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Digital thermography complements Laser Speckle Contrast Imaging for the diagnosis of quantified severe mesenteric traction syndrome — A prospective cohort study
The diagnosis of severe mesenteric traction syndrome (MTS) is based on assessing the developed degree of facial flushing. Only one validated objective diagnostic method, Laser Speckle Contrast Imaging (LSCI), exists. However, this method is sensitive to distance, motion, and angulation. Digital ther...
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| Published in: | Microvascular research 2024-07, Vol.154, p.104690, Article 104690 |
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| container_title | Microvascular research |
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| creator | Olsen, August A. Burgdorf, Stefan Bigler, Dennis Richard Siemsen, Mette Aasvang, Eske K. Goetze, Jens P. Svendsen, Morten Bo Søndergaard Svendsen, Lars Bo Achiam, Michael Patrick |
| description | The diagnosis of severe mesenteric traction syndrome (MTS) is based on assessing the developed degree of facial flushing. Only one validated objective diagnostic method, Laser Speckle Contrast Imaging (LSCI), exists. However, this method is sensitive to distance, motion, and angulation. Digital thermography is known to correlate well with LSCI without the same limitations, but has never been tested in relation to MTS. This study aimed to examine the thermographic changes during the development of severe MTS and to calculate a cut-off value for identifying severe MTS.
A prospective cohort study was performed on patients planned for open esophagectomy and pancreatic surgery from March 2021 to April 2022. All patients underwent continuous measurement on their forehead using LSCI and digital thermography during the first hour of surgery. The validated LSCI cut-off value was used to grade the severity of MTS. Blood samples and hemodynamics were collected at predefined time points.
Fifty-seven patients were included. Patients developing severe MTS had increased facial skin temperature 15 min (p = 0.002) and 30 min into surgery (p |
| doi_str_mv | 10.1016/j.mvr.2024.104690 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3047939967</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0026286224000396</els_id><sourcerecordid>3047939967</sourcerecordid><originalsourceid>FETCH-LOGICAL-c348t-2d0a6fb19bceb0ded5abeca2fe4bb92a2d5842f6cb8a1251c0b376752d81cf6b3</originalsourceid><addsrcrecordid>eNp9kc2O0zAUhS0EYjoDD8AGeckmxXYSJxarUfmZkSqxANaWf25Slzju2E6l7ngInoBH40lw1YElqytL55x7rj-EXlGypoTyt_u1P8Y1I6wp74YL8gStKBFtJWoqnqIVIYxXrOfsCl2ntCeE0law5-iq7nlHmpat0K_3bnRZTTjvIPowRnXYnbAJ_jCBhzknvFUJIv5yAPN9ArwJc44qZXzv1ejmEQ8hnr3YOjXOIbmEw4AfFjVnNziwOMERImAPqaRBdAYXv8kuzDidZhuDB_z7x098iw8xpLIluyOUArsQM055sacX6NmgpgQvH-cN-vbxw9fNXbX9_Ol-c7utTN30uWKWKD5oKrQBTSzYVmkwig3QaC2YYrbtGzZwo3tFWUsN0XXHu5bZnpqB6_oGvbnkliIPC6QsvUsGpknNEJYka9J0ohaCd0VKL1JTOqcIgzxE51U8SUrkGY3cy4JGntHIC5rief0Yv2gP9p_jL4sieHcRQDny6CDKZBzMBqyL5VukDe4_8X8AeXSlhg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3047939967</pqid></control><display><type>article</type><title>Digital thermography complements Laser Speckle Contrast Imaging for the diagnosis of quantified severe mesenteric traction syndrome — A prospective cohort study</title><source>ScienceDirect Journals</source><creator>Olsen, August A. ; Burgdorf, Stefan ; Bigler, Dennis Richard ; Siemsen, Mette ; Aasvang, Eske K. ; Goetze, Jens P. ; Svendsen, Morten Bo Søndergaard ; Svendsen, Lars Bo ; Achiam, Michael Patrick</creator><creatorcontrib>Olsen, August A. ; Burgdorf, Stefan ; Bigler, Dennis Richard ; Siemsen, Mette ; Aasvang, Eske K. ; Goetze, Jens P. ; Svendsen, Morten Bo Søndergaard ; Svendsen, Lars Bo ; Achiam, Michael Patrick</creatorcontrib><description>The diagnosis of severe mesenteric traction syndrome (MTS) is based on assessing the developed degree of facial flushing. Only one validated objective diagnostic method, Laser Speckle Contrast Imaging (LSCI), exists. However, this method is sensitive to distance, motion, and angulation. Digital thermography is known to correlate well with LSCI without the same limitations, but has never been tested in relation to MTS. This study aimed to examine the thermographic changes during the development of severe MTS and to calculate a cut-off value for identifying severe MTS.
A prospective cohort study was performed on patients planned for open esophagectomy and pancreatic surgery from March 2021 to April 2022. All patients underwent continuous measurement on their forehead using LSCI and digital thermography during the first hour of surgery. The validated LSCI cut-off value was used to grade the severity of MTS. Blood samples and hemodynamics were collected at predefined time points.
Fifty-seven patients were included. Patients developing severe MTS had increased facial skin temperature 15 min (p = 0.002) and 30 min into surgery (p < 0.001). A cut-off value for identifying severe MTS using thermography was identified (35.55 °C, p < 0.001). Patients identified as developing severe MTS using this cut-off value had a higher level of prostacyclin (p = 0.001) and lower systemic vascular resistance (p < 0.001) 15 min into surgery, as compared with patients not developing severe MTS.
This study shows that digital thermography may complement LSCI in the objective identification of severe MTS.
[Display omitted]
•Patients with qsMTSL develop higher facial skin temperature during surgery.•Facial skin blood flow correlates with facial skin temperature.•Facial skin temperature correlates with hemodynamics 15 min into surgery.•qsMTST is associated with pronounced hemodynamic changes.•Digital thermography can be used to diagnose severe MTS.</description><identifier>ISSN: 0026-2862</identifier><identifier>ISSN: 1095-9319</identifier><identifier>EISSN: 1095-9319</identifier><identifier>DOI: 10.1016/j.mvr.2024.104690</identifier><identifier>PMID: 38670452</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Digital thermography ; Female ; Hemodynamics ; Humans ; Laser Speckle Contrast Imaging ; Male ; Mesenteric traction syndrome ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; Prostacyclin ; qsMTS ; Severity of Illness Index ; Splanchnic Circulation ; Surgery ; Thermography - methods</subject><ispartof>Microvascular research, 2024-07, Vol.154, p.104690, Article 104690</ispartof><rights>2024 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c348t-2d0a6fb19bceb0ded5abeca2fe4bb92a2d5842f6cb8a1251c0b376752d81cf6b3</cites><orcidid>0000-0002-6893-6863</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38670452$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Olsen, August A.</creatorcontrib><creatorcontrib>Burgdorf, Stefan</creatorcontrib><creatorcontrib>Bigler, Dennis Richard</creatorcontrib><creatorcontrib>Siemsen, Mette</creatorcontrib><creatorcontrib>Aasvang, Eske K.</creatorcontrib><creatorcontrib>Goetze, Jens P.</creatorcontrib><creatorcontrib>Svendsen, Morten Bo Søndergaard</creatorcontrib><creatorcontrib>Svendsen, Lars Bo</creatorcontrib><creatorcontrib>Achiam, Michael Patrick</creatorcontrib><title>Digital thermography complements Laser Speckle Contrast Imaging for the diagnosis of quantified severe mesenteric traction syndrome — A prospective cohort study</title><title>Microvascular research</title><addtitle>Microvasc Res</addtitle><description>The diagnosis of severe mesenteric traction syndrome (MTS) is based on assessing the developed degree of facial flushing. Only one validated objective diagnostic method, Laser Speckle Contrast Imaging (LSCI), exists. However, this method is sensitive to distance, motion, and angulation. Digital thermography is known to correlate well with LSCI without the same limitations, but has never been tested in relation to MTS. This study aimed to examine the thermographic changes during the development of severe MTS and to calculate a cut-off value for identifying severe MTS.
A prospective cohort study was performed on patients planned for open esophagectomy and pancreatic surgery from March 2021 to April 2022. All patients underwent continuous measurement on their forehead using LSCI and digital thermography during the first hour of surgery. The validated LSCI cut-off value was used to grade the severity of MTS. Blood samples and hemodynamics were collected at predefined time points.
Fifty-seven patients were included. Patients developing severe MTS had increased facial skin temperature 15 min (p = 0.002) and 30 min into surgery (p < 0.001). A cut-off value for identifying severe MTS using thermography was identified (35.55 °C, p < 0.001). Patients identified as developing severe MTS using this cut-off value had a higher level of prostacyclin (p = 0.001) and lower systemic vascular resistance (p < 0.001) 15 min into surgery, as compared with patients not developing severe MTS.
This study shows that digital thermography may complement LSCI in the objective identification of severe MTS.
[Display omitted]
•Patients with qsMTSL develop higher facial skin temperature during surgery.•Facial skin blood flow correlates with facial skin temperature.•Facial skin temperature correlates with hemodynamics 15 min into surgery.•qsMTST is associated with pronounced hemodynamic changes.•Digital thermography can be used to diagnose severe MTS.</description><subject>Adult</subject><subject>Aged</subject><subject>Digital thermography</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Laser Speckle Contrast Imaging</subject><subject>Male</subject><subject>Mesenteric traction syndrome</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Prostacyclin</subject><subject>qsMTS</subject><subject>Severity of Illness Index</subject><subject>Splanchnic Circulation</subject><subject>Surgery</subject><subject>Thermography - methods</subject><issn>0026-2862</issn><issn>1095-9319</issn><issn>1095-9319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kc2O0zAUhS0EYjoDD8AGeckmxXYSJxarUfmZkSqxANaWf25Slzju2E6l7ngInoBH40lw1YElqytL55x7rj-EXlGypoTyt_u1P8Y1I6wp74YL8gStKBFtJWoqnqIVIYxXrOfsCl2ntCeE0law5-iq7nlHmpat0K_3bnRZTTjvIPowRnXYnbAJ_jCBhzknvFUJIv5yAPN9ArwJc44qZXzv1ejmEQ8hnr3YOjXOIbmEw4AfFjVnNziwOMERImAPqaRBdAYXv8kuzDidZhuDB_z7x098iw8xpLIluyOUArsQM055sacX6NmgpgQvH-cN-vbxw9fNXbX9_Ol-c7utTN30uWKWKD5oKrQBTSzYVmkwig3QaC2YYrbtGzZwo3tFWUsN0XXHu5bZnpqB6_oGvbnkliIPC6QsvUsGpknNEJYka9J0ohaCd0VKL1JTOqcIgzxE51U8SUrkGY3cy4JGntHIC5rief0Yv2gP9p_jL4sieHcRQDny6CDKZBzMBqyL5VukDe4_8X8AeXSlhg</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Olsen, August A.</creator><creator>Burgdorf, Stefan</creator><creator>Bigler, Dennis Richard</creator><creator>Siemsen, Mette</creator><creator>Aasvang, Eske K.</creator><creator>Goetze, Jens P.</creator><creator>Svendsen, Morten Bo Søndergaard</creator><creator>Svendsen, Lars Bo</creator><creator>Achiam, Michael Patrick</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6893-6863</orcidid></search><sort><creationdate>202407</creationdate><title>Digital thermography complements Laser Speckle Contrast Imaging for the diagnosis of quantified severe mesenteric traction syndrome — A prospective cohort study</title><author>Olsen, August A. ; Burgdorf, Stefan ; Bigler, Dennis Richard ; Siemsen, Mette ; Aasvang, Eske K. ; Goetze, Jens P. ; Svendsen, Morten Bo Søndergaard ; Svendsen, Lars Bo ; Achiam, Michael Patrick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-2d0a6fb19bceb0ded5abeca2fe4bb92a2d5842f6cb8a1251c0b376752d81cf6b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Digital thermography</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Laser Speckle Contrast Imaging</topic><topic>Male</topic><topic>Mesenteric traction syndrome</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Prostacyclin</topic><topic>qsMTS</topic><topic>Severity of Illness Index</topic><topic>Splanchnic Circulation</topic><topic>Surgery</topic><topic>Thermography - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Olsen, August A.</creatorcontrib><creatorcontrib>Burgdorf, Stefan</creatorcontrib><creatorcontrib>Bigler, Dennis Richard</creatorcontrib><creatorcontrib>Siemsen, Mette</creatorcontrib><creatorcontrib>Aasvang, Eske K.</creatorcontrib><creatorcontrib>Goetze, Jens P.</creatorcontrib><creatorcontrib>Svendsen, Morten Bo Søndergaard</creatorcontrib><creatorcontrib>Svendsen, Lars Bo</creatorcontrib><creatorcontrib>Achiam, Michael Patrick</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Microvascular research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olsen, August A.</au><au>Burgdorf, Stefan</au><au>Bigler, Dennis Richard</au><au>Siemsen, Mette</au><au>Aasvang, Eske K.</au><au>Goetze, Jens P.</au><au>Svendsen, Morten Bo Søndergaard</au><au>Svendsen, Lars Bo</au><au>Achiam, Michael Patrick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Digital thermography complements Laser Speckle Contrast Imaging for the diagnosis of quantified severe mesenteric traction syndrome — A prospective cohort study</atitle><jtitle>Microvascular research</jtitle><addtitle>Microvasc Res</addtitle><date>2024-07</date><risdate>2024</risdate><volume>154</volume><spage>104690</spage><pages>104690-</pages><artnum>104690</artnum><issn>0026-2862</issn><issn>1095-9319</issn><eissn>1095-9319</eissn><abstract>The diagnosis of severe mesenteric traction syndrome (MTS) is based on assessing the developed degree of facial flushing. Only one validated objective diagnostic method, Laser Speckle Contrast Imaging (LSCI), exists. However, this method is sensitive to distance, motion, and angulation. Digital thermography is known to correlate well with LSCI without the same limitations, but has never been tested in relation to MTS. This study aimed to examine the thermographic changes during the development of severe MTS and to calculate a cut-off value for identifying severe MTS.
A prospective cohort study was performed on patients planned for open esophagectomy and pancreatic surgery from March 2021 to April 2022. All patients underwent continuous measurement on their forehead using LSCI and digital thermography during the first hour of surgery. The validated LSCI cut-off value was used to grade the severity of MTS. Blood samples and hemodynamics were collected at predefined time points.
Fifty-seven patients were included. Patients developing severe MTS had increased facial skin temperature 15 min (p = 0.002) and 30 min into surgery (p < 0.001). A cut-off value for identifying severe MTS using thermography was identified (35.55 °C, p < 0.001). Patients identified as developing severe MTS using this cut-off value had a higher level of prostacyclin (p = 0.001) and lower systemic vascular resistance (p < 0.001) 15 min into surgery, as compared with patients not developing severe MTS.
This study shows that digital thermography may complement LSCI in the objective identification of severe MTS.
[Display omitted]
•Patients with qsMTSL develop higher facial skin temperature during surgery.•Facial skin blood flow correlates with facial skin temperature.•Facial skin temperature correlates with hemodynamics 15 min into surgery.•qsMTST is associated with pronounced hemodynamic changes.•Digital thermography can be used to diagnose severe MTS.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38670452</pmid><doi>10.1016/j.mvr.2024.104690</doi><orcidid>https://orcid.org/0000-0002-6893-6863</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Microvascular research, 2024-07, Vol.154, p.104690, Article 104690 |
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| subjects | Adult Aged Digital thermography Female Hemodynamics Humans Laser Speckle Contrast Imaging Male Mesenteric traction syndrome Middle Aged Predictive Value of Tests Prospective Studies Prostacyclin qsMTS Severity of Illness Index Splanchnic Circulation Surgery Thermography - methods |
| title | Digital thermography complements Laser Speckle Contrast Imaging for the diagnosis of quantified severe mesenteric traction syndrome — A prospective cohort study |
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