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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Infantile hemangioma: Predicting proliferation by infrared thermography

1
Children's Surgery Centre, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
2
Centre of Abdominal Surgery, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2017, 53(2), 85-89; https://doi.org/10.1016/j.medici.2017.04.002
Received: 26 January 2016 / Revised: 19 March 2017 / Accepted: 6 April 2017 / Published: 20 April 2017
Background and objective: Infantile hemangiomas (IHs) are benign lesions found in infants. Predicting the cosmetic outcome of these lesions is very difficult. Therefore, in this prospec- tive study, we assessed whether using an infrared thermometer (IRT) to measure the surface temperature of IHs would help to predict their proliferative potential.Materials and methods: Between January 2012 and March 2014, we prospectively investigated 103 children up to 6 months of age with a diagnosis of IH. None of them required immediate treatment. Two projection plain photographs of the IHs were obtained and the temperature of the IH surface was measured with the IRT at each visit. The IHs in these patients were divided into three groups: stable, slightly growing and growing IHs. We analyzed tempera- ture differences between the groups, relative operating characteristic (ROC) curves, and possible application of this method to clinical practice.Results: The median initial temperatures in the groups were 36.7 °C for the stable group, 37 °C for the slightly growing group, and 37.4 °C for the growing group (P < 0.01). The area under the ROC curve for the temperature values to predict growth was 0.929. Temperatures at or above 37.4 °C showed a specificity of 95%, a sensitivity of 75%, a positive predictive value 81%, and a negative predictive value of 95%.Conclusions: IRT is a time and cost effective tool, and is easy to learn. The surface tempera- ture of IH reflects its remaining growth potential and could be used in the outpatient setting for the evaluation and follow-up of IH.
Keywords: Infantile hemangioma; Infrared thermography; Prediction of proliferation; Surface temperature Infantile hemangioma; Infrared thermography; Prediction of proliferation; Surface temperature
MDPI and ACS Style

Strumila, A.; Kazlauskas, V.; Pošiūnas, G.; Verkauskas, G.; Beiša, V. Infantile hemangioma: Predicting proliferation by infrared thermography. Medicina 2017, 53, 85-89.

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