Introduction Peripheral arterial disease (PAD) is a critical health concern affecting millions of people worldwide. Prompt and accurate diagnosis is essential to manage this disease effectively and to improve patient outcomes. While traditional diagnostic methods like computed tomography angiography (CTA) offer some insights, they often come with a higher cost, invasiveness, or exposure to radiation.... Continue Reading →
Does probe placement matter? Study results are in. #ActAgainstAmputation
Enhanced Prognosis: Stratifying TcPO2 Values in Foot Angiosomes for Predicting Diabetic Foot Ulcer Healing Diabetic Foot Ulcers (DFUs) stand as one of the formidable challenges faced by individuals with diabetes, often leading to a cascading array of complications. A crucial aspect of managing and healing DFUs lies in the timely and precise prognosis of ulcer... Continue Reading →
Combined evaluation of blood flow and tissue perfusion in diabetic feet by intra-arterial dynamic 4DCT imaging #ActAgainstAmputation #DiabeticFoot #Radiology
Fascinating continued work from our Belgian colleagues. Critical limb ischemia is associated with high mortality and major amputations. Intra-arterial digital subtraction angiography (IADSA) has been the reference standard but has some shortcomings including the two-dimensional projection and the lack of tissue perfusion information. The aim of this exploratory study is to examine four-dimensional computed tomography... Continue Reading →
Does the skin heat up before it breaks down in diabetic foot ulceration? @ALPSlimb #ActAgainstAmputation
Does the skin heat up before it breaks down in diabetic foot ulceration? Compelling and provocative work from our Dutch colleagues. They've published more on this important subject in the past few years than anyone and what we may be seeing is that, for some patients, thermometry may not be as accurate. While this idea... Continue Reading →
Accuracy of the pedal acceleration time to diagnose limb ischemia in patients with and without diabetes using the WIfI classification #ActAgainstAmputation @ALPSlimb
Accuracy of the pedal acceleration time to diagnose limb ischemia in patients with and without diabetes using the WIfI classification Excellent work from Castro-Santos and coworkers. Accuracy of the pedal acceleration time to diagnose limb ischemia in patients with and without diabetes using the WIfI classification Introduction: Evaluation of limb hemodynamics using the ankle–brachial index... Continue Reading →
Reliability of an AI-powered Application Across Different Mobile Devices for Assessment of Chronic Wounds ActAgainstAmputation #DiabeticFoot @ALPSlimb @USC @USC_vascular @ResearchatUSC @KeckSchool_USC
From our team led by super student Mark Swerdlow! Mark Swerdlow 1, Jessica Lo 2, David G Armstrong 3 Objective: Evaluate the inter- and intra-rater reliability of a wound assessment tool in iPhone 12 and 13 mini modalities against a validated iPad mini/Structure Sensor configuration. Approach: We assessed a wound measurement application (eKare inSight) for result consistency in patients presenting with wounds.... Continue Reading →
Use of Hyperspectral Imaging to Predict Healing of Diabetic Foot Ulceration #Diagnostics #Theragnostics #ActAgainstAmputation @ALPSlimb
This work by our colleagues from the Deaconess and Joslin constitutes another advance in the slow, steady march toward deriving an actionable value from hyperspectral imaging. Bottom line: Using oxyHb 50 as the cutof point to predict DFU complete healing, Visit 1 oxyHb measurement provided 85% sensitivity, 70% specificity, 50% positive predictive value and 93%... Continue Reading →
The Value of Infrared Thermography to Assess Foot and Limb Perfusion in Relation to Medical, Surgical, Exercise or Pharmacological Interventions in Peripheral Artery Disease: A Systematic Review
The Value of Infrared Thermography to Assess Foot and Limb Perfusion in Relation to Medical, Surgical, Exercise or Pharmacological Interventions in Peripheral Artery Disease Here is work from our Italian colleagues Piva and coworkers. Infrared thermography (IRT) is a promising imaging method in patients with peripheral artery disease (PAD). This systematic review aims to provide... Continue Reading →
Development of AI classification model for angiosome-wise interpretive substantiation of plantar feet thermal asymmetry in type 2 diabetic subjects using infrared thermograms #Thermography #ActAgainstAmputation #Diagnostic
From our colleagues in Chennai. Abstract Diabetic Foot Syndrome (DFS) is the prime impetus for most of the lower extremity complications among the diabetic subjects. DFS is characterized by aberrant variations in plantar foot temperature distribution while healthy subjects exhibit a symmetric thermal pattern between the contralateral and ipsilateral plantar feet. Thus, "asymmetry analysis" of... Continue Reading →
Evaluation of Glycologic Point-of-Care Infection Test Kit for Diabetic Foot Ulcers in Relation to Bacterial Presence: A Prospective Cohort Study #ActAgainstAmputation @JAPMAfeettweets
This from our colleagues in Carlisle, UK. We see more chairside/bedside diagnostics and theragnostics to help measure what we manage. Background: Point-of-care testing for infection might help podiatric physicians optimize management of diabetic foot ulcers (DFUs). Glycologic's proprietary GLYWD product has been developed to detect changes in a patient's immunologic/inflammatory response related to wound infection. We... Continue Reading →