What is the different between Thermography and Mammography?
Where mammography looks for structure such as a lump,
thermography looks for the body's physiological response to cancer
cells. These changes can often occure 8-10 years before the cells are
large enough to be seen by a mammogram.
Does Digital Infrared Imaging replace mammograms?
No! However, do mammograms replace DITI? The answer to this
is also a resounding no; the two tests complement each other. The
consensus among health care experts is that no one procedure or method
of imaging is solely adequate for breast cancer screening. The false
negative and positive rates for mammography are too high for the
procedure to be used alone. DII can pick up many of the cancers missed
by mammography. A positive infrared image is also the single most
important marker of high risk for developing breast cancer. It is DII's
unique ability to monitor the abnormal temperature (physiological)
changes produced by diseased breast tissue that allows for extremely
early detection. Since it has been determined that 1 in 8 women will get
breast cancer, we must use every means possible to detect these tumors
when there is the greatest chance for survival.
Who reads the report?
The MD's are board certified as thermologists by the
American College of Clinical Thermology which is an accredited
professional medical association. All MD's must be licenced and insured
and in good standing for certification. There is annual continuing
education and QC conducted by peer review overreads. EMI eligibility is a
minimum of 5 years post grad. Most of the doctors employed by EMI have
between 5 and 10 years of experience as thermologists.
Who are the thermographers?
All of our thermographers are board certified Clinical
Thermographers through the American College of Clinical Thermology at
Duke University and meet the highest standards available.
When will I get the report back?
Within a week and often just a few days.
Why haven’t I heard of Digital Infrared Imaging before?
Due to a poorly constructed and performed (with regards to
Breast Thermography) research study back in the 1970’s, DITI was placed
in a "further study needed" and "no improvement over mammography"
category. Along with this study, health care politics and insurance
cost-containment issues caused interest in this technology to be put on
hold. However, with the combination of a multitude of large-scale
studies performed in the 80’s and 90’s, and recent advances in
technology, DITI is emerging as an important addition to a woman's
regular breast health care.
I mentioned Digital Infrared Imaging to my doctor and was told that the procedure is outdated and useless, is this true?
Unfortunately, many physicians either do not know about this
technology or are knowledgeable about a single poorly performed (with
regards to DITI) research study; the BCDDP (Breast Cancer Detection
Demonstration Project). The BCDDP was a large study done in the 1970’s
that collected data from many centers around the United States. Three
methods of breast cancer detection were studied: physical examination,
mammography, and thermography.
With regards to thermography, the BCDDP was seriously flawed in six critical areas.
- Completely untrained technicians were used to perform the scans.
- The study used radiologists who had no experience or knowledge in reading infrared images.
- No standardized reading protocol had yet been established for infrared imaging.
- Proper laboratory environmental controls were completely ignored. In fact, many of the research sites were mobile trailers with extreme variations in internal temperatures.
- Low resolution industrial grade infrared imagers were used.
- The initial premise of the study was flawed: "A negative thermogram would preclude the need for a mammogram."
A fuctional imaging test (thermography) cannot replace a structural
imaging procedure (mammography). These two imaging tools complement each
other. Thermography is to be used in addition to mammography, not as a
replacement.
Of considerable concern was the reading of the images. It wasn’t
until the early 1980’s that established and standardized reading
protocols were introduced. Considering these facts, the BCDDP could not
have properly evaluated infrared imaging. With the advent of known
laboratory environmental controls, established reading protocols, and
state-of-the-art infrared technology, a poorly performed 20-year-old
study cannot be used to determine the appropriateness of DII.
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