AI Correction of Smartphone Thermal Images: Application to Diabetic Plantar Foot

Prevention of complications related to diabetic foot (DF) can now be performed using smartphone-connected thermal cameras. However, the absolute error associated with these devices remains particularly high, compromising measurement reliability, especially under variable environmental conditions. To address this, we introduce a physiologically motivated two-region segmentation task (forehead + plantar foot) to enable stable temperature correction. First, we developed a fully automated joint method for this task, building upon a new multimodal thermal–RGB dataset constructed with detailed annotation procedures. Five deep learning methods (U-Net, U-Net++, SegNet, DE-ResUnet, and DE-ResUnet++) were evaluated and compared to traditional baselines (Adaptive Thresholding and Region Growing), demonstrating the clear advantage of data-driven approaches. The best performance was achieved by the DE-ResUnet++ architecture (Dice score: 98.46%). Second, we validated the correction approach through a clinical study. Results showed that the variance of corrected temperatures was reduced by half compared to absolute values (p < 0.01), highlighting the effectiveness of the correction approach. Furthermore, corrected temperatures successfully distinguished DF patients from healthy controls (p < 0.01), unlike absolute temperatures. These findings suggest that our approach could enhance the performance of smartphone-connected thermal devices and contribute to the early prevention of DF complications.