Across rheumatic diseases

Performance of a novel high-resolution infrared thermography marker in detecting and assessing joint inflammation: a comparison with joint ultrasound

Clin Exp RheumatolPublished Diagnostic accuracy study

Authors' conclusion

HRR showed an excellent performance in the differentiation of joints with US inflammatory activity from non-inflamed joints. Moreover, HRR was able to differentiate between joints with different grades of hypervascularity, making HRR a promising tool to assist disease activity monitoring.

Study context

Population
Patients with inflammatory arthritides and healthy controls75 patients · 70 controls
Participants
75 vs 70
Comparison
High-resolution infrared thermography marker vs joint ultrasound (US)
  • Arthritis-patientsn = 75
  • Healthy controlsn = 70reference
Outcome
Diagnostic performance of HRR in detecting joint inflammation, with joint US as reference
Methodological detailsjoint US as reference, receiver-operating-characteristics analysis
  • Joint US as reference
  • Receiver-operating-characteristics analysis

Performance

As reported in the abstract

HRR performance at wrist joints (joint US as reference)
Test or modelAUCSensitivitySpecificity
Hotspot/ROI-Ratio (HRR)0.91 (95%CI 0.84-0.98)0.830.88

Hotspot/ROI-Ratio (HRR)

AUC0.91 (95%CI 0.84-0.98)
Sensitivity0.83
Specificity0.88

Further findings

HRR values by joint hypervascularity grade

HRR values statistically different between PDUS I-III vs PDUS 0 and vs healthy subjects for all four joint groups, and in most cases between PDUS I°-III° grades
P < 0.05

Original publication

Performance of a novel high-resolution infrared thermography marker in detecting and assessing joint inflammation: a comparison with joint ultrasound. Clin Exp Rheumatol. Published 18 December 2023. doi:10.55563/clinexprheumatol/ne4k8y

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