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¨

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.....


No hay comentarios:

Publicar un comentario