Pediatric rheumatology

Feasibility of applying infrared thermal imaging for home monitoring of arthritis in children

Pediatr Rheumatol Online JPublished Feasibility study

Authors' conclusion

This study demonstrates the feasibility of applying TAWiC for arthritis detection through a smartphone-based infrared thermal camera operated by families at home.

Study context

Population
Children with knee pain and/or swelling for a week or longer; office joint exam as gold standard38 completed home imaging
Participants
53 children
Comparison
Home-acquired vs office-acquired infrared thermal images of the knee
Outcome
Feasibility of at-home thermal imaging; variability of home skin temperature over 3 days; agreement with clinic measurements (TAWiC)
Follow-up
3 consecutive days
Methodological detailshome vs in-office imaging, 3 consecutive days
  • Home vs in-office imaging
  • 3 consecutive days

Main finding

As reported in the abstract

Anterior knee view, r across 3 days

0.58, 0.26, 0.24

Lateral knee view, r across 3 days

0.36, 0.41, 0.42

Further findings

Detection of knee arthritis using TAWiC thresholds

Sensitivity (similar regardless of setting)
0.44
Specificity (similar regardless of setting)
0.79

Original publication

Feasibility of applying infrared thermal imaging for home monitoring of arthritis in children. Pediatr Rheumatol Online J. Published 31 July 2025. doi:10.1186/s12969-025-01096-1

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