A Traceable Spectral Radiation Model of Radiation Thermometry

Featured ApplicationRadiation thermometry of real objects under real conditions.Despite great technical capabilities, the theory of non-contact temperature measurement is usually not fully applicable to the use of measuring instruments in practice. While black body calibrations and black body radiation thermometry (BBRT) are in practice well established and easy to accomplish, this calibration protocol is never fully applicable to measurements of real objects under real conditions. Currently, the best approximation to real-world radiation thermometry is grey body radiation thermometry (GBRT), which is supported by most measuring instruments to date. Nevertheless, the metrological requirements necessitate traceability;therefore, real body radiation thermometry (RBRT) method is required for temperature measurements of real bodies. This article documents the current state of temperature calculation algorithms for radiation thermometers and the creation of a traceable model for radiation thermometry of real bodies that uses an inverse model of the system of measurement to compensate for the loss of data caused by spectral integration, which occurs when thermal radiation is absorbed on the active surface of the sensor. To solve this problem, a hybrid model is proposed in which the spectral input parameters are converted to scalar inputs of a traditional scalar inverse model for GBRT. The method for calculating effective parameters, which corresponds to a system of measurement, is proposed and verified with the theoretical simulation model of non-contact thermometry. The sum of effective instrumental parameters is presented for different temperatures to show that the rule of GBRT, according to which the sum of instrumental emissivity and instrumental reflectivity is equal to 1, does not apply to RBRT. Using the derived models of radiation thermometry, the uncertainty of radiation thermometry due to the uncertainty of spectral emissivity was analysed by simulated worst-case measurements through temperature ranges of various radiation thermometers. This newly developed model for RBRT with known uncertainty of measurement enables traceable measurements using radiation thermometry under any conditions.

Clinical accuracy of infrared temperature measurement devices: a comparison against non-invasive core-body temperature.

During the coronavirus 2019 (COVID-19) pandemic, the implementation of non-contact infrared thermometry (NCIT) became an increasingly popular method of screening body temperature. However, data on the accuracy of these devices and the standardisation of their use are limited. In the current study, the body temperature of non-febrile volunteers was measured using infrared (IR) thermography, IR tympanic thermometry and IR gun thermometry at different facial feature locations and distances and compared with SpotOn core-body temperature. Poor agreement was found between all IR devices and SpotOn measurements (intra-class correlation coefficient <0.8). Bland-Alman analysis showed the narrowest limits of agreement with the IR gun at 3 cm from the forehead (bias = 0.19°C, limits of agreement (LOA): -0.58°C to 0.97°C) and widest with the IR gun at the nose (bias = 1.40°C, LOA: -1.15°C to 3.94°C). Thus, our findings challenge the established use of IR thermometry devices within hospital settings without adequate standard operating procedures to reduce operator error.

Assessment of Alternative Body Points for Temperature Screening As Precautionary Screening During the Pandemic Using Infrared Thermometry.

BACKGROUND: The recent coronavirus disease 2019 (COVID-19) pandemic, which swept across the globe in a short period, demonstrated that disease transmission management is a critical step in preventing an outbreak, as is good viral infectious disease screening. Infrared thermography (IRT) has long been considered ideal for screening body temperatures during pandemics. METHODS: Single-centre cross-sectional study with 159 participants. Using infrared thermometry, participants were subjected to temperature measurement twice daily on various sites. This was compared to oral temperature. RESULTS: The findings of the study revealed that infrared thermometry could be utilised as a proxy approach for screening by both individuals and medical professionals when employed at the glabella, cubits, or axillae. CONCLUSION:  Temperature screening is implied as a prophylactic method during pandemics. Owing to contact limitations, oral thermometry cannot be used for mass screening during the pandemic. Infrared thermometry is a noncontact method of temperature screening that can readily be applied for mass temperature screening in congested venues such as airports, shopping malls, places of public convenience, and other similar locations.

Measurements of natural airflow within a Stevenson screen and its influence on air temperature and humidity records

Climate science depends upon accurate measurements of air temperature and humidity, the majority of which are still derived from sensors exposed within passively ventilated louvred Stevenson-type thermometer screens. It is well-documented that, under certain circumstances, air temperatures measured within such screens can differ significantly from “true” air temperatures measured by other methods, such as aspirated sensors. Passively ventilated screens depend upon wind motion to provide ventilation within the screen and thus airflow over the sensors contained therein. Consequently, instances of anomalous temperatures occur most often during light winds when airflow through the screen is weakest, particularly when in combination with strong or low-angle incident solar radiation. Adequate ventilation is essential for reliable and consistent measurements of both air temperature and humidity, yet very few systematic comparisons to quantify relationships between external wind speed and airflow within a thermometer screen have been made. This paper addresses that gap by summarizing the results of a 3-month field experiment in which airflow within a UK-standard Stevenson screen was measured using a sensitive sonic anemometer and comparisons made with simultaneous wind speed and direction records from the same site. The mean in-screen ventilation rate was found to be 0.2 m s-1 (median 0.18 m s-1), well below the 1 m s-1 minimum assumed in meteorological and design standard references, and only about 7 % of the scalar mean wind speed at 10 m. The implications of low in-screen ventilation on the uncertainty of air temperature and humidity measurements from Stevenson-type thermometer screens are discussed, particularly those due to the differing response times of dry- and wet-bulb temperature sensors and ambiguity in the value of the psychrometric coefficient.

New devices to control fever in children with COVID-19 and other acute respiratory infections

Introduction. When performing thermometry, different measuring instruments can be used: from contact individual to remote. Doubts about the accuracy of the measurements obtained arise in the course of severe infections, impaired general well-being, a feeling of fever, headache. The aim of the study was to evaluate the effectiveness of daily monitoring of body temperature in children with COVID-19 coronavirus infection and other acute respiratory viral infections using a medical thermograph designed to graphically display the dynamics of changes in the child’s body temperature during the day to monitor its variability, compared to a halystone thermometer. Materials and methods. The clinical study was performed at two clinical sites of the Academician G.N. Speransky Department of Pediatrics, Russian Medical Academy of Continuing Professional Education: the Khimki Regional Hospital and the Z.A. Bashlyaeva Children’s City Clinical Hospital. The study included 120 children aged from 3 months to 3 years, divided into 4 groups. Group 1 and 2 were children with ARI, Group 3 and 4 were children with COVID-19. Body temperature in the 1st and 3rd groups was measured only by a halistane thermometer;in the 2nd and 4th groups-by a new generation intellectual thermograph with halistane thermometer control in the specified time intervals. Results. The study obtained high reliability of indicators of the new thermograph, designed to graphically display the dynamics of changes in body temperature during the day, compared with the halistane thermometer, commonly used in hospitals. Conclusions. The thermograph registers the child’s body temperature with high reliability, which makes it possible to react to its changes in time. The use of thermograph makes it possible to set the critical value of body temperature at its rise for each user individually depending on his premorbid background, which is especially important in the group of children with a high risk of febrile convulsions and microcirculatory disorders in terms of prevention of the possible development of adverse events. © 2022, Remedium Group Ltd. All rights reserved.

A Novel Non-Invasive Thermometer for Continuous Core Body Temperature: Comparison with Tympanic Temperature in an Acute Stroke Clinical Setting.

There is a growing research interest in wireless non-invasive solutions for core temperature estimation and their application in clinical settings. This study aimed to investigate the use of a novel wireless non-invasive heat flux-based thermometer in acute stroke patients admitted to a stroke unit and compare the measurements with the currently used infrared (IR) tympanic temperature readings. The study encompassed 30 acute ischemic stroke patients who underwent continuous measurement (Tcore) with the novel wearable non-invasive CORE device. Paired measurements of Tcore and tympanic temperature (Ttym) by using a standard IR-device were performed 3-5 times/day, yielding a total of 305 measurements. The predicted core temperatures (Tcore) were significantly correlated with Ttym (r = 0.89, p < 0.001). The comparison of the Tcore and Ttym measurements by Bland-Altman analysis showed a good agreement between them, with a low mean difference of 0.11 ± 0.34 °C, and no proportional bias was observed (B = -0.003, p = 0.923). The Tcore measurements correctly predicted the presence or absence of Ttym hyperthermia or fever in 94.1% and 97.4% of cases, respectively. Temperature monitoring with a novel wireless non-invasive heat flux-based thermometer could be a reliable alternative to the Ttym method for assessing core temperature in acute ischemic stroke patients.

Passive Acoustic Thermometry of the Chest of a Person with COVID-19.

Passive acoustic thermometry (PAT) was used to study the dynamics of changes in the chest temperature of a person with COVID-19 over the course of about two and a half weeks after quarantine. PAT, which can measure deep body temperature, showed that the integral temperature of tissues surrounding the lungs increased from 32.2 ± 0.07 to 33.0 ± 0.03°C about 10 days after the end of quarantine. This may indicate increased blood supply to the lungs, i.e., an indication of recovery. Infrared thermometry used to monitor recovery yielded no results.

Studying the accuracy of infrared thermography for measuring core body temperature

The purpose of this study was to investigate the accuracy of infrared thermography for measuring body temperature. We compared a commercially available infrared thermal imaging camera (FLIR One) with a medical-grade oral thermometer (Welch-Allyn) as a gold standard. Measurements using the thermal imaging camera were taken from both a short distance (10cm) and long distance (50cm) from the subject. Thirty young healthy adults participated in a study that manipulated body temperature. After establishing a baseline, participants lowered their body temperature by placing their feet in a cold-water bath for 30 minutes while consuming cold water. Feet were then removed and covered with a blanket for 30 minutes as body temperature returned to baseline. During the course of the 70-minute experiment, body temperature was recorded at a 10-minute interval. The thermal imaging camera demonstrated a significant temperature difference from the gold standard from both close range (mean error: +0.433°C) and long range (mean error: +0.522°C). Despite demonstrating potential as a fast and non-invasive method for temperature screening, our results indicate that infrared thermography does not provide an accurate measurement of body temperature. As a result, infrared thermography is not recommended for use as a fever screening device. © COPYRIGHT SPIE. Downloading of the is permitted for personal use only.

Toward an Accurate IR Remote Sensing of Body Temperature Radiometer Based on a Novel IR Sensing System Dubbed Digital TMOS.

A novel uncooled thermal sensor based on a suspended transistor, fabricated in standard CMOS-SOI process, and released by dry etching, dubbed Digital TMOS, has been developed. Using the transistor as the sensing element has advantages in terms of internal gain, low power, low-cost technology, and high temperature sensitivity. A two channel radiometer, based on the new nano-metric CMOS-SOI-NEMS Technology, enables remote temperature sensing as well as emissivity sensing of the forehead and body temperatures of people, with high accuracy and high resolution. Body temperature is an indicator of human physiological activity and health, especially in pediatrics, surgery, and general emergency departments. This was already recognized in past pandemics such as SARS, EBOLA, and Chicken Flu. Nowadays, with the spread of COVID-19, forehead temperature measurements are used widely to screen people for the illness. Measuring the temperature of the forehead using remote sensing is safe and convenient and there are a large number of available commercial instruments, but studies show that the measurements are not accurate. The surface emissivity of an object has the most significant effect on the measured temperature by IR remote sensing. This work describes the achievements towards high-performance, low-cost, low power, mobile radiometry, to rapidly screen for fever to identify victims of the coronavirus (COVID-19). The main two aspects of the innovation of this study are the use of the new thermal sensor for measurements and the extensive modeling of this sensor.

Smart Optical Sensors for Internet of Things: integration of temperature monitoring and customized security physical unclonable functions

Nowadays, the Internet of Things (IoT) has an astonishingly societal impact in which healthcare services stand out. Amplified by the COVID-19 pandemic scenario, challenges include the development of authenticatable smart IoT devices with the ability to simultaneously track people and sense in real-time human body temperature aiming to infer a health condition in a contactless and remote way through user-friendly equipment such as a smartphone. Univocal smart labels based on quick response (QR) codes were designed and printed on medical substrates (protective masks and adhesive) using flexible organic-inorganic luminescent inks. Luminescence thermometry and physically unclonable functions (PUFs) are simultaneously combined allowing non-contact temperature detection, identification, and connection with the IoT environment through a smartphone. This is an intriguing example where luminescent inks based on organic-inorganic hybrids modified by lanthanide ions are used to fabricate a smart label that can sense temperature with remarkable figures of merit, including maximum thermal sensitivity of Sr=1.46 %K-1 and temperature uncertainty of dT=0.2 K, and accuracy, precision, and recall of 96.2%, 98.9%, and 85.7%, respectively. The methodology proposed is feasibly applied for the univocal identification and mobile optical temperature monitoring of individuals, allowing the control of the access to restricted areas and the information transfer to medical entities for post medical evaluation towards a new generation of mobile-assisted eHealth (mHealth). Author

Are Non-Contact Thermometers an Option in Anaesthesia? A Narrative Review on Thermometry for Perioperative Medicine.

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.

Studying the Accuracy and Function of Different Thermometry Techniques for Measuring Body Temperature.

The purpose of this study was to determine which thermometry technique is the most accurate for regular measurement of body temperature. We compared seven different commercially available thermometers with a gold standard medical-grade thermometer (Welch-Allyn): four digital infrared thermometers (Wellworks, Braun, Withings, MOBI), one digital sublingual thermometer (Braun), one zero heat flux thermometer (3M), and one infrared thermal imaging camera (FLIR One). Thirty young healthy adults participated in an experiment that altered core body temperature. After baseline measurements, participants placed their feet in a cold-water bath while consuming cold water for 30 min. Subsequently, feet were removed and covered with a blanket for 30 min. Throughout the session, temperature was recorded every 10 min with all devices. The Braun tympanic thermometer (left ear) had the best agreement with the gold standard (mean error: 0.044 °C). The FLIR One thermal imaging camera was the least accurate device (mean error: -0.522 °C). A sign test demonstrated that all thermometry devices were significantly different than the gold standard except for the Braun tympanic thermometer (left ear). Our study showed that not all temperature monitoring techniques are equal, and suggested that tympanic thermometers are the most accurate commercially available system for the regular measurement of body temperature.

Tympanic thermometers support fast and accurate temperature monitoring in acute and alternative care.

This article explores body temperature and the physiological process of thermoregulation. Normal body temperature and body temperature changes are discussed, including comorbidities associated with body temperature and signs of hyperthermia and hypothermia, and the factors that affect intraoperative temperature regulation. The evidence base behind thermometry is discussed and is applied to contemporary clinical conditions and symptoms, including: sepsis and suspected COVID-19. After discussing clinical considerations and regulations that encompass thermometry, three case studies present the use of the Genius 3 Tympanic Thermometer in clinical practice, with user feedback supporting its benefits, which include speed, accuracy and ease of use.

Is current body temperature measurement practice fit-for-purpose?

There has been a marked rise in the number of avoidable deaths in health services around the world. At the same time there has been a growing increase in antibiotic resistant so-called "superbugs." We examine here the potential role of body temperature measurement in these adverse trends. Electronic based thermometers have replaced traditional mercury (and other liquid-in-glass type) thermometers for reasons of safety rather than superiority. Electronic thermometers are in general less robust from a measurement perspective than their predecessors. We illustrate the implications of unreliable temperature measurement on the diagnosis and management of disease, including COVID-19, through statistical calculations. Since a return to mercury thermometers is both undesirable and impractical, we call for better governance in the current practice of clinical thermometry to ensure the traceability and long-term accuracy of electronic thermometers and discuss how this could be achieved.

Why Temperature Screening for Coronavirus Disease 2019 With Noncontact Infrared Thermometers Does Not Work.

Coronavirus disease 2019 screening can evaluate large numbers of patients while reducing healthcare exposures and limiting further spread of the virus. Temperature screening has been a focal point of case detection during the pandemic because it is one of the earliest and most frequently reported manifestations of the illness. We describe important factors to consider of screened individuals as well as the measurement process and current outcomes. Optimal temperature-based screening involves both individual and environmental factors as well as reconsideration of the current fever threshold.

Return to school in the COVID-19 era: considerations for temperature measurement.

COVID-19 pandemics required a reorganisation of social spaces to prevent the spread of the virus. Due to the common presence of fever in the symptomatic patients, temperature measurement is one of the most common screening protocols. Indeed, regulations in many countries require temperature measurements before entering shops, workplaces, and public buildings. Due to the necessity of providing rapid non-contact and non-invasive protocols to measure body temperature, infra-red thermometry is mostly used. Many countries are now facing the need to organise the return to school and universities in the COVID-19 era, which require solutions to prevent the risk of contagion between students and/or teachers and technical/administrative staff. This paper highlights and discusses some of the strengths and limitations of infra-red cameras, including the site of measurements and the influence of the environment, and recommends to be careful to consider such measurements as a single "safety rule" for a good return to normality.

COVID-19 and thermoregulation-related problems: Practical recommendations.

The COVID-19 pandemic started in the cold months of the year 2020 in the Northern hemisphere. Concerns were raised that the hot season may lead to additional problems as some typical interventions to prevent heat-related illness could potentially conflict with precautions to reduce coronavirus transmission. Therefore, an international research team organized by the Global Health Heat Information Network generated an inventory of the specific concerns about this nexus and began to address the issues. Three key thermal and covid-19 related topics were highlighted: 1) For the general public, going to public cool areas in the hot season interferes with the recommendation to stay at home to reduce the spread of the virus. Conflicting advice makes it necessary to revise national heat plans and alert policymakers of this forecasted issue. 2) For medical personnel working in hot conditions, heat strain is exacerbated due to a reduction in heat loss from wearing personal protective equipment to prevent contamination. To avoid heat-related injuries, medical personnel are recommended to precool and to minimize the increase in body core temperature using adopted work/rest schedules, specific clothing systems, and by drinking cold fluids. 3) Fever, one of the main symptoms of COVID-19, may be difficult to distinguish from heat-induced hyperthermia and a resting period may be necessary prior to measurement to avoid misinterpretation. In summary, heat in combination with the COVID-19 pandemic leads to additional problems; the impact of which can be reduced by revising heat plans and implementing special measures attentive to these compound risks.