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, 14 de octubre de 2013

DIRA can actually detect NON PALPABLE TUMORS 

 That is a FACT

The "Correct" Political Speach at least in the Developing World ; prohibits :

 to ACCEPT :

THAT : 
1.INCIDENCE AND
2. MORTALITY are in an steady rise  and :

 There is  NO PLAN OR STATISTIC PROJECTION TO REVERSE THESE  TRENDS . or these  Numbers to  CHANGE.

 At least get them smaller. 

 Question : 

 1. Don´t you think it is time to try something else?
Awareness 
Breast Self Exam 
High Quality  Certified Clinical Breast Exam
Ultrasound and 
Digital Infrared Image

 If we add all their capabilities they can actually help and detect . 

 If you doubt it at all ........ I am 

 At your service : 
emartindelcampo@yahoo.com 
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