Breast Digital Infrared Analysis (DIRA) , a forgotten and set aside procedure.

Visita: termografiamamaria.blogspot.com (Version en Español)

Breast DIRA (previously named Thermography) already proved in the past that it´s use as an screening procedure had low specificity and high sensitive values for it to be recommended as an standard care Breast diagnosis tool .
Yet , until recently (last 5 years) active research mainly by Surgical Oncologists or Breast Surgeons have published interesting results.( Cornell NY , Addenbrooke Cambridge , Ville Marie Montreal , Taiwan and Mexico CEPREC)
FDA previous published criteria were prohibiting DIRA as well as the A.C. of Radiologists ( as an initial SCREENING TOOL)

Yet it has been cleared by the FDA approval as an adjunctive screening tool for breast cancer .( under 510 k) .

DIRA´s meaning is not an ANATOMIC or ARCHITECTURAL procedure ,it is a METABOLIC or PHYSIOLOGIC ONE so at first it ´s current recommendation should be only as a COMPLEMENTARY STUDY.

As such DIRA could help in specific scenarios, BIRADS 0,3,4 and give potential useful additional data in BIRADS5. EVEN BEFORE BIOPSY
Could aid mammogram in young,dense and breast prosthesis patients, and should be evaluated in other clinical scenarios as a Neoadyuvant Monitoring tool.
Finally as an early detecion procedure specifically in underdeveloped countries , could Triage in search of aggresive forms of the disease(T1,G2_G3). And aid Physical Exam of the Breast .
This site is dedicated to open mind Breast specialists ONLY .
¨EXPANDING OUR CURRENT COMPREHENSION, UNDERSTANDING AND APPROACH OF IMAGE AND DIAGNOSIS IN BREAST CANCER¨

miércoles, 9 de enero de 2013

Breast Thermography / Digital Infrared Analysis ,Historical and Personal Review.

The following is a Personal and Historical Review SLIDE SHARE presentation exact copy of the Webinar Held recently in NYC. I was Kindly invited by PACT ( the Professional Academy of Clinical Thermology ) to talk about my Digital Infrared Analysis of the Breast or Thermography as a Surgical Oncologist.

http://www.slideshare.net/drmartindelcampo/breast-thermography-digital-infrared-analysis-of-the-breast

 Intented to the "other" Healthcare providers that currently support the use of Breast Thermography at first , but open and meant also to "our" certified oncological experts.

 As I mentioned to the Director of PACT , if Infrared Image moves Forward in Breast Pathology , that would only mean that current users will not be able to perform it.

 After all , Breast Cancer Care Responsability Relies on "US"

  • Oncologists
  • Radiologists
  • OBGyn´s
  • Breast Surgeons
  • Chemotherapists and 
  • Radiotherapists
It should be critised and rejected , but I think that it also deserves a chance for Controlled Clinical Trials.

It has never been meant to stand AGAINST mammography , after all even Ultrasound , Nuclear Medicine images and  MRI strengths  rely  in on it.

"Mammography is our cornerstone breast image procedure. Everything else should be built after it"

irImage is an Unknown Language with and unknown meaning , historically divorced from our Diagnostic Armamentarium. Yet recently : costs , sensitivity and digital performance have been improved.

We should research thoroughly and prospectively.......

http://www.slideshare.net/drmartindelcampo/breast-thermography-digital-infrared-analysis-of-the-breast

Hope you like it..........

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