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¨

lunes, 29 de abril de 2013

Raise your hand?



Positive Breast Cancer all of them 

NON PALPABLE :











It May sound ridiculous , but some IR specific patterns actually mean :

INVASIVE BREAST CANCER...........

These could Help  : 

DETECTION . DIAGNOSIS or TREATMENT and even FOLLOW UP-

Keep it up.....it really does not matters at all how you identify a Breast Cancer if you actually can , right?

I Challenge this little evidence to be proved or revoked..........who will raise his or her hand?



miércoles, 24 de abril de 2013

Availability , prompt attention and Specialized Diagnostic Aid.

Hi , with regret the following Surgical Oncology Scenario is quite common : 

Female on her early 50´s no previous history for breast cancer in her family , no other risk factors. 

  1. Palpable lesion on the left breast : NON CONCLUSIVE post OPEN biopsy pathological diagnosis and persistance of the original tumor near to the scar and undeterminate axillary lymph nodes
  2. Refered after a 2nd  NEGATIVE trucut biopsy to SURGICAL complete removal.

Started seeking for medical attention 13 , yes 13 Months previously with the following standard images:

(Remember please , unfortunately availability of excellent breast cancer diagnosis is far from ideal in the vast majority of  countries , in mine (Mexico)  it is estimated that after radiological suspicion for open population detection  , women start treament at least 9 months later.................some thing to think about and work for i believe  ) :(

Here they are:


 Dense Breast Tissue ++++
 Some Microcalcifications are seen Upper and 
 Outer Quadrant on the RIGHT side (remember palpable nodule on the LEFT) 
 Close up and amplification view: 




 Complementary Ultrasound IMage of the Left Lesion :
(remember after Biopsy) 



Morphology and Dimensions defined , anatomical concepts EASILY understood for the common health provider.....



I hope you agree with me as an Oncologist , enough suspicion is observed in order to recommend an open Biopsy of the LEFT nodule and in my opinion a radiologicaly guided on the RIGHT.

NOPE that did not happened , she was only sent for HER clinically evident left lesion.

So here I am with my Infrared Detector and stablishing or Aiding my Second Oncological Opinion :

Digital Infrared Analysis as a Complementary procedure in my patient:

 Basal Anterior View , infrared radiation is more obvious ont the left side , Mammary folds Irregularities , Left Axillary Predominance and an Isolated Thermal Summit coincidental with the Left PALPABLE lesion. 

But on the Right Side in the UPPER OUTER QUADRANT there is a Single Hyperthermia , that clinically is coincidental with the microcalcifications found on the Xray but not classified as SUSPICIOUS ( in the radiologist point of view) 



Physiologic series after cold challenge the same Hyperthermia is demostrated again.

Comment : Palpable Lesions are easy to biopsya ,and indications for them to be Biopsied are clear.

Infrared can Help :

"IDENTIFY SUBCLINICAL PALPABLE LESIONS"

In expert Hands (Oncologists Mainly) as a second look or opinion procedure is SAFE and can HELP Radiologists defined more clearly what they "consider" normal or abnormal.

Patient is on her way for BILATERAL BIOPSY ..results to be announced in the following weeks.

Keep posted and " open your minds for  a better future." EMC

Have a great weekend. 

lunes, 22 de abril de 2013

Search for , find and refer.




Digital Infrared Analysis of a NON PALPABLE Breast Invasive Ductal Carcinoma 1.2 cm.

Mammography is our cornerstone in detection , is it? Too complex strategy for most countries and their women. 

Sadly , Seems to me is not enough .......we should add valuable information and cases like this to flight the common enemy : Breast Cancer.

If you look for :


  1. Assimetry 
  2. Increased Vascular network
  3. Mammary fold and axillary heat differences.
Then you could help find with a little budget this specific PATIENTS with breast cancer  and Have a prompt and fast referal.

"To revolutionize the current System , ideas and facts can make a difference." EMC.

Have a great week.

lunes, 15 de abril de 2013

Hallo Deutschland

Grüße zu den deutschen Kollegebesuchern dieses Blogs. (Beispiele von den Kästen positiv für Brustkrebs mit der Diagnose schwierig oder durch technisches herkömmliches verzögert)

nwo es Diagnosezweifel gibt und voraussagt, dass es die Möglichkeit des Verbesserns ........ von BII weniger als 5% gibt, BIRADS III weniger als 10% und BIRADS IV das irreführendste von allen von 5 zu 95%) 

The\n\nfachkundige einzelne Interpretation ist 100% Abhängiges auf der Subjektivität anderer Radiologen

Hallo Deutschland: eine Entschuldigung für die möglichen Rechtschreibfehler:\n

An den letzten Tagen habe ich mit großer Freude bemerkt, dass die Hauptquelle von Besuchen zu diesem Blog von den deutschen Kollegen kommt und zum Eintritt oder zur Veröffentlichung mit der höchsten Anzahl von Schlägen das BIRADS III bezogen ist.\nIntelligenter Gesichtspunkt, verbessern die Qualität des BIRADS III.

Obgleich ich persönlich denke, dass das BIRADS IV ziemlich unspezifisch ist, denken Sie?\nJede mögliche Weise danken Ihnen für betroffen sein und ich bin an Ihrem Service, zum irgendwelcher Fragen oder Interessen von Mexiko Enrique in naher Zukunft zu lösen… ….
 Die Infrarotanalyse ermittelt, definiert und bestimmt die Sendungsbereiche quantitativ.

Die"metabolische" Ergänzung von dieser Art von vergleichbaren Informationen mit der kontralateralen Seite oder der anderen Drüse, kann die Qualität unserer Diagnose drastisch verbessern.

Guter Tag.




jueves, 4 de abril de 2013

Geographical And Anatomical Monitoring............

Every single diagnostic procedure or imaging technique as a matter of fact is an interpretation of any Physical or Chemical Process in the Human Body , in the vast majority of these :

The results they turn out represent a SINGLE moment in time....

High Blood Pressure is Confirmed after several times it is taken in different environments...

Diabetes or Glucose intolerance is better diagnoses after the serial measurements after stimuli or with a "curve" definition.

Arrythmia has a more clear diagnosis when a "Holter" : 24 hour monitoring is done.

In breast cancer this MONITORING system has been historically determined to be every 365 to 730  days after 40 or 50 years of age.

Because MORPHOLOGIC changes take time to APPEAR in our Current Gold Standard Methods : Mammo , Ultrasound ,Nuclear Medicine or MRI.

Here we are safe and evident ......right?  Are we?

Yet around 50% of the cases are diagnosed before 50 years of age.
70% of the cases are palpable and even will large scale screening : at best (developed countries )  around 30% are diagnosed at a non palpable stage.

Not to mention overdiagnosis , overtreament and "benign" natural evolution of certain in situ forms of the disease.

What if we could insert a closer in time monitoring system for breast cancer , especially the High Grade or aggresive forms of the disease?

What if we could combine different informations from different Physical Interpretation Angles.

Here is  a resemblance that dignifies this possibility:


Anticipating an eruption
It is not yet possible to predict volcanic eruptions, but several new monitoring techniques, which are being tried out at Stromboli and elsewhere, may allow scientists to improve early warning of eruptions.

In many volcanoes, the bubbles of steam that drive the eruptions are also rich in carbon dioxide, sulphur dioxide and hydrogen chloride. These gases can be detected using chemical sensors, and spectrometers (both hand-held and on satellites), and changes in the proportions of the different gases leaking out of the volcano are often a sign of the arrival of new magma at depth. In some volcanoes, the slow rise of magma towards the surface leads to pressure changes inside the volcano, causing it to swell up. This swelling 
can be measured by radar instruments on orbiting 
satellites, and these signals are increasingly begin used 
to monitor the behavior of restless volcanoes. 

Volcanoes themselves are also noisy, with small earthquakes triggered by the breaking open of new fractures as magma rises. The bubbly melt trapped within the plumbing system of the volcano can also act as a sound-box, leading to distinctive signals as the seismic waves from local earthquakes resonate inside the volcano.


Closer monitoring systems that combine useful information ,

 adjusted in time in a accurate format with an 

understandable meaning can predict future events with no 

doubt at all.

Although historically mentioned by some , spectrometry or 

infrared or thermal monitoring of the breast 


In Vivo..............sounds likely  and highly possible ....


Would you like to be involved in a project like this?


Now here is an Infrared Image of a NON palpable aggresive 
invasive Breast Carcinoma in a High Risk Patient.



Surveillance , monitoring  of any type includes comparative images between "healthy" or Silent vs "diseased" or prompt to erupt.....


Infrared Close up of the Left "Diseased" Breast  or "Erupting" Volcano.

What if she had previous access to a Metabolic Breast Monitor?

Would you like to see the XRay images ? Keep Posted Please.....