Search Results (35)

Background: Preservation of renal hypothermia during vascular anastomosis remains a critical yet insufficiently optimized aspect of kidney transplantation. Rewarming during the second warm ischemic period increases metabolic activity and may exacerbate ischemia–reperfusion injury. Maintaining graft temperatures below the 15–18 °C metabolic threshold during implantation is associated with improved graft preservation, yet more than 80% of grafts exceed this threshold within 20 min under standard conditions. This study evaluated the thermal performance of a novel cooling adjunct, the Ice Pillow, in limiting renal rewarming under simulated ex vivo transplant conditions. Methods: Twelve human renal allografts (six donor pairs) were studied in a controlled laboratory setting following hypothermic machine perfusion. Within each donor pair, kidneys were randomly assigned to the Ice Pillow group or the Control group. Core temperature was measured using an intra-pelvic thermocouple probe, while surface temperature was assessed with a handheld infrared thermometer. Kidneys in the Ice Pillow group were positioned on a thin gauze pouch filled with ice slush. Control kidneys were rewarmed in a simulated body cavity at 30–32 °C. Temperature recordings were obtained at one-minute intervals over 40 min. Rewarming slopes were compared using donor-paired analysis. Longitudinal temperature trajectories were analyzed using a linear mixed-effects model accounting for repeated measurements within kidneys. Agreement between core and surface measurements was evaluated using Bland–Altman analysis. Results: The Ice Pillow reduced the rate of renal rewarming by 56.4% compared with donor-paired controls (0.261 ± 0.057 °C/min vs. 0.599 ± 0.066 °C/min; mean donor-paired difference 0.338 °C/min; 95% CI, 0.237–0.440; t(5) = 8.56, p < 0.001). Linear mixed-effects modelling demonstrated progressive thermal separation between groups, with Control kidneys estimated to be 4.28 °C warmer at 10 min (95% CI, 3.35–5.22; p < 0.001) and 10.44 °C warmer at 40 min (95% CI, 7.88–12.99; p < 0.001). Bland–Altman analysis of core–surface agreement demonstrated a mean bias of −0.51 °C with 95% limits of agreement of −6.46 °C to 5.43 °C, indicating that surface thermometry followed the general direction of core temperature change but demonstrated wide limits of agreement, indicating the two methods are not interchangeable. Conclusions: In this ex vivo model, the Ice Pillow substantially attenuated renal rewarming compared with unassisted controls. Whether this thermal effect translates into improved graft function requires prospective clinical evaluation. Full article

Purpose: This study aimed to develop and validate a comprehensive multi-sensor integrated platform for objective assessment of skeletal muscle recovery kinetics following exercise-induced muscle damage (EIMD), combining biomechanical, thermal, and biochemical monitoring modalities. Methods: Forty elite male athletes were randomized to microwave diathermy (MWD, n = 20, 2.45 GHz, 160 W, 45 min/session) or control (n = 20) groups. Time-synchronized multi-sensor assessments at baseline, 24 h, 48 h, and 72 h post-EIMD included: biomechanical sensors (knee flexion range of motion via goniometry and isokinetic peak torque), thermal sensor (skin surface temperature via infrared thermometry), and biochemical sensor array (serum CK, IL-6, and CRP via high-sensitivity ELISA). Two-way repeated-measures ANOVA with Bonferroni correction examined group × time interactions across all sensor channels. Results: Pre-study validation confirmed high reliability across all sensor modalities. Cross-modality concordance analysis revealed significant correlations between biomechanical and biochemical recovery trajectories (isokinetic torque vs. IL-6: r = −0.73, p < 0.001; pain vs. IL-6: r = 0.68, p < 0.001). MWD intervention demonstrated accelerated recovery across all sensor channels: complete ROM recovery by 48 h (MWDG post-2 vs. baseline, p > 0.05; CG post-3 43% below baseline, p < 0.001), complete isokinetic torque restoration by 72 h (MWDG post-3 vs. baseline, p > 0.05; CG 44% below baseline, p < 0.001), and near-complete pain resolution (VAS 1.70 ± 2.50 mm, p < 0.05). Biomarker sensors demonstrated differential recovery kinetics: IL-6 normalized by 48 h (1.52 ± 0.14 pg/mL, p > 0.05 vs. baseline), CRP approached baseline by 72 h (0.73 ± 0.24 mg/L, p > 0.05), while CK remained elevated at post-3 (169.70 ± 22.58 U/L, 30% above baseline, p < 0.001), indicating incomplete myofiber membrane integrity recovery despite resolution of systemic inflammatory markers. The control group exhibited persistent deficits across all sensor channels with no clinically meaningful recovery. Conclusions: This study validated an integrated multi-sensor platform for recovery assessment. Microwave diathermy demonstrated efficacy by 72 h with complete functional recovery and inflammatory normalization (though CK remained elevated). Cross-modality concordance (r = −0.73 to 0.68) confirmed superior assessment compared to single-modality approaches. This laboratory-based methodology provides a framework for future portable sensor systems in athletic surveillance. Full article

While digital rectal thermometry is commonly used for assessing health and identifying illness in ferrets, there is little evidence to support frequently cited ranges of normal rectal temperature in this species. The objective of this study was to establish a reference interval for digital rectal temperature in healthy ferrets (Mustela putorius furo). Rectal temperatures were measured using digital rectal thermometry in 56 healthy ferrets greater than four months of age. The reference interval was established using robust methods for reference interval determination, in adherence with the recommendations of the American Society for Veterinary Clinical Pathology and the Clinical and Laboratory Standards Institute. The reference interval for digital rectal temperature of healthy ferrets greater than four months of age was determined to range from 38.1 °C (confidence interval [CI] = 37.9 to 38.3 °C; 100.6 °F [CI = 100.3 to 100.9 °F]) at the lower limit to 39.9 °C (CI = 39.8 to 40.1 °C; 103.9 °F [CI = 103.6 to 104.2 °F]) at the upper limit. This reference interval for digital rectal temperature (38.1–39.9 °C [100.6–103.9 °F]) will be valuable to clinicians both performing routine health assessments and treating clinically ill ferrets. Full article

Background: Diabetic foot ulcers recur frequently after healing. The first three months carry the highest risk. Remission is a vulnerable phase that demands precise self-care and timely feedback. Evidence supports thermometry and protective footwear with gradual return to activity, yet adherence at home is inconsistent. Objective: To describe the design and planned evaluation of a conversational agent (chatbot) that guides patients through the remission phase following diabetic limb reconstruction. Methods: This protocol describes a conversational agent (chatbot) that turns remission guidance into daily actions, grounded in clinical expertise and established care guidelines. Walking is dosed like a drug, with careful titration based on tissue response. The agent integrates automatic data capture (smartphone step counts, skin temperature, shoe step streams, smartwatch step streams, Bluetooth thermometry when available, and app session timestamps) with manual patient entries (shoe wear time, skin redness persistence, and symptom checks). It doses walking activity, guides footwear break-in, prompts photo-confirmed concerns, following clinician-informed rules and escalation pathways. We define data quality checks for missingness and physiologic plausibility, and the agent reinforces reducing weight-bearing activity when risk signals appear. We outline device drift. The study is designed as a single-arm feasibility pilot (n = 30) to assess engagement, safety, and implementation fidelity. Results: No clinical outcome results are reported because this is a protocol study and enrollment has not yet begun. This study presents the prespecified sensing-to-decision workflow, escalation logic, and pilot endpoints, along with internal technical verification procedures (e.g., message delivery reliability, data completeness checks, and rule-engine consistency testing). Conclusions: A remission chatbot is a plausible method to extend specialist support into the home, reflecting integration of clinical expertise with digital health tools. This protocol defines how feasibility, safety, and usability will be evaluated. Clinical efficacy should be confirmed in future studies. Full article

Single-element bolometers have been widely used for medical thermometry to predict a core body temperature based on the measured surface temperature and a pre-determined clinical correlation. The size-of-source effect (SSE) in bolometers is recognized as an important source of error and has been extensively studied such that SSE can be controlled sufficiently to obtain the required accuracy. Thermal imaging cameras relying on much of the same principles have also been widely used for medical thermometry, but recent work has shown that SSE in thermal imaging differs from SSE in single-element bolometers. An unappreciated aspect of this artifact in thermal imaging has been its outsize impact on accuracy, producing more than a degree of inaccuracy in typical scenarios. However, because the artifact has so far avoided a satisfactory characterization, this impact has not been incorporated into the standards and expert recommendations for body thermometry with thermal imaging. In this work, we characterize SSE-like artifact as proportional to the difference between source and non-source temperatures as a function of source size, showing that the same percent deviation artifact is obtained at different source temperatures. We then derive an objective method to obtain convolution kernel parameters and apply these to several thermal imaging sensors and optics configurations. Finally, we show that these methods are sufficient to achieve the required accuracy for body thermometry with thermal imaging. Full article

Background: Augmented reality (AR) and mixed reality (MR) promise to enhance anatomical understanding, spatial orientation, and workflow in cardiac surgery. Their clinical adoption remains limited and the translational path is incompletely defined. Methods: A PubMed search was conducted by two independent reviewers from database inception through July 2025 and identified peer-reviewed, English-language articles describing peri- or intra-operative AR/MR applications in cardiac surgery. Relevant clinical, preclinical, technical, and review articles were selected for inclusion based on scope and content. Given the narrative approach and heterogeneity across studies, findings were synthesized qualitatively into application domains. Results: Fourteen studies were included. Five domains emerged: (1) preoperative planning and patient-specific modelling—MR enhanced spatial orientation and planning for minimally invasive and valve procedures; (2) intraoperative navigation and visualization—AR improved targeting and interpretation with preclinical overlay errors ≈ 5 mm; (3) physiological/functional guidance—thermographic AR detected ischemia in vivo with strong correlation to invasive thermometry; (4) robotic integration and workflow optimization—AR-guided port placement and stepwise robotic adoption supported the feasibility of totally endoscopic CABG; (5) AR-based early rehabilitation. Conclusions: Early clinical and preclinical evidence supports AR/MR feasibility and utility for visualization and orientation in cardiac surgery. Priorities include deformable, motion-compensated registration, ergonomic integration with robotic platforms, and multicentre trials powered for operative efficiency and patient outcomes. Full article

Cancer remains a leading cause of mortality worldwide. Chemotherapy is effective but can cause febrile neutropenia, deplete neutrophils, and increase infection risk. Although timely fever detection is critical to prevent complications, periodic temperature monitoring has inherent limitations. Wearable devices (WDs) for real-time body temperature (RBT) monitoring are emerging as tools for early fever detection, though their clinical feasibility and usability remain unverified. This study assessed the clinical feasibility of a novel WD by comparing its temperature concordance and fever detection capability against a standard reference in patients with cancer. The RBT system’s clinical maturity, including its capacity for early fever detection and monitoring treatment-related changes, was evaluated. Furthermore, satisfaction among clinicians and patients was analyzed in a hospital setting. In this prospective study, patients with hematologic malignancies at high infection risk admitted to the Chonnam National University in Hwasun Hospital, South Korea, were enrolled. Data from 47 patients were analyzed to compare MT100D as WD (SEERS Technology Co., Ltd., South Korea) readings with axillary thermometers. Temperature concordance was evaluated using the intraclass correlation coefficient (ICC), and diagnostic performance was compared with the reference thermometer. The early fever detection performance of the MT100D was analyzed to evaluate the clinical effectiveness of the early response system. Usability was evaluated through a five-point Likert scale survey completed by clinical nurses. The MT100D demonstrated good agreement with the reference thermometer (mean difference: −0.19 ± 0.35 °C; ICC: 0.78). The RBT system achieved sensitivity, specificity, and area under the receiver operating characteristic curve values of 81.50%, 96.32%, and 96.60%, respectively. The early fever detection rate was 77.1%, with the RBT system detecting fever an average of 1.13 ± 1.28 h earlier than the reference. Usability and satisfaction assessments showed high patient satisfaction (mean 4.69 ± 0.5; range 4.57–4.80) and moderate clinician satisfaction (mean 3.63 ± 0.75; range 2.89–4.11). Among patients with cancer, including those at risk of febrile neutropenia, the MT100D demonstrated strong concordance with standard thermometry, enabling early fever detection. The RBT system shows promise for the early identification of neutropenic risk during chemotherapy. Full article

Zero-heat-flux (ZHF) thermometry is a clinically validated method for non-invasive core body temperature monitoring, yet its broad adoption in wearable applications is constrained by the high power consumption of the heater element. In this study, we numerically investigate the role of microporous insulation in minimizing energy demand while preserving measurement accuracy. A three-dimensional finite element model of a ZHF probe was implemented in COMSOL Multiphysics 5.4, consisting of a resistive heater, a microporous insulation shell, and a skin-equivalent substrate regulated by proportional–integral–derivative (PID) control. A Taguchi L9 orthogonal array was utilized to systematically investigate the effects of porosity (0–90%), insulation thickness (2–4 mm), and the convective heat transfer coefficient (5–15 W/m²·K) on the thermal performance of the ZHF thermometry system. Two performance metrics—heater energy consumption and settling time—were analyzed using analysis of variance (ANOVA). The results indicated that porosity accounted for more than 95% of the variance in heater power and over 80% of the variance in settling time. The configuration with φ = 90% and t = 3 mm demonstrated a balanced trade-off between energy efficiency and transient response for low-power ZHF thermometry. These findings provide design insights for energy-efficient wearable temperature sensors. Full article

The accurate monitoring of body temperature is critical to poultry health and welfare. Rectal thermometry, the conventionally employed method, is invasive and stressful. Infrared thermography (IRT) offers a non-invasive alternative, but its accuracy may be influenced by body size and camera-to-object distance. This study evaluated the efficiency of thermal imaging compared with rectal thermometry in measuring chicken body temperature, with a focus on the effects of body size and measurement distance. A cross-sectional, repeated-measures design was applied to ninety clinically healthy Buff Sussex chickens (n = 30 per size group: small, medium, and large). Each bird was imaged from three distances (50, 75, and 100 cm) by using a thermal camera (FLIR C5^®), with rectal temperature (Omron MC-246^®) serving as the reference, so that a total of 270 paired observations were analyzed. Agreement was assessed using Bland–Altman bias and limits of agreement (LOAs), root mean square error (RMSE), mean absolute error (MAE), Pearson correlation (r), and Lin’s concordance correlation coefficient (CCC). The results showed that rectal temperatures were consistent with the normal physiological range reported for healthy chickens (40.43–41.95 °C) and that thermal imaging showed systematic underestimation, particularly in small birds (bias of up to −2.65 °C and RMSE of 2.72 °C at 100 cm) and medium-sized birds (bias of −0.73 to −1.39 °C), with weak concordance (CCC ≤ 0.16). Measurements in large birds demonstrated the smallest bias (−0.76 to +0.16 °C), lower errors (MAE of 0.73–0.89 °C), and stronger correlations (r = 0.56–0.71), indicating more reliable agreement. Distance influenced accuracy, with underestimation increasing at 75–100 cm, especially in smaller birds. Therefore, thermal imaging cannot fully replace rectal thermometry for individual-level assessment in chickens due to systematic underestimation, especially in small birds and at greater distances. However, it shows promise as a rapid, non-invasive flock-level screening tool in larger chickens when used at optimal distances (50–75 cm). The integration of thermal imaging into precision livestock farming and future farm models may enhance welfare-friendly, automated health monitoring in poultry systems. Full article

Background: Integrating deep regional hyperthermia (HT) with neoadjuvant chemoradiotherapy (CRT) may enhance treatment efficacy in locally advanced rectal cancer (LARC), yet feasibility and tolerance data remain scarce for both short-course (SCRT) and long-course (LCRT) radiotherapy (RT) regimens. Methods: In this single-center prospective observational study, 67 LARC patients received neoadjuvant RT and chemotherapy (CT) combined with deep radiative HT using a phased-array system (ALBA 4D). Patients treated with SCRT (5 × 5 Gy) were prescribed two HT sessions; those treated with LCRT (25 × 2 Gy) were prescribed ten. HT planning was guided by dedicated software, and real-time thermometry ensured precise thermal delivery. Feasibility was defined as completion of ≥50% of prescribed sessions. Tolerance and toxicity were assessed with standardized clinical scales (QMHT, UMC, CTCAE v4.03). Results: HT was feasible in both groups: 100% of SCRT and 63.6% of LCRT patients completed ≥50% of prescribed sessions. In total, 243 sessions were delivered. Most symptoms were mild and transient, predominantly localized pain. No grade ≥3 HT-related toxicities occurred. All scheduled RT and surgery proceeded without delay. Median T50 was 40.3 °C (SCRT) and 40.4 °C (LCRT); the median RT-to-HT interval was 42 min in both groups. Conclusion: This first Spanish experience shows that deep radiative HT can be seamlessly integrated into both SCRT and LCRT neoadjuvant protocols for rectal cancer. High adherence, favorable tolerance, and reliable thermal control support clinical implementation. Any between-schedule observations are descriptive only; no formal comparative testing was performed. The study was not designed or powered to establish comparative effectiveness between SCRT and LCRT, and the sample size was insufficient to detect rare HT-specific adverse events. Full article

Background/Objectives: Combining radiation therapy with mild hyperthermia, especially via magnetic resonance-guided focused ultrasound (MRgFUS), holds promise for enhancing tumor control and alleviating symptoms in cancer patients. However, current clinical applications of MRgFUS focus primarily on ablative treatments, and using MRI guidance for each radiation session increases treatment costs and logistical demands. This study aimed to test a streamlined workflow for repeated hyperthermia treatments that reduces the need for continuous MRI monitoring, using an approach based on impulse response function (Green’s function) to optimize acoustic power settings in advance. Methods: We implemented the Green’s function approach in a perfused, tissue-mimicking phantom, conducting 30 experiments to simulate hyperthermia delivery via MRgFUS. Pre-calculated acoustic power settings were applied to maintain a stable hyperthermia target without the need for real-time feedback control from MRI thermometry. Additionally, a retrospective analysis of patient thermometry data from MRgFUS sonications was performed to assess feasibility in clinical contexts. Results: Our experiments demonstrated consistent, stable hyperthermia (+7 °C) for 15 min across varying perfusion rates, outperforming conventional closed-loop MRI feedback methods in maintaining temperature stability. The retrospective analysis confirmed that this method is noise-robust and clinically applicable. Conclusions: This off-line approach to hyperthermia control could simplify the integration of MRgFUS hyperthermia in cancer treatment, reducing costs and logistical barriers. These findings suggest that our method may enable the broader adoption of hyperthermia in radiation therapy, supporting its role as a viable adjuvant treatment in oncology. Full article

Radiofrequency ablation (RFA) is a minimally invasive procedure that utilizes localized heat to treat tumors by inducing localized tissue thermal damage. The present study aimed to evaluate the temperature evolution and spatial distribution, ablation size, and reproducibility of ablation zones in ex vivo liver, kidney, and lung using a commercial device, i.e., Dophi™ R150E RFA system (Surgnova, Beijing, China), and to compare the results with the manufacturer’s specifications. Optical fibers embedding arrays of fiber Bragg grating (FBG) sensors, characterized by 0.1 °C accuracy and 1.2 mm spatial resolution, were employed for thermometry during the procedures. Experiments were conducted for all the organs in two different configurations: single-electrode (200 W for 12 min) and double-electrode (200 W for 9 min). Results demonstrated consistent and reproducible ablation zones across all organ types, with variations in temperature distribution and ablation size influenced by tissue characteristics and RFA settings. Higher temperatures were achieved in the liver; conversely, the lung exhibited the smallest ablation zone and the lowest maximum temperatures. The study found that using two electrodes for 9 min produced larger, more rounded ablation areas compared to a single electrode for 12 min. Our findings support the efficacy of the RFA system and highlight the need for tailored RFA parameters based on organ type and tumor properties. This research provides insights into the characterization of RFA systems for optimizing RFA techniques and underscores the importance of accurate thermometry and precise procedural planning to enhance clinical outcomes. Full article

Background. Influenza and SARS-CoV-2 viruses are two highly variable pathogens. We have developed a candidate bivalent live vaccine based on the strain of licensed A/Leningrad/17-based cold-adapted live attenuated influenza vaccine (LAIV) of H3N2 subtype, which expressed SARS-CoV-2 immunogenic T-cell epitopes. A cassette encoding fragments of S and N proteins of SARS-CoV-2 was inserted into the influenza NA gene using the P2A autocleavage site. In this study, we present the results of preclinical evaluation of the developed bivalent vaccine in a non-human primate model. Methods. Rhesus macaques (Macaca mulatta) (n = 3 per group) were immunized intranasally with 7.5 lg EID₅₀ of the LAIV/CoV-2 bivalent vaccine, a control non-modified H3N2 LAIV or a placebo (chorioallantoic fluid) using a sprayer device, twice, with a 28-day interval. The blood samples were collected at days 0, 3, 28 and 35 for hematological and biochemical assessment. Safety was also assessed by monitoring body weight, body temperature and clinical signs of the disease. Immune responses to influenza virus were assessed both by determining serum antibody titers in hemagglutination inhibition assay, microneutralization assay and IgG ELISA. T-cell responses were measured both to influenza and SARS-CoV-2 antigens using ELISPOT and flow cytometry. Three weeks after the second immunization, animals were challenged with 10⁵ PFU of Delta SARS-CoV-2. The body temperature, weight and challenge virus shedding were monitored for 5 days post-challenge. In addition, virus titers in various organs and histopathology were evaluated on day 6 after SARS-CoV-2 infection. Results. There was no toxic effect of the immunizations on the hematological and coagulation hemostasis of animals. No difference in the dynamics of the average weight and thermometry results were found between the groups of animals. Both LAIV and LAIV/CoV-2 variants poorly replicated in the upper respiratory tract of rhesus macaques. Nevertheless, despite this low level of virus shedding, influenza-specific serum IgG responses were detected in the group of monkeys immunized with the LAIV/CoV-2 bivalent but not in the LAIV group. Furthermore, T-cell responses to both influenza and SARS-CoV-2 viruses were detected in the LAIV/CoV-2 vaccine group only. The animals were generally resistant to SARS-CoV-2 challenge, with minimal virus shedding in the placebo and LAIV groups. Histopathological changes in vaccinated animals were decreased compared to the PBS group, suggesting a protective effect of the chimeric vaccine candidate. Conclusions. The candidate bivalent vaccine was safe and immunogenic for non-human primates and warrants its further evaluation in clinical trials. Full article

Accurate temperature measurement is crucial for the perioperative management of pediatric patients, and non-invasive thermometry is necessary when invasive methods are infeasible. A prospective observational study was conducted on 57 patients undergoing elective surgery. Temperatures were measured using a dual-sensor heat-flux (DHF) thermometer (Tcore™) and a rectal temperature probe (TRec), and the agreement between the two measurements was assessed. The DHF measurements showed a bias of +0.413 °C compared with those of the TRec. The limits of agreement were broader than the pre-defined ±0.5 °C range (−0.741 °C and +1.567 °C). Although the DHF sensors tended to overestimate the core temperature compared to the rectal measurements, an error grid analysis demonstrated that 95.81% of the DHF measurements would not have led to a wrong clinical decision, e.g., warming or cooling when not necessary. In conclusion, the low number of measurements that would have led to incorrect decisions suggests that the DHF sensor can be considered an option for continuous temperature measurement when more invasive methods are infeasible. Full article

Research on alternatives to rectal thermometry in canine and feline patients has focused on equipment and measurement location but not procedure duration. In a crossover clinical scenario, we evaluated the time prior to (Pre-TempT) and after (Post-TempT) rectal and axillary thermometry in a diverse demographic of canine (n = 114) and feline (n = 72) patients. Equipment duration was controlled to determine a presumptive total time (TTime) associated with each thermometry method. Pre-TempT and TTime were significantly shorter in axillary thermometry trials for both canine and feline pets (p < 0.001). There was no difference in Post-TempT between thermometry methods in canine patients (p = 0.887); however, the Post-TempT was longer in felines after axillary thermometry (p = 0.004). Reductions in Pre-TempT and TTime were not significant in Scottish Fold breed cats. Within the feline rectal trials, the TTime of domestic-long-haired breeds was significantly longer than that of domestic-short-haired breeds (p = 0.019). No other tested parameter (i.e., size, body shape, age, weight, breed, coat type, or procedure order) played a significant role in these results. Axillary thermometry was faster than rectal thermometry in both canine and feline pets, primarily due to the time associated with animal approach and restraint (Pre-TempT). These results have implications for optimizing clinic workflow, appointment durations, and patient handling time. Full article