Korean J Pain.  2009 Aug;22(2):146-150. 10.3344/kjp.2009.22.2.146.

Comparison of the Diagnostic Validity of Real and Absolute Skin Temperature Differences for Complex Regional Pain Syndrome

• Nahm FS
• Lee PB
• Park SY
• Kim YC
• Lee SC

• KMID: 1770507
• DOI: http://doi.org/10.3344/kjp.2009.22.2.146

Abstract

BACKGROUND
A skin temperature difference is one of the variables used in the diagnosis of complex regional pain syndrome. However, there have been no reports as to whether the real (DeltaT) or absolute value (|DeltaT|) of skin temperature differences should be used in the diagnosis of complex regional pain syndrome. This study was conducted to compare the diagnostic validity of DeltaT with |DeltaT| for complex regional pain syndrome using receiver operating characteristic curves (ROC). METHODS: Infrared thermographic images were obtained from the 144 patients who were suspected to have CRPS in a unilateral limb. After DeltaT and |DeltaT| calculation from the thermographic image, ROCs of DeltaT and |DeltaT| were developed, and the areas under the curve (AUC) for the ROC curves were compared. RESULTS: AUCs of DeltaT and |DeltaT| were 0.520 and 0.746 respectively, this difference was statistically significant (P < 0.001). CONCLUSIONS: Absolute skin temperature difference shows greater validity in the diagnosis of CRPS than DeltaT. Therefore, |DeltaT| is more useful when comparing the skin temperature of CRPS patients.

Keyword

complex regional pain syndrome; diagnostic imaging; receiver operating characteristic curve; thermography

MeSH Terms

Area Under Curve
Diagnostic Imaging
Extremities
Humans
ROC Curve
Skin
Skin Temperature
Thermography