A radiomics model automatically separated thermograms of 98 CRPS patients from 56 healthy controls with AUC 0.93, outperforming three clinicians
Using 178 thermograms from 98 patients with complex regional pain syndrome (CRPS) and 837 thermograms from 56 healthy controls, the study used a U-Net deep learning model to segment extremities automatically (mean Dice similarity coefficient 0.99), extracted 564 radiomics features per extremity per thermogram (intensity, shape, texture), and built a classification model with the WORC automated machine learning framework under 20x random-split cross-validation; the model distinguished CRPS from healthy control thermograms with a mean AUC of 0.93 (95% CI 0.90-0.97), statistically significantly better than three clinicians' 0.82, 0.79, and 0.69 (P < 0.001).