DOI QR코드

DOI QR Code

The Cut Off Values for Diagnosing Hot flashes by Using Digital Infrared Thermographic Imaging

적외선 체열 촬영을 이용한 안면홍조 진단의 절단값 산정

  • Jo, Jun-Young (Dept. of Korean Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Hwang, Deok-Sang (Dept. of Korean Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Lee, Chang-Hoon (Dept. of Korean Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Jang, Jun-Bock (Dept. of Korean Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Lee, Kyung-Sub (Dept. of Korean Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Lee, Jin-Moo (Dept. of Korean Gynecology, College of Korean Medicine, Kyung-Hee University)
  • 조준영 (경희대학교 한의과대학 한방부인과교실) ;
  • 황덕상 (경희대학교 한의과대학 한방부인과교실) ;
  • 이창훈 (경희대학교 한의과대학 한방부인과교실) ;
  • 장준복 (경희대학교 한의과대학 한방부인과교실) ;
  • 이경섭 (경희대학교 한의과대학 한방부인과교실) ;
  • 이진무 (경희대학교 한의과대학 한방부인과교실)
  • Received : 2013.07.25
  • Accepted : 2013.08.19
  • Published : 2013.08.30

Abstract

Objectives: The purpose of this study is to find diagnostic points and define the cut off values of hot flashes by using digital infrared thermographic imaging. Methods: Thermographic images of 75 patients with hot flashes (HF, n=35) and non-hot flashes (NHF, n=40) were retrospectively reviewed. We used the temperature difference between Ex-HN3 and CV17, LU4, CV12, CV4 for diagnosing hot flashes. The temperature differences of between two groups were analysed using independent samples t-tests. The cut off values were calculated by received operating characteristic curve analysis. Analyses were undertaken using SPSS version 17.0. and p-value of <0.05 was considered significant. Results: The temperature difference Ex-HN3 and LU4 were the most significantly different between groups (p<0.001). Using receiver operating characteristic curve analysis, the sensitivity, specificity, and area under the curve were 65.7%, 72.5%, 0.729, respectively. The optimum cut off value was defined as $1.00^{\circ}C$. Conclusions: These results suggest that the digital infrared thermographic imaging is a reliable instrument for estimating hot flashes.

Keywords

References

  1. North American Menopause Society. Treatment of menopause-associated vasomotor symptoms: position statement of The North American Menopause Society. Menopause. 2004;11(1):11-33. https://doi.org/10.1097/01.GME.0000108177.85442.71
  2. 김민정, 김장흡. 폐경기 열성홍조-얼마나 지속될 것인가?. 대한폐경학회지. 2009;15(2):73-8.
  3. National Institutes of Health State -of-the-Science Panel. National Institutes of Health Stateof-the-Science Conference statement: management of menopause related symptoms. Ann Intern Med. 2005;142:1003-13. https://doi.org/10.7326/0003-4819-142-12_Part_1-200506210-00117
  4. 최 훈, 이홍균, 박형무. 한국 폐경여성의 폐경에 대한 인식도 조사. 대한폐경학회지. 2003;9(1):36-43.
  5. Tice JA, et al. Phytoestrogen supplements for the treatment of hot flashes: the Isoflavone Clover Extract(ICE) Study: a randomized controlled trial. JAMA. 2003;290(2):207-14. https://doi.org/10.1001/jama.290.2.207
  6. Takarangi MK, Garry M, Loftus EF. Dear diary, is plastic better than paper? I can't remember: Comment on Green, Rafaeli, Bolger, Shrout, and Reis(2006). Psychol Methods. 2006;11(1):119-22. https://doi.org/10.1037/1082-989X.11.1.119
  7. Stone AA, et al. Patient compliance with paper and electronic diaries. Control Clin Trials. 2003;24(2):182-99. https://doi.org/10.1016/S0197-2456(02)00320-3
  8. 김건형 등. 갱년 및 폐경 후 여성의 안면홍조에 대한 침 치료 다기관 임상연구 : 수행보고 및 방법론적 교훈. 대한한방부인과학회지. 2010;23(1):42-52.
  9. Miller HG, Li RM. Measuring hot flashes: summary of a National Institutes of Health workshop. Mayo Clin Proc. 2004;79(6):777-81. https://doi.org/10.1016/S0025-6196(11)62631-1
  10. Meldrum DR, et al. Elevations in skin temperature of the finger as an objective index of postmenopausal hot flashes: standardization of the technique. Am J Obstet Gynecol. 1979;135(6):713-7. https://doi.org/10.1016/0002-9378(79)90380-6
  11. Mann E, Hunter MS. Concordance between self-reported and sternal skin conductance measures of hot flashes in symptomatic perimenopausal and postmenopausal women: a systematic review. Menopause. 2011;18(6):709-22. https://doi.org/10.1097/gme.0b013e318204a1fb
  12. 김형준, 임강현, 김명희. 갱년기 여성안면홍조의 주관적 측정과 객관적 측정의 상관성. 대한간호학회지. 2010; 40(6):765-74.
  13. 안규범, 윤창열. 적외선 체열 영상을 이용한 안면망진법의 유용성 연구. 대한한의진단학회지. 2001;5(1):112-22.
  14. 김로사 등. DITI를 이용한 갱년기 환자의 체열분포 양상. 대한한방부인과학회지. 2001;14(3):58-69.
  15. 황재호 등. 폐경기 여성의 체온분포와 HRV에 관한 연구. 대한한방부인과학회지. 2005;18(4):136-43.
  16. 허자경, 이창훈, 이경섭. 갱년기 증상을 호소하는 여성들의 적외선 체열영상 유형에 대한 연구. 대한한방부인과학회지. 2009;22(3):143-51.
  17. 김흥수 등. 홍삼 투여가 갱년기 여성의 안면홍조에 미치는 영향. 대한한방부인과학회지. 2009;22(2):132-9.
  18. Deecher DC, Dorries K. Understanding the pathophysiology of vasomotor symptoms(hot flashes and night sweats) that occur in perimenopause, menopause, and postmenopause life stages. Arch Womens Ment Health. 2007;10(6): 247-57. https://doi.org/10.1007/s00737-007-0209-5
  19. Freedman RR. Biochemical, metabolic, and vascular mechanisms in menopausal hot flashes. Fertil Steril. 1998;70(2): 332-7. https://doi.org/10.1016/S0015-0282(98)00137-X
  20. 박영재, 박영배. Thermography의 한의학적 임상응용에 관하여. 대한한의진단학회지. 2000;4(1):43-50.
  21. Pauling JD, et al. Influence of the cold challenge on the discriminatory capacity of the digital distal-dorsal difference in the thermographic assessment of Raynaud's phenomenon. Microvasc Res. 2011;82(3):364-8. https://doi.org/10.1016/j.mvr.2011.03.007
  22. Swets JA. Measuring the accuracy of diagnostic systems. Science. 1988; 240:1285-93. https://doi.org/10.1126/science.3287615
  23. Greiner M, Pfeiffer D, Smith RD. Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Prev Vet Med. 2000;45:23-41. https://doi.org/10.1016/S0167-5877(00)00115-X
  24. Thurston RC, et al. Abdominal adiposity and hot flashes among midlife women. Menopause. 2008;15(3):429-34. https://doi.org/10.1097/gme.0b013e31815879cf
  25. Thurston RC, Santoro N, Matthews KA. Adiposity and hot flashes in midlife women: a modifying role of age. J Clin Endocrinol Metab. 2011; 96(10):E1588-95. https://doi.org/10.1210/jc.2011-1082

Cited by

  1. 일개 한방병원에 내원한 갱년기 여성의 연령에 따른 적외선체열분포(DITI)와 Kupperman’s Index(KI), Menopause Rating Scale(MRS)간의 상관성 연구 vol.28, pp.4, 2015, https://doi.org/10.15204/jkobgy.2015.28.4.057
  2. 갱년기장애 및 폐경기후증후군 한의표준임상진료지침 개발을 위한 한의사의 인식과 치료에 관한 실태조사 vol.30, pp.4, 2013, https://doi.org/10.15204/jkobgy.2017.30.4.135
  3. 갱년기 여성의 안면홍조 증상에 대한 국내 한의학 연구 동향 분석 vol.33, pp.1, 2013, https://doi.org/10.15204/jkobgy.2020.33.1.086
  4. 한방여성의학 영역에서 진단 도구로 적외선 체열 검사(Digital Infrared Thermal Imaging, DITI)를 활용한 국내 연구 동향 분석 vol.33, pp.3, 2013, https://doi.org/10.15204/jkobgy.2020.33.3.080