- مبلغ: ۸۶,۰۰۰ تومان
- مبلغ: ۹۱,۰۰۰ تومان
Background This paper summarizes the role of Digital Infrared Thermal Imaging (DITI) in the diagnosis of breast mass.
Methods Of total, 54 patients with palpable breast mass were enrolled in the study. Using DITI, minimum, average and maximum temperature values of each lesion site and its counterpart were measured, differences were used as a measure of symmetry. 0.5 °C was selected as a reference cut-off. Subsequent to thermal imaging, all patients underwent US examination. Mammographic examination was performed upon clinician request. All lesions were core-biopsied. Results of thermal imaging according to the above-mentioned criteria was compared with histopathological results.
Results Pathological evaluation revealed 21 invasive ductal carcinoma, 18 fibroadenoma, 9 cyst and 6 granulomatous mastitis. When mean temperature values were evaluated, fibroadenomas differed from malignant lesions significantly, whereas there was not statistically significant difference between granulomatous mastitis and invasive ductal carcinoma. Cysts were significantly different from malignant lesions only in terms of maximum temperature. It was shown that DITI can differentiate benign lesions from malignant with sensitivity up to 95.24% and specificity up to 72.73%.
Conclusion(s) This pilot study has shown that DITI can play a role in differentiating fibroadenoma and cyst from invasive ductal carcinoma in patients with palpable breast-mass. Since fibroadenomas are mostly seen in younger women, emergence of thermal symmetry analysis as an adjunct method in symptomatic patients with dense breasts seems most promising and important.