Tuberculine reaction measured by infrared thermography

Comput Methods Programs Biomed. 2015 Nov;122(2):199-206. doi: 10.1016/j.cmpb.2015.08.009. Epub 2015 Aug 24.

Abstract

Setting: The infection with Mycobacterium tuberculosis gives a delayed immune response, measured by the tuberculine skin test. We present a new technique for evaluation based on automatic detection and measurement of skin temperature due to infrared emission.

Design: 34 subjects (46.8±16.9 years) (12/22, M/F) with suspected tuberculosis disease were examined with an IR thermal camera, 48 h after tuberculin skin injection.

Results: In 20 subjects, IR analysis was positive for tuberculine test. Mean temperature of injection area was higher, around 1°C, for the positive group (36.2±1.1°C positive group; 35.1±1.6°C negative group, p<0.02 T test for unpaired groups).

Conclusion: IR image analysis achieves similar estimation of tuberculin reaction as the visual evaluation, based on higher temperature due to increased heat radiation from the skin lesion.

Keywords: Image processing; Infrared thermography; Tuberculine test.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Algorithms
  • Female
  • Humans
  • Indicators and Reagents
  • Infrared Rays
  • Male
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Skin Temperature / drug effects
  • Skin Temperature / immunology*
  • Spectrophotometry, Infrared / methods
  • Thermography / methods*
  • Tuberculin Test / methods*
  • Tuberculin*
  • Tuberculosis / diagnosis
  • Tuberculosis / immunology*

Substances

  • Indicators and Reagents
  • Tuberculin