Thermometry

测温
  • 文章类型: Journal Article
    最近对经颅MR成像引导的聚焦超声程序的兴趣越来越大。这些无切口手术能够使用通过MR测温法的实时监测对脑组织进行精确的局部消融。本文将对质子共振频率MR测温的临床适用技术基础和注意事项进行最新综述,临床上最常用的MR测温序列。
    Interest in transcranial MR imaging-guided focused ultrasound procedures has recently grown. These incisionless procedures enable precise focal ablation of brain tissue using real-time monitoring by MR thermometry. This article will provide an updated review on clinically applicable technical underpinnings and considerations of proton resonance frequency MR thermometry, the most common clinically used MR thermometry sequence.
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  • 文章类型: Journal Article
    发光测温法已经成为一种用于远程温度测量的非常通用的光学技术,具有从低温到2000K的广泛适用性。该技术已在许多学科中得到广泛利用。在过去的三十年里,在发光测温领域有了显著的增长。这种增长伴随着温度读出程序的发展,为非常敏感的温度探针创造发光材料,和理论理解的进步。这篇评论文章主要集中在发光测温领域中使用的发光纳米粒子。在本文中,我们提供了有关利用镧系元素和过渡金属纳米磷光体的最新文献的全面调查,半导体量子点,聚合物纳米颗粒,碳点,和用于发光测温的纳米金刚石。此外,我们就纳米粒子与传统粒子相比的好处和局限性进行了讨论,用于发光测温的微型探针。
    Luminescence thermometry has emerged as a very versatile optical technique for remote temperature measurements, exhibiting a wide range of applicability spanning from cryogenic temperatures to 2000 K. This technology has found extensive utilization across many disciplines. In the last thirty years, there has been significant growth in the field of luminous thermometry. This growth has been accompanied by the development of temperature read-out procedures, the creation of luminescent materials for very sensitive temperature probes, and advancements in theoretical understanding. This review article primarily centers on luminescent nanoparticles employed in the field of luminescence thermometry. In this paper, we provide a comprehensive survey of the recent literature pertaining to the utilization of lanthanide and transition metal nanophosphors, semiconductor quantum dots, polymer nanoparticles, carbon dots, and nanodiamonds for luminescence thermometry. In addition, we engage in a discussion regarding the benefits and limitations of nanoparticles in comparison with conventional, microsized probes for their application in luminescent thermometry.
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  • 文章类型: Journal Article
    多年来,用于疼痛的神经外科消融程序已发生了巨大变化。与它们的前体相比,由于设备工程和成像技术的进步,目前的技术侵入性更小,更精确。从临床的角度来看,了解现代技术的优点和缺点是必要的,以优化患者的结果。在这次审查中,我们概述了用于治疗疼痛的主要当代神经消融模式/技术。我们将在术中监测需求方面相互比较和对比这些模式,侵入性,访问范围,和病变的产生。最后,鉴于用于控制疼痛的神经调节方案的出现,我们将对神经消融的未来进行简要评论.
    Neurosurgical ablative procedures for pain have dramatically transformed over the years. Compared to their precursors, present day techniques are less invasive and more precise as a result of advances in both device engineering and imaging technology. From a clinical perspective, understanding the strengths and drawbacks of modern techniques is necessary to optimize patient outcomes. In this review, we provide an overview of the major contemporary neuroablative modalities/technologies used for treating pain. We will compare and contrast these modalities from one another with respect to their intraoperative monitoring needs, invasiveness, range of access, and lesion generation. Finally, we will provide a brief commentary on the future of neuroablation given the advent of neuromodulation options for pain control.
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  • 文章类型: Journal Article
    在过去的几十年中,测温技术已被广泛开发,以分析各种流体流的热特性。随着人们对微流体应用的兴趣日益增加,这些技术中的大多数已经适应了微观尺度,并且出现了一些新的实验方法。在过去的几年里,由于各种令人兴奋的新应用,对气体微流进行详细实验分析的需求急剧增长。不幸的是,还没有很好地开发用于在微观尺度上分析气体流动的测温法。因此,本综述旨在分析目前适用于微流的主要测温技术。在对这些技术进行快速介绍和分类之后,这次审查的重点是光学技术,最适合微型应用。他们的演讲之后是关于它们对气体微流的适用性的讨论,尤其是在有限的条件下,提出了当前需要克服的挑战。由于拉曼和分子标记测温技术的高潜力和低侵入性,因此专门用于拉曼和分子标记测温技术。
    Thermometry techniques have been widely developed during the last decades to analyze thermal properties of various fluid flows. Following the increasing interest for microfluidic applications, most of these techniques have been adapted to the microscale and some new experimental approaches have emerged. In the last years, the need for a detailed experimental analysis of gaseous microflows has drastically grown due to a variety of exciting new applications. Unfortunately, thermometry is not yet well developed for analyzing gas flows at the microscale. Thus, the present review aims at analyzing the main currently available thermometry techniques adapted to microflows. Following a rapid presentation and classification of these techniques, the review is focused on optical techniques, which are the most suited for application at microscale. Their presentation is followed by a discussion about their applicability to gas microflows, especially in confined conditions, and the current challenges to be overcome are presented. A special place is dedicated to Raman and molecular tagging thermometry techniques due to their high potential and low intrusiveness.
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  • 文章类型: Journal Article
    在照明的新时代,发光二极管(LED)已被证明是最有效的替代传统光源。然而,与其他照明系统相比,LED在低温下工作,而结温(Tj)是决定其寿命的主要因素之一,可靠性,和性能。这表明LED温度的精确测量对于更好地了解系统上的热效应并提高性能非常重要。多年来,已经开发了各种Tj测量技术,随着技术和科学的进步,现有的方法在许多方面得到了改进。相应地,为了解决治理现象,好处,缺点,可能性,和应用,涵盖了广泛的测量技术和系统。本文包括大量已发表的关于LED结温测量方法的研究,并给出了文献中使用的实验参数的摘要作为参考。此外,讨论并介绍了非理想热校准过程中注意到的一些校正。最后,方法之间的比较将为读者提供对主题和未来研究方向的更好了解。
    In the new age of illumination, light emitting diodes (LEDs) have been proven to be the most efficient alternative to conventional light sources. Yet, in comparison to other lighting systems, LEDs operate at low temperatures while junction temperature (Tj) is is among the main factors dictating their lifespan, reliability, and performance. This indicates that accurate measurement of LED temperature is of great importance to better understand the thermal effects over a system and improve performance. Over the years, various Tj measurement techniques have been developed, and existing methods have been improved in many ways with technological and scientific advancements. Correspondingly, in order to address the governing phenomena, benefits, drawbacks, possibilities, and applications, a wide range of measurement techniques and systems are covered. This paper comprises a large number of published studies on junction temperature measurement approaches for LEDs, and a summary of the experimental parameters employed in the literature are given as a reference. In addition, some of the corrections noted in non-ideal thermal calibration processes are discussed and presented. Finally, a comparison between methods will provide the readers a better insight into the topic and direction for future research.
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  • 文章类型: Journal Article
    解释研究热剂量参数的热疗研究报告的扩散和不确定信息的挑战仍有待解决。在本次审查中,我们调查了大量表征热疗治疗的技术和临床参数,以更好地理解和提高在临床研究中检测热剂量效应关系的可能性.我们进行了系统的文献综述,以获得热疗临床研究,研究温度和热剂量参数与治疗结果或急性毒性的关系。检索了不同的热疗特征,并评估了它们对温度和热剂量参数的影响。在文学中,我们发现了48篇研究热剂量效应关系的文章.这些包括总共4107名具有不同肿瘤病理的患者。热剂量和治疗结果之间的关联是90%的文章的研究终点,而热剂量和毒性之间的相关性在50%的文章中进行了研究。63%的研究报告了温度相关参数与治疗结果之间的显着关联。而15%的研究报告了温度相关参数和毒性之间的关系。一个明显的进展困难是,研究往往忽略了有关临床治疗的基本信息,在调查的不同特征中,测温细节很少且有不同的报道。为了克服这一点,我们提出了在临床热疗治疗中应报告的术语和特征的明确定义.一致的数据报告将允许它们用于进一步继续寻求热剂量效应关系。
    The challenge to explain the diffuse and unconclusive message reported by hyperthermia studies investigating the thermal dose parameter is still to be unravelled. In the present review, we investigated a wide range of technical and clinical parameters characterising hyperthermia treatment to better understand and improve the probability of detecting a thermal dose effect relationship in clinical studies. We performed a systematic literature review to obtain hyperthermia clinical studies investigating the associations of temperature and thermal dose parameters with treatment outcome or acute toxicity. Different hyperthermia characteristics were retrieved, and their influence on temperature and thermal dose parameters was assessed. In the literature, we found forty-eight articles investigating thermal dose effect relationships. These comprised a total of 4107 patients with different tumour pathologies. The association between thermal dose and treatment outcome was the investigated endpoint in 90% of the articles, while the correlation between thermal dose and toxicity was investigated in 50% of the articles. Significant associations between temperature-related parameters and treatment outcome were reported in 63% of the studies, while those between temperature-related parameters and toxicity were reported in 15% of the studies. One clear difficulty for advancement is that studies often omitted fundamental information regarding the clinical treatment, and among the different characteristics investigated, thermometry details were seldom and divergently reported. To overcome this, we propose a clear definition of the terms and characteristics that should be reported in clinical hyperthermia treatments. A consistent report of data will allow their use to further continue the quest for thermal dose effect relationships.
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  • 文章类型: Journal Article
    经皮热疗法是一些实体瘤的重要临床治疗方法。使用有效的图像可视化技术来实时监测治疗过程至关重要,因为治疗区的精确控制直接影响肿瘤治疗的预后。超声用于热疗监测,因为它的实时性,非侵入性,非电离辐射,和低成本的特点。本文介绍了自2011年以来,九种基于定量超声的热疗监测方法及其在过去十年中的进展。针对两种应用对这些方法进行了分析和比较:超声测温和消融区识别。比较和讨论了这些方法的优点和局限性。并提出了未来的发展建议。
    Percutaneous thermal therapy is an important clinical treatment method for some solid tumors. It is critical to use effective image visualization techniques to monitor the therapy process in real time because precise control of the therapeutic zone directly affects the prognosis of tumor treatment. Ultrasound is used in thermal therapy monitoring because of its real-time, non-invasive, non-ionizing radiation, and low-cost characteristics. This paper presents a review of nine quantitative ultrasound-based methods for thermal therapy monitoring and their advances over the last decade since 2011. These methods were analyzed and compared with respect to two applications: ultrasonic thermometry and ablation zone identification. The advantages and limitations of these methods were compared and discussed, and future developments were suggested.
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  • 文章类型: Journal Article
    OBJECTIVE: to analyze the effect of cutaneous foot thermometry in people with Diabetes Mellitus, compared with the standard prevention of foot ulcers adopted in these patients.
    METHODS: a systematic review with meta-analysis. Protocol registered with PROSPERO (CRD42020202686). The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were followed. The search was performed in the following data sources: SCOPUS, Web of Science, MEDLINE via PubMed, MEDLINE via EBSCO, MEDLINE via Biblioteca Virtual em Saúde, Embase, CINAHL, Cochrane Library, LILACS via Biblioteca Virtual em Saúde, Google Scholar, Biblioteca Digital Brasileira de Teses e Dissertações, Catálogo de Teses & Dissertações-Capes, Open Grey and ProQuest Dissertations and Theses. The risk of bias was assessed by the Cochrane Collaboration Risk of Bias Tool (RoB 2), the meta-analysis was performed in the Review Manager 5.4 software and the Certainty of evidence in the Grading of Recommendations Assessment, Development and Evaluation system.
    RESULTS: of the 670 records, five articles were eligible. The meta-analysis was calculated for the prevention of the incidence of diabetic foot ulcers outcome, with effect summarization (RR 0.53; 95%CI 0.29-0.96; p=0.02), with certainty of moderate evidence.
    CONCLUSIONS: thermometry showed a protective effect on the incidence of diabetic foot ulcers when compared to standard foot care.
    OBJECTIVE: analisar o efeito da termometria podálica cutânea em pessoas com diabetes mellitus, comparado com prevenção padrão de úlceras podálicas adotada nesses pacientes.
    UNASSIGNED: revisão sistemática com metanálise. Protocolo registrado na PROSPERO (CRD42020202686). Foram seguidas as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Busca realizada nas fontes de dados: SCOPUS, Web of Science, MEDLINE via PubMed, MEDLINE via EBSCO, MEDLINE via Biblioteca Virtual em Saúde, Embase, CINAHL, Cochrane Library, LILACS via Biblioteca Virtual em Saúde, Google Scholar, Biblioteca Digital Brasileira de Teses e Dissertações, Catálogo de Teses & Dissertações-Capes, Open Grey e ProQuest Dissertations and Theses. O risco de viés foi avaliado pela Cochrane Collaboration Risk of Bias Tool (RoB 2), a metanálise no software Review Manager 5.4 e a Certeza da evidência no sistema Grading of Recommendations Assessment, Development and Evaluation.
    RESULTS: dos 670 registros, cinco artigos eram elegíveis. A metanálise foi calculada para o desfecho prevenção da incidência de úlceras de pé diabético, com sumarização de efeito (RR 0,53; IC95% 0,29, 0,96; p=0,02), com certeza da evidência moderada.
    UNASSIGNED: a termometria mostrou efeito protetor na incidência de úlceras de pé diabético, se comparada ao cuidado podálico padrão.
    OBJECTIVE: analizar el efecto de la termometría cutánea del pie en personas con diabetes mellitus, en comparación con la prevención estándar de las úlceras del pie adoptada en estos pacientes.
    UNASSIGNED: revisión sistemática con metaanálisis. Protocolo registrado en PROSPERO (CRD42020202686). Se siguieron las recomendaciones de Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). La búsqueda se realizó en las fuentes de datos: SCOPUS, Web of Science, MEDLINE a través de PubMed, MEDLINE a través de EBSCO, MEDLINE a través de la Biblioteca Virtual en Salud, Embase, CINAHL, Cochrane Library, LILACS a través de la Biblioteca Virtual en Salud, Google Scholar, Biblioteca Digital Brasileña de Tesis y Disertaciones, Catálogo de Tesis y Disertaciones-Capes, Open Grey y ProQuest Dissertations and Theses. El riesgo de sesgo se evaluó mediante la Cochrane Collaboration Risk of Bias Tool (RoB 2), el metaanálisis se realizó con el software Review Manager 5.4 y la certeza de la evidencia se evaluó mediante el sistema Grading of Recommendations Assessment, Development and Evaluation.
    RESULTS: de los 670 registros, cinco artículos fueron elegibles. El metaanálisis se calculó para el resultado prevención de la incidencia de úlceras del pie diabético, con sumarización del efecto (RR 0,53; IC95% 0,29, 0,96; p=0,02), con certeza de evidencia moderada.
    UNASSIGNED: la termometría mostró un efecto protector sobre la incidencia de úlceras del pie diabético en comparación con el cuidado estándar del pie.
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  • 文章类型: Journal Article
    背景:患有脊髓损伤(SCI)的运动员由于其较低的出汗能力和皮肤血管舒张而在运动过程中难以维持热稳态。皮肤温度(Tsk)评估,与核心温度相反,由于其非侵入性,已被广泛接受。这项系统评价的目的是整理在运动期间或之后测量SCI个体Tsk的研究研究,研究他们的Tsk反应,考虑到所采用的方法,环境和锻炼条件,并确定运动过程中不同的降温策略及其效果。
    方法:发布,搜索了WebofScience和Scopus数据库,以识别自2000年以来发表的文章。两名独立工作的审阅者提取了数据并评估了所包含文章的质量。如果他们不同意,咨询了第三位审稿人。ROBINS-I量表用于评估文章的质量,审查是根据PRISMA指南进行的。
    结果:本综述纳入了20项研究。84%的人表现中等,严重或严重的偏见风险。整个研究在运动期间评估了Tsk,但是只有七项研究在休息或运动后测量了它。18项研究使用接触测温法评估Tsk,其余两项研究使用非接触技术。七项研究在温暖条件下(>31.5°C)进行,其余研究在中等条件下(10°C至26.6°C)进行。根据冷却策略,冰背心和喷水可有效减少Tsk并降低中暑的风险。
    结论:90%的研究采用了接触测温法,由于它们在评估数据中的作用,由于其特征的差异,有必要使用红外热成像技术对SCI人群进行更多的研究,方法论,和应用。研究之间的方法学差异使得难以进行荟萃分析。
    BACKGROUND: Athletes with spinal cord injury (SCI) have difficulties in maintaining thermal homeostasis during exercise due to their lower sweat capacity and skin vasodilation. Skin temperature (Tsk) assessment, as opposed to core temperature, has become more widely accepted due to its non-invasive nature. The aims of this systematic review was to collate research studies that measured Tsk of individuals with SCI during or after exercise, study their Tsk response, taking into account the method employed, the environmental and exercise conditions, and to identify the different cooling strategies and their effect during exercise.
    METHODS: Pubmed, Web of Science and Scopus databases were searched to identify the articles published since year 2000. Two reviewers working independently extracted data and assessed the quality of the articles included. If they disagreed, a third reviewer was consulted. ROBINS-I scale was used to assess the quality of the articles, and the review has been conducted in agreement with PRISMA guidelines.
    RESULTS: Twenty studies were included in this review. 84% of them presented moderate, serious or critical risk of bias. The entire of the studies assessed Tsk during exercise, but only seven studies measured it during rest or after exercise. Eighteen studies used contact thermometry to assess Tsk and the two remaining studies employed non-contact techniques. Seven studies were conducted in warm conditions (>31.5°C) and the remaining studies in moderate conditions (10°C to 26.6°C). According to cooling strategies, ice vests and water spray are effective in reducing Tsk and decreasing the risk of heat stroke.
    CONCLUSIONS: The 90% of the studies applied contact thermometry and due to their effect in the data assessed, it is necessary more research into the SCI population using infrared thermography due to its differences in characteristics, methodology, and applications. The methodological differences among studies make difficult to perform a meta-analysis.
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  • 文章类型: Journal Article
    核心体温测量-临床测温-在围手术期护理期间为麻醉师提供关键信息。该信息的值由所使用的测量设备的精度确定。尽管存在诸如手术室温度和患者体温调节防御等外部影响,但必须保持这种准确性。目前,围手术期温度计利用侵入性测量部位。COVID-19大流行的公共卫生挑战,然而,强调了非侵入性的使用,非接触式红外温度计。本文的目的是回顾围手术期护理中常用的现有温度计,他们的行动机制,准确度,与大流行期间用于人群筛查的红外非接触式测温法相比,实用性强。目前的证据表明,接触式测温法的准确性和实用性取决于测量地点以及使用之间的灭菌或处置方法。尽管作为非侵入性和非接触式设备的好处,用于人群温度筛查的红外测温法缺乏围手术期医学所需的准确性。不准确可能是不受控制的外部温度的结果,患者在测量前的行为,病人和体温计之间的距离,以及不同的测量地点。建议重新评估非接触式测温,需要在更受控的环境中进行新的研究。
    Measurement of core body temperature-clinical thermometry-provides critical information to anaesthetists during perioperative care. The value of this information is determined by the accuracy of the measurement device used. This accuracy must be maintained despite external influences such as the operating room temperature and the patient\'s thermoregulatory defence. Presently, perioperative thermometers utilise invasive measurement sites. The public health challenge of the COVID-19 pandemic, however, has highlighted the use of non-invasive, non-contact infrared thermometers. The aim of this article is to review common existing thermometers used in perioperative care, their mechanisms of action, accuracy, and practicality in comparison to infrared non-contact thermometry used for population screening during a pandemic. Evidence currently shows that contact thermometry varies in accuracy and practicality depending on the site of measurements and the method of sterilisation or disposal between uses. Despite the benefits of being a non-invasive and non-contact device, infrared thermometry used for population temperature screening lacks the accuracy required in perioperative medicine. Inaccuracy may be a consequence of uncontrolled external temperatures, the patient\'s actions prior to measurement, distance between the patient and the thermometer, and the different sites of measurement. A re-evaluation of non-contact thermometry is recommended, requiring new studies in more controlled environments.
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