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, 23 de mayo de 2013

Is an Infrared Analysis of the Breast a complementary procedure?

SIMPLE :

If an Infrared Analysis of the Breast is an approved  Complementary procedure , then why don't we use it as SUCH?

ANSWER : NOT A SINGLE RADIOLOGIST ( except in Brasil ) has been trained or  INTERESTED in it  and as consequence the vast majority of Oncologists worldwide........


THE TRUTH : There are some BIRADS III that eventually turn into a positive cancer cases

                         BIRADS IV is way TOO tricky and HOLDS LOW SPECIFICITY.

                         And BIRADS 0 obviously needs SOME help.


Infrared Analysis HOLDS a physical and Biological MEANING , NEW evidence is  waiting to be built by EXPERTS in Breast Diseases , not in "alternative" health providers.

Seems logical to me and to you?



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