Download Report

Patient Thermograms
Patient: Jane Doe
Date:
03-11-11
SAMPLE PATIENT REPORT – HIGHEST RISK THERMOGRAM
(Cancer was not detected by patient’s Mammogram)
36.5 °C
36.5 °C
36
36
34
34
32
32
30
30
28.5
28.5
36.5 °C
36.5 °C
36
36
34
34
32
32
30
30
28.5
28.5
36.5 °C
36.5 °C
36
36
34
34
32
32
30
30
28.5
28.5
Breast Thermography is not a standalone technology and does not replace Ultrasound, Mammography and/or MRI
This Report is intended for use by trained health care providers to assist in evaluation, diagnosis and treatment. This Report does not provide a
diagnosis of disease or other conditions. It is not intended for use by individuals for self diagnosis or self evaluation.
1525 State Street, Santa Barbara, CA 93101 ● 1407 Garden Street, San Luis Obispo, CA 93401
(805) 560-8111 Judy Dean, MD Board Certified Diagnostic Radiologist or (805) 441-5557 Gaea Powell, Board Certified Thermographer
Patient Thermograms
Patient: Jane Doe
Date:
03-11-11
SAMPLE PATIENT REPORT – HIGHEST RISK THERMOGRAM
(Cancer was not detected by patient’s Mammogram)
36.5 °C
35.5 °C
36
34
34
32
32
30
30
28
28.5
27.5
36.5 °C
35.5 °C
36
34
34
32
32
30
30
28
28.5
27.5
36.5 °C
36.5 °C
36
36
34
34
32
32
30
30
28.5
28.5
Breast Thermography is not a standalone technology and does not replace Ultrasound, Mammography and/or MRI
This Report is intended for use by trained health care providers to assist in evaluation, diagnosis and treatment. This Report does not provide a
diagnosis of disease or other conditions. It is not intended for use by individuals for self diagnosis or self evaluation.
1525 State Street, Santa Barbara, CA 93101 ● 1407 Garden Street, San Luis Obispo, CA 93401
(805) 560-8111 Judy Dean, MD Board Certified Diagnostic Radiologist or (805) 441-5557 Gaea Powell, Board Certified Thermographer
Patient Thermograms
Patient: Jane Doe
Date:
03-11-11
SAMPLE PATIENT REPORT – HIGHEST RISK THERMOGRAM
(Cancer was not detected by patient’s Mammogram)
36.5 °C
36
35
34
Dt4
33
Dt3
32
Dt2
31
Dt1
30
29
28.5
LOCATION
Nipple
Areola
Global
UOQ
Upper Quadrant
Upper Quadrant
Lower Quadrant
Lower Quadrant
ACC
ROI1
ROI2
PATIENT’S THIRD THERMOGRAM
RIGHT
LEFT
RN Average Temperature 29.4 °C
LN Average Temperature 32.8 °C
RA Average Temperature 30.8 °C
LA Average Temperature 33.7 °C
RG Average Temperature 32.6 °C
LG Average Temperature 33.7 °C
RUOQ Average Temperature 33.1 °C
LUOQ Average Temperature 33.5 °C
UIQ CL Site Maximum Temp.
33.2°C UIQ VW Maximum Temperature
UOQ CL Site Maximum Temp.
33.5°C UOQ VW Maximum Temperature
Lower Quadrants VW Max Temp.
33.3°C Lower Quadrants CL Max Temp.
°C
°C
Nipple CL Site Max Temperature
31.4°C Nipple Maximum Temperature
Areola CL Site Max Temperature
30.7°C Areola Maximum Temperature
* Δ Rounded off to nearest 0.1 C
VW=Vascular Warming
Summary: TH2 Right Breast; TH5 Left Breast
34.9°C
34.4°C
34.5°C
°C
°C
34.5°C
35.0°C
*DELTA
Dt1 3.5
Dt2 2.9
Dt3 1.1
Dt4 0.4
Dt 1.7
Dt 0.9
Dt 1.2
Dt
Dt
VM=Vascular Marking
ACC=Area of Clinical Concern
Highest Risk Thermogram
3.1
4.3
NORMAL
Δ < 1.0 C
Δ < 1.5 C
Δ < 1.5 C
Δ < 2.0 C
Δ < 2.0 C
Δ < 2.0 C
Δ < 1.0 C
Δ < 1.0 C
Δ < 1.0 C
Δ < 1.0 C
Δ < 1.5 C
CL=Contra Lateral
Markedly abnormal thermovascular asymmetry persists between breasts. Thermovascular signatures in the upper quadrants of the Left are
stable when compared to previous Thermograms of 04-21-10 and 01-09-10 and consistent with the known malignancy in this breast.
Thermovascular warming continues to increase in the nipple, areola and lower quadrants of the Left breast. There is increasing retraction of
the left breast consistent with enlarging tumor. Surgical consultation is strongly recommended. Judy Dean MD
Breast Thermography is not a standalone technology and does not replace Ultrasound, Mammography and/or MRI
This Report is intended for use by trained health care providers to assist in evaluation, diagnosis and treatment. This Report does not provide a
diagnosis of disease or other conditions. It is not intended for use by individuals for self diagnosis or self evaluation.
1525 State Street, Santa Barbara, CA 93101 ● 1407 Garden Street, San Luis Obispo, CA 93401
(805) 560-8111 Judy Dean, MD Board Certified Diagnostic Radiologist or (805) 441-5557 Gaea Powell, Board Certified Thermographer
Patient Thermograms
Patient: Jane Doe
Date:
03-11-11
SAMPLE PATIENT REPORT – HIGHEST RISK THERMOGRAM
(Cancer was not detected by patient’s Mammogram)
36.5 °C
36
35
34
33
32
31
30
29
28.5
Previous Thermogram Date: 04-21-10
PATIENT’S SECOND THERMOGRAM
36.5 °C
36
35
34
33
32
31
30
29
28.5
Previous Thermogram Date: 01-09-10
PATIENT’S FIRST THERMOGRAM
Breast Thermography is not a standalone technology and does not replace Ultrasound, Mammography and/or MRI
This Report is intended for use by trained health care providers to assist in evaluation, diagnosis and treatment. This Report does not provide a
diagnosis of disease or other conditions. It is not intended for use by individuals for self diagnosis or self evaluation.
1525 State Street, Santa Barbara, CA 93101 ● 1407 Garden Street, San Luis Obispo, CA 93401
(805) 560-8111 Judy Dean, MD Board Certified Diagnostic Radiologist or (805) 441-5557 Gaea Powell, Board Certified Thermographer
Patient Thermograms
Patient: Jane Doe
Date:
03-11-11
SAMPLE PATIENT REPORT – HIGHEST RISK THERMOGRAM
(Cancer was not detected by patient’s Mammogram)
Breast Thermography Evaluation Information
Thermal imaging helps determine a woman’s risk for currently having breast cancer or developing it in the future by looking at the surface
temperature of the breasts. This information can be used to help determine when additional testing is necessary, to improve the accuracy of
finding cancer on other examinations, and sometimes aids in monitoring treatment. Thermography is an adjunct screening and does not
replace mammography, ultrasound and/or MRI.
Thermal breast imaging is a functional test to evaluate temperature as an indicator of metabolic and/or angiogenic (blood vessel) activity. It does
not directly detect or diagnose cancer but can indicate the level of risk for breast cancer. Causes of increased heat which Thermography may
image include a variety of conditions including cancer, inflammation, infection, healing scars, benign tumors, and others.
An abnormal thermal finding is not a guarantee that cancer is present, nor is a low risk thermal image a guarantee than cancer is not
present. Thermal imaging is an adjunctive screening and does not replace other tests, such as mammography. It is not independently diagnostic
of pathology.
Thermography is a topographical infrared mapping technology which does not see inside the body. When Thermography is abnormal other
imaging is necessary to validate and localize disease.
Breast Thermography is intended to monitor breast health over time. Each woman has distinct thermal patterns, like a “thermal fingerprint”, which
should not change substantially from year to year. Baseline studies for comparison are therefore important.
Follow-up Thermograms may then identify changes that could represent physiological differences that warrant additional investigation.
Thermography findings are reported on a scale from 1 to 5 as follows:
Note: Abnormal signs may be indicated on a patient’s initial Thermogram that could be determined as stable, once recommended serial
thermal imaging is established to create a baseline and/or due to known non-cancerous causes (e.g. abcess or recent benign surgery).
TH1: Lowest Risk and TH2: Low Risk – These ratings suggest the lowest risk of current or future breast cancer. These ratings do not guarantee
that the breasts are cancer free, and should not delay any other breast examination recommended by your doctor. The increase in risk between TH1
and TH2 is minimal.
TH3: Medium Risk – This rating suggests a mid-level risk that breast cancer is currently present or may develop in the future. Additional
imaging such as MRI, mammography, ultrasound or other diagnostic tests should be performed if these have not been done.
TH4: High Risk – This rating suggests a substantial risk that breast cancer may be present or may develop in the future. This rating is not a
guarantee that cancer is present, and needs to be evaluated by other imaging to determine its significance. Additional imaging such as MRI,
magnification mammography, ultrasound or other diagnostic tests should be performed.
TH5: Highest Risk – This rating indicates a high risk that breast cancer is present or will develop. This rating is not a guarantee that cancer is
present, and must be evaluated by additional imaging to determine its significance.
All required clinical protocols were observed.
The patient was partially disrobed and underwent thermal equilibration for 15 minutes with the temperature of the examination room 18°C - 23°C.
Examination performed consistent with recommended protocol for thermal breast examinations.
The data for this examination were acquired using an infrared sensitive camera. Views of the breasts consisted of a frontal image, including the
sternum, and lateral images that included the axillary regions.
Breast Thermography is not a standalone technology and does not replace Ultrasound, Mammography and/or MRI
This Report is intended for use by trained health care providers to assist in evaluation, diagnosis and treatment. This Report does not provide a
diagnosis of disease or other conditions. It is not intended for use by individuals for self diagnosis or self evaluation.
1525 State Street, Santa Barbara, CA 93101 ● 1407 Garden Street, San Luis Obispo, CA 93401
(805) 560-8111 Judy Dean, MD Board Certified Diagnostic Radiologist or (805) 441-5557 Gaea Powell, Board Certified Thermographer