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, 24 de junio de 2013

Digital Infrared Analysis of the Breast_Free and Available.

Breast Cancer ORDER is mantained by the evidence created during the last 40 years with Mammography.

 Nobody denies its intrinsic value and strengths.

 It is our primary language against the Common Enemy : Breast Cancer

 Yet , to reach its ideal goals and current trends it involves a complicated network of :
  1. personal , 
  2. political , 
  3. cultural , 
  4. geographical and 
  5. economical interests around this sometimes regretfuly "fashion" topic.


(Specially sensitive and a super candidate for promotion and glamour.)

 To affirm that ONLY mammography holds the truth is 

 To deny that anything else can help , and sounds to me as a MONOPOLY ...........

 A scientifically based evidence of the INFRARED analysis and Behaviour of those MALIGNANT potentially MORTAL types of BREAST CANCER  in my mind is not only necessary but an obligation.....for all 

 Since current trends will  be of Tsunamic Proportions as some have already stated 

 .....Advanced cases in the vast majority of countries will keep on rising if we follow the same recommendations.

 I do not intend to set aside Mammography ...that is not only impossible but Stupid.

 I simply would like to let you know that DIRA can be useful and as time goes by , more and more examples will join , more women will be helped and an specific nich for its use will rise.

 Last of all : I think that DIRA should be FREE  or near to free and available only for Breast Cancer Specialists .

 Have a great week------EMC
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