
Total knee replacement is an end-stage surgical treatment of osteoarthritis patients to improve their quality of life. The study presents a thermal imaging-based approach to assess the recovery of operated-knees. The study focuses on the potential of thermal imaging for total knee replacement and its relation with clinical inflammatory markers. A total of 20 patients with bilateral knee replacement were included for thermal imaging and serology, where data was acquired on pre-operative day and five post-operative days. To quantify the inflammation, the temperature-based parameters (like mean differential temperature, relative percentage of raised temperature) were evaluated from thermal images, while the clinically proven inflammation markers were obtained from blood samples for clinical validation. Initially, the knee region was segmented by applying the automatic method, subsequently, the mean skin temperature was calculated and investigated for a statistical relevant relationship with inflammatory markers. After surgery, the mean skin temperature was first increased (>2.15 ℃ for different views) then settled to pre-operative level by 90th day. Consequently, the mean differential temperature showed a strong correlation with erythrocyte sedimentation rate (r > 0.893) and C-reactive protein (r > 0.955). Also, the visual profile and relative percentage of raised temperature showed promising results in quantifying the temperature changes both qualitatively and quantitatively. This study provides an automatic and non-invasive way of screening the patients for raised levels of skin temperature, which can be a sign of inflammation. Hence, the proposed temperature-based technique can help the clinicians for visual assessment of post-operative recovery of patients.
Citation: Viney Lohchab, Jaspreet Singh, Prasant Mahapatra, Vikas Bachhal, Aman Hooda, Karan Jindal, MS Dhillon. Thermal imaging in total knee replacement and its relation with inflammation markers[J]. Mathematical Biosciences and Engineering, 2021, 18(6): 7759-7773. doi: 10.3934/mbe.2021385
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Total knee replacement is an end-stage surgical treatment of osteoarthritis patients to improve their quality of life. The study presents a thermal imaging-based approach to assess the recovery of operated-knees. The study focuses on the potential of thermal imaging for total knee replacement and its relation with clinical inflammatory markers. A total of 20 patients with bilateral knee replacement were included for thermal imaging and serology, where data was acquired on pre-operative day and five post-operative days. To quantify the inflammation, the temperature-based parameters (like mean differential temperature, relative percentage of raised temperature) were evaluated from thermal images, while the clinically proven inflammation markers were obtained from blood samples for clinical validation. Initially, the knee region was segmented by applying the automatic method, subsequently, the mean skin temperature was calculated and investigated for a statistical relevant relationship with inflammatory markers. After surgery, the mean skin temperature was first increased (>2.15 ℃ for different views) then settled to pre-operative level by 90th day. Consequently, the mean differential temperature showed a strong correlation with erythrocyte sedimentation rate (r > 0.893) and C-reactive protein (r > 0.955). Also, the visual profile and relative percentage of raised temperature showed promising results in quantifying the temperature changes both qualitatively and quantitatively. This study provides an automatic and non-invasive way of screening the patients for raised levels of skin temperature, which can be a sign of inflammation. Hence, the proposed temperature-based technique can help the clinicians for visual assessment of post-operative recovery of patients.
Currently it is the digital era where there is a steady flood of information. Such information inundation makes a variety of mass media more important, for example, newspapers, broadcast, social network system media, and public speaking. Before developing mass media, rumors propagated by word of mouth and played a crucial role in communication between people or groups. This process can be understood as a kind of homogenization of information system and social interaction [1]. With the emergence of multimedia and social media, rumors have spread faster and have wide transmissions [5]. However, some harmful and powerful rumor outbreaks arise from such wide transmission via these media [10,14,18]. Moreover, their influence causes multiple effects for a variety of situations rather than the mono effect for localized situations [12].
As a benefit in return for the homogenization, personality is more heavily emphasized and the diversity of people has garnered much attention in our social community. In the microscopic viewpoint of rumor spreading, this variety of characteristics is important. Many researchers already have investigated that the degree of belief is important in rumor spreading [8,16]. From this perspective, we assume that there will be various groups that share the same trust rate. In this paper, we propose an SIR type rumor spreading model with given spreading rate distributions
Next we provide a brief historical review of the rumor spreading model. Starting the pioneering studies by Daley and Kendall [3,4], a lot of researchers have studied rumor spreading and tried to build mathematical models [11,17]. Zanette [23,24] numerically obtained the existence of a critical threshold for a rumor spreading model regarding small-world networks. In [13], the authors derived the mean-field equation of complex heterogeneous networks. For other topological settings, see [7,15]. Most mathematical models for rumor spreading are based on the epidemic model. In [27], the authors considered an SIR type rumor spreading model with forgetting mechanism. See also [6,28] for other models with forgetting mechanisms. In [26], the authors added a hibernator variable to the SIR type rumor spreading model. Similarly, in [20,22], the authors adapted several new variables to construct a more realistic model for the rumor spreading phenomena. In [25], the authors employed the probability that ignorants directly become stiflers when they are aware of a rumor. We refer to papers [2,9,29] for other rumor spreading models.
The paper is organized as follows. In Section 2, we present the trust distribution and its mechanism in the SIR type model. In Section 3, we derive a single equation for the rumor size
Notation: Throughout the paper, we use the following simplified notation:
I(t)=(I1(t),…,IN(t)), ˚I=(˚I1,…,˚IN), ˚In=(˚In1,…,˚InN), n,N∈N. |
Let
There are three groups of populations: ignorants (I), spreaders (S), and stiflers (R). At the first stage, ignorants contact a spreader, realize a rumor, and accept the hearsay. According to the acceptance with rate
˙I=−kλSI,˙S=kλSI−kS(σ1S+σ2R),˙R=kσS(S+R), |
where
As in [25], we assume that spreaders lose their interest in rumors with probability
˙Ii=−kλiSIi, i=1,…,N,˙S=N∑i=1kλiSIi−kσS(S+R)−δS,˙R=kσS(S+R)+δS, | (1) |
subject to initial data
Throughout this paper, we assume that
(1)
(2) The spreading (trust) rate distribution
We will consider a family of initial data
˚T=(N∑j=1˚Ij)+˚S+˚R |
for a fixed total initial population
Next, we define the rumor size, a momentum type quantity of the initial data and rumor outbreak.
Definition 2.1. [19,25,26]For a solution
ϕ(t)=∫t0S(τ)dτ. |
Definition 2.2. Let
M1(˚I)=N∑i=1λi˚Ii |
and total population with initial
T(t)=(N∑i=1Ii(t))+S(t)+R(t). |
Definition 2.3. Let
ϕ∞(˚I,˚S):=limt→∞ϕ(t). |
Definition 2.4. For a given initial data
˚In→˚I, ˚Sn→0 as n→∞ |
and
˚Sn>0, ˚Rn=0 for n∈N. |
We additionally assume that the total populations are the same:
˚T=(N∑i=1˚Ii)+˚S+˚R=(N∑i=1˚Ini)+˚Sn+˚Rn=˚Tn. |
We say that a rumor outbreak occurs if the following limit exists
ϕe(˚I)=limn→∞ϕ∞(˚In,˚Sn) |
and
Remark 1. (1) In [13,15,25], the authors define that the rumor outbreak occurs if
lim˚R→0R(∞)>0. |
This is essentially equivalent to Definition 2.4. We use
(2) The rumor spreading begins with one spreader. Therefore,
The following is the main theorem of this paper.
Theorem 2.5. Let
We assume that each
˚T=(N∑k=1˚Ink)+˚Sn=N∑i=1˚Ii. |
Then, there exists the following limit of steady states:
ϕe=ϕe(˚I)=lim˚Sn→0,˚In→˚Iϕ∞(˚In,˚Sn), |
where
Furthermore, if
Remark 2. An equivalent condition of occurring a rumor outbreak is
kM1(˚I)>δ. |
In this section, we derive a single equation for
Lemma 3.1. Let
Ii(t)=˚Iie−kλiϕ(t), i=1,…,N, | (2) |
where
Proof. From the first equation of system (1), we have
ddtlogIi(t)=−kλiS(t), i=1,…,N. |
Integrating the above relation gives
logIi(t)=log˚Ii−∫t0kλiS(τ)dτ, i=1,…,N. |
For the population density of
Ii(t)=˚Iie−∫t0kλiS(τ)dτ, i=1,…,N. |
Clearly, we have
Lemma 3.2. Let
T(t)=˚T, for any t>0. | (3) |
Proof. Note that the summation of all equations in system (1) yields
(N∑i=1˙Ii)+˙S+˙R=0. |
Integrating the above equation leads to
T(t)=(N∑i=1Ii(t))+S(t)+R(t)=(N∑i=1˚Ii)+˚S+˚R=˚T. |
Remark 3. By the conservation property (3) in Lemma 3.2 and the formula in (2), we easily obtain the following formula for
S(t)=˚T−N∑i=1Ii(t)−R(t)=˚T−N∑i=1˚Iie−kλiϕ(t)−R(t). | (4) |
Lemma 3.3. Let
R(t)=R(ϕ(t))=˚R+kσ˚Tϕ(t)−kσ∑λi≠0˚Ii1−e−kλiϕ(t)kλi−kσ∑λi=0˚Iiϕ(t)+δϕ(t). |
Proof. The third equation in system (1) gives us that
R(t)−˚R=∫t0˙R(τ)dτ=∫t0[kσS(τ)(S(τ)+R(τ))+δS(τ)]dτ. |
From (4) and the definition of
R(t)−˚R=kσ∫t0S(τ)[S(τ)+R(τ)]dτ+δϕ(t)=kσ∫t0S(τ)(˚T−N∑i=1Ii(τ))dτ+δϕ(t)=kσ∫t0ϕ′(τ)(˚T−N∑i=1˚Iie−kλiϕ(τ))dτ+δϕ(t)=kσ˚T∫t0ϕ′(τ)dτ−∑λi≠0kσ∫t0ϕ′(τ)˚Iie−kλiϕ(τ)dτ−∑λi=0kσ∫t0ϕ′(τ)˚Iie−kλiϕ(τ)dτ+δϕ(t)=K1+K2+K3+K4. |
We directly have
K1=kσ˚Tϕ(t) and K4=δϕ(t). |
For
K2=−∑λi≠0kσ∫t0ϕ′(τ)e−kλiϕ(τ)dτ=−∑λi≠0kσ∫ϕ(t)ϕ(0)e−kλiηdη=−∑λi≠0kσe−kλiϕ(0)−e−kλiϕ(t)kλi=−∑λi≠0kσ1−e−kλiϕ(t)kλi. |
Similarly, we have
K3=−∑λi=0kσ∫t0ϕ′(τ)e−kλiϕ(τ)dτ=−∑λi=0kσ∫t0ϕ′(τ)dτ=−∑λi=0kσ(ϕ(t)−ϕ(0))=−∑λi=0kσϕ(t). |
Therefore, the above elementary calculations yield
R(t)−˚R=kσ˚Tϕ(t)−kσ∑λi≠0˚Ii1−e−kλiϕ(t)kλi−kσ∑λi=0˚Iiϕ(t)+δϕ(t). |
The formula (4) of
dϕ(t)dt=S(t)=˚T−N∑i=1˚Iie−kλiϕ(t)−R(t). |
By the result in Lemma 3.3, we derive a single decoupled equation for
dϕ(t)dt=˚T−N∑i=1˚Iie−kλiϕ(t)−˚R−kσ˚Tϕ(t)+kσ∑λi≠0˚Ii1−e−kλiϕ(t)kλi+kσ∑λi=0˚Iiϕ(t)−δϕ(t). |
For simplicity, we define
F(ϕ)=F(ϕ,˚I,˚S,˚R,˚T):=˚T−N∑i=1˚Iie−kλiϕ−˚R−kσ˚Tϕ+kσ∑λi≠0˚Ii1−e−kλiϕkλi+kσ∑λi=0˚Iiϕ(t)−δϕ. | (5) |
Then,
˙ϕ(t)=F(ϕ(t)). | (6) |
In this section, we use the steady state analysis to obtain the threshold phenomena for asymptotic behavior of the solution to system (1). To obtain the asymptotic behavior of solutions to (6), we first consider a steady state
F(ϕ)=0, | (7) |
where
G(ϕ)=G(ϕ,˚I,˚S,˚R,˚T)=˚T−N∑i=1˚Iie−kλiϕ−˚R+kσ∑λi≠0˚Ii1−e−kλiϕkλi | (8) |
and
H(ϕ)=H(ϕ,˚I,˚S,˚R,˚T)=(δ+kσ˚T−kσ∑λi=0˚Ii)ϕ. | (9) |
Then, we divide
H(ϕ)=G(ϕ). |
Lemma 4.1. Let
G(0)=˚S, and limϕ→∞G(ϕ)<∞, if ˚R=0. |
Proof. By the definition of
For the next result, we take the limit such that
limϕ→∞G(ϕ)=limϕ→∞(˚T−N∑i=1˚Iie−kλiϕ−˚R+kσ∑λi≠0˚Ii1−e−kλiϕkλi)=limϕ→∞(˚T−∑λi≠0˚Iie−kλiϕ−∑λi=0˚Ii−˚R+kσ∑λi≠0˚Ii1−e−kλiϕkλi)=˚T−∑λi=0˚Ii−˚R+kσ∑λi≠0˚Iikλi. |
Therefore, we have
kσ∑λi≠0˚Iikλi<∞. |
Therefore, we conclude that
Lemma 4.2. Assume that
dGdϕ=∑λi≠0(kλi˚Iie−kλiϕ+kσ˚Iie−kλiϕ)>0. |
Proof. Note that the derivative of
dGdϕ=−ddϕN∑i=1˚Iie−kλiϕ+kσ∑λi≠0˚Iie−kλiϕ. |
We can calculate the first term in the above as
ddϕN∑i=1˚Iie−kλiϕ=ddϕ∑λi≠0˚Iie−kλiϕ+ddϕ∑λi=0˚Iie−kλiϕ=ddϕ∑λi≠0˚Iie−kλiϕ+ddϕ∑λi=0˚Ii=−∑λi≠0kλi˚Iie−kλiϕ. |
Thus, if at least one non-zero
dGdϕ=∑λi≠0kλi˚Iie−kλiϕ+kσ∑λi≠0˚Iie−kλiϕ>0. |
Lemma 4.3. Let
Proof. Note that
δ+kσ˚T−kσ∑λi=0˚Ii=δ+kσ(N∑i=1˚Ii+˚S+˚R)−kσ∑λi=0˚Ii=δ+kσ(∑λi≠0˚Ii+˚S+˚R). |
Therefore,
Proposition 1. Let
Then there is a final rumor size
ϕ∞(˚I,˚S):=limt→∞ϕ(t), |
where
F(ϕ∞(˚I,˚S))=0. |
Proof. This follows from an elementary result of ordinary differential equations. Note that for given initial data
F(0)=G(0)−H(0)=˚S>0, |
and
limϕ→∞F(ϕ)=G(ϕ)−H(ϕ)=−∞. |
By the intermediate value theorem, there is at least one positive solution
For a fixed
Proposition 2. Let
The equation
Proof. We have, by Lemma 4.1 and 4.3,
G(0)=˚S=0, limϕ→∞G(ϕ)<∞ |
and
H(0)=0, limϕ→∞H(ϕ)=∞. |
It follows that
limϕ→∞F(ϕ)=−∞. | (10) |
Lemma 4.2 implies that the derivative of
dGdϕ=∑λi≠0kλi˚Iie−kλiϕ+kσ∑λi≠0˚Iie−kλiϕ>0. |
Moreover, if
dHdϕ(ϕ,˚I,˚S,˚R,˚T)=δ+kσ˚T−kσ∑λi=0˚Ii. |
Therefore,
dFdϕ=dGdϕ−dHdϕ=∑λi≠0kλi˚Iie−kλiϕ+kσ∑λi≠0˚Iie−kλiϕ−(δ+kσ˚T−kσ∑λi=0˚Ii). | (11) |
So,
dFdϕ(0)=dGdϕ(0)−dHdϕ(0)=∑λi≠0kλi˚Ii+kσ∑λi≠0˚Ii−(δ+kσ˚T−kσ∑λi=0˚Ii)=∑λi≠0kλi˚Ii−δ=kM1−δ. |
This yields
kM1>δ⇒dFdϕ(0)>0, | (12) |
and the continuity of
F(ϕϵ)>0. |
Thus, the intermediate value theorem and (10) show that
In order to complete the proof of this proposition, it suffices to verify that the equation has a unique solution
We now assume that
dFdϕ=∑λi≠0kλi˚Iie−kλiϕ+kσ∑λi≠0˚Iie−kλiϕ−(δ+kσ˚T−kσ∑λi=0˚Ii)=∑λi≠0kλi˚Iie−kλiϕ+kσ∑λi≠0˚Iie−kλiϕ−(δ+kσ˚T−kσ∑λi=0˚Iie−kλiϕ)=N∑i=1kλi˚Iie−kλiϕ+kσN∑i=1˚Iie−kλiϕ−δ−kσ˚T. |
Since we assume that
dFdϕ≤N∑i=1kλi˚Iie−kλiϕ+kσN∑i=1˚Iie−kλiϕ−N∑i=1kλi˚Ii−kσN∑i=1˚Ii=N∑i=1kλi˚Ii(e−kλiϕ−1)+kσN∑i=1˚Ii(e−kλiϕ−1). |
This implies that
dFdϕ<0 if ϕ>0, and dFdϕ≤0 if ϕ=0. |
The fact in (10) with
F(ϕ)<0 for ϕ>0. |
Therefore, we complete the proof.
We are now ready to prove the main theorem.
The proof of the main theorem. Let
˚In→˚I, ˚Sn→0. | (13) |
We denote
F(ϕ,˚Sn)=F(ϕ,˚In,˚Sn,˚Rn,˚T) and F∞(ϕ)=F(ϕ,˚I,˚S,˚R,˚T). |
First, assume that
F∞(0)=0 and ddϕF∞(ϕ)|ϕ=0>0. |
Note that (11) implies that
∂F∂ϕ(ϕ,˚In,˚Sn,˚Rn,˚T)=∑λi≠0kλi˚Inie−kλiϕ+kσ∑λi≠0˚Inie−kλiϕ−(δ+kσ˚T−kσ∑λi=0˚Ini)=∑λi≠0kλi˚Inie−kλiϕ+kσ∑λi≠0˚Inie−kλiϕ−(δ+kσ˚T−kσ∑λi=0˚Inie−kλiϕ)=N∑i=1kλi˚Inie−kλiϕ+kσN∑i=1˚Inie−kλiϕ−δ−kσ˚T=N∑i=1kλi˚Ini(e−kλiϕ−1)+N∑i=1kλi˚Ini+kσN∑i=1˚Inie−kλiϕ−δ−kσ((N∑i=1˚Ini)+˚Sn). |
Therefore,
∂F∂ϕ(ϕ,˚In,˚Sn,˚Rn,˚T)=N∑i=1kλi˚Ini(e−kλiϕ−1)+kσN∑i=1˚Ini(e−kλiϕ−1)−kσ˚Sn+kM1(˚In)−δ. |
By (13), there is
kM1(˚In)−δ>12(kM1(˚I)−δ) |
and
kσ˚Sn≤14(kM1(˚I)−δ). |
Since
|N∑i=1kλi˚Ini(e−kλiϕ−1)+kσN∑i=1˚Ini(e−kλiϕ−1)|≤14(kM1(˚I)−δ). |
Thus, there are constants
∂F∂ϕ(ϕ,˚In,˚Sn,˚Rn,˚T)>0. | (14) |
In order to prove convergence, we consider differentiable functions
I(1/n)=˚In, S(1/n)=˚Sn, R(1/n)=˚Rn, n∈N, |
and
˚T=(N∑i=1Ii(s))+S(s)+R(s). |
We denote
We now prove that
For
For the last part, we assume that
Let
limn→∞F(ϕnn,˚Inn,˚Snn,˚Rnn,˚T)=F(ϕn∞,˚I,0,0,˚T). |
Therefore, by Proposition 2,
limn→∞ϕn=0. |
In this section, we numerically provide the solutions to system (1) with respect to several
For the numerical simulations, we used the fourth-order Runge-Kutta method with the following parameters:
λ1=1, λ2=2, λ3=3, σ=0.2, k=10. |
We take sufficiently large initial data
˚I1=˚I2=˚I3=9999, ˚S=3, ˚R=0. |
To see the threshold phenomena for
Note that in Proposition 1, we rigorously obtained that the final size of the rumor
In Figure 2, we plotted the densities of the spreaders (S) and the stiflers (R) with respect to several
In Figure 3, we plotted
From our analytic results, we can expect that the threshold occurs when
In this paper, we consider the rumor spreading model with the trust rate distribution. The model consists of several ignorants with trust rates
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