. Ther. v.16 no.3 Correlation study on infrared thermography and nerve root signs in lumber intervertebral disk herniation patients: a short report Ping, Z.;You, F.T.
  15. J. Spinal Disord. v.6 no.5 Thermography as a diagnostic aid in sciatica McCulloch, J.;Frymoyer, J.;Steurer, P.;Riaz, G.;Hurst, F.
  16. Neurology v.41 no.7 Utility of thermography in the diagnosis of lumbosacral radiculopathy Harper, C.M.;Low, P.A.;Fealey, R.D.;Chelimsky, T.C.;Proper, C.J.;Gillen, D.A.
  17. Nippon Geka Hokan v.59 no.5 Pathogenesis of lumbo-sacral nerve root lesion: from the view point of thermographic findings of the lower limbs Igarashi, K.
  18. J. Neurosurg v.69 no.4 Quantification of thermal asymmetry Part 1: Normal values and reproducibility Uematsu, S.;Jankel, W.R.;Edwin, D.H.;Kim, W.(et al.)