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, 6 de febrero de 2013

Hybrid XRay and Infrared Image of a T1 Infiltrating Ductal Carcinoma (XiR)

The following image represents a personal vision of what could the Sinergy of both informations Xray : Mammography and Infrared : DIRA might look in th future.

 I have to tell you , some might feel angry , insulted or a little bit uncomfortable by the sole integration of the images.

 It was presented at our national mastology meeting more than a year ago , more than one of my fellow oncologists or radiologists had this "Awkward" look.

So detection would have been enough with Mammogram and Ultrasound as most of the cases are.
Although implicit  detection goes side by side to breast cancer information in our minds......
Infrared Image has a meaning since it represents an Optical Interpretation of a Physical and Biological Phenomenon  : BREAST CANCER ( at least some types) 

 I believe XiR images could be introduced offering a different angle and meaning for it to be used correctly.....

 Hope I can live to see it.

 Have a great week.............
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