A case study on dynamic thermal imaging evaluation of a thyroid nodule

Ricardo Vardasca, PhD, ASIS, FRPS

http://hdl.handle.net/10400.26/38563

Use this identifier to reference this record.

Name:	Description:	Size:	Format:
294146.pdf		352.96 KB	Adobe PDF	Download

Send Feedback

Authors

Ricardo Vardasca, PhD, ASIS, FRPS

Abstract(s)

BACKGROUND:The thyroid gland is a butterfly-shaped organ located in the neck anteriorly to the larynx and trachea, typically extending from the level of C5-T1. It is responsible for the release of hormones that control metabolic rates and thereby modifying obligatory and adaptive thermogenesis. This organ can be affected by nodules and cellular malforma- tions, which can result in malignant neoplasia or benign cysts. Those manifestations may change the normal pattern of skin temperature distribution in the affected area. The aim of this study is to investigate the thermal pattern of a subject presenting a hypervascularized nodule located on the left side of the thyroid. MATERIALS AND METHODS: A male with 40 years old presenting a 11x6 mm nodule in the left side of his thyroid, con- firmed by functional doppler imaging, was examined in a controlled environment using a FLIR E60 thermal camera and two aluminium disks to provide a cooling provocation during one minute on the skin, above the thyroid gland location. Thermal images were taken before and until the fifth minute after cooling at an interval of 1 minute. A 26x26 pixel square region of interest (ROI) was drawn in the analysis software to statistically analyze the temperature values, histogram, mean, median and mode temperature, standard deviation, kurtosis and skewness per ROI and side. RESULTS:The ROI presented at baseline a bilateral difference in mean temperature of 0.4 ºC, after cooling this difference was accentuated, the affected side recovered quickly and showed a hot spot in the area of the nodule identified by Doppler imaging. CONCLUSION:This case study showed evidence of the utility on using dynamic infrared thermal imaging when assess ing thyroid nodules, which was confirmed by Doppler imaging to be highly vascularized. However, for diagnostic pur poses the traditional expensive methods such as biopsy and nuclear medicine are still required. Still the application of IRT imaging should be further researched in possible monitoring and documenting the diagnosis and treatment evaluation applied to thyroid conditions.