Clinical Thermography of the Diabetic Foot Using a Low-Cost Thermal Camera: Processing and Instrumental Framework

Infrared thermography is a non-contact tool for monitoring inflammatory processes in the diabetic foot, but quantitative bedside use remains challenging with low-cost thermal infrared cameras due to radiometric drift, non-uniformity (vignetting), geometric distortions, and visible-thermal parallax. This paper presents an end-to-end clinical and instrumental framework built around a cheap thermal camera to ensure reproducible acquisition and physically consistent temperature estimation. The approach combines a standardized mobile acquisition setup and measurement protocol, extraction of embedded radiometric data from raw images, radiometric inversion with atmospheric correction, vignette correction performed in the radiometric domain, and geometric calibration of both visible and infrared sensors using dedicated (thermal) calibration targets. Accurate visible-infrared registration is obtained from hybrid heated markers, enabling reliable overlay and downstream analysis. The full processing chain yields quantitative thermograms with radiometric errors below 0.15 °C and sub-pixel multimodal alignment, supporting the detection of clinically relevant plantar temperature asymmetries and paving the way for routine calibrated low-cost thermography in diabetic foot care.