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, 6 de febrero de 2014

Breast Thermography CANNOT DETECT Clear Mamographical Microscopic Breast Carcinomas ,

Breast Thermography CANNOT DETECT Clear Mammographical Microscopic Breast Carcinomas , yet (Biological information as a complement is important in the Doctor-Patient Relationship. And offers predictive biological behaviour of the lesion prior to biopsy , useful for both.) EMC 

 Would you like to see an Example??

Early 40´s asymptomatic woman , first mammography screening.
On Physical Examination after the images an irregular "soft" lump was felt on her right inner upper quadrant......




Anatomically Clearer than this , is Impossible and that is why detection is supported on MORPHOLOGY.

 Makes more than sense....

 So would you perform an Infrared Complementary Procedure???

 Vast Majority : will say ABSOLUTELY NOT....Right?
Well I did , why : 

  BECAUSE EVEN BEFORE BIOPSY I HAVE USEFUL INFORMATION FOR THE PATIENT TO GIVE.......

 METABOLIC INFORMATION....Makes sense to me .....( and to tell you the truth it is brainstimulating......)

 "EMPATHY , PREDICTION , COMPLIANCE , STRESS , AND IN SOME CASES EVEN THERAPEUTIC DECISIONS CAN BE SUPPORTED BY AND INFRARED IMAGE." 
EMC.

 I believe you should learn it TOO.... don´t you think so ???

To see the IR images Keep posted OK??? , have a great week......
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