رزيابي فالوآپ بيمار مبتلا به كيست‌هاي پستان با استفاده از فناوري تصويربرداري حرارتي: گزارش موردي

Following a patient with breast cysts using thermal imaging: case report

زمينه و هدف: سرطان پستان يك بدخيمي رايج است كه تشخيص زودهنگام مبتني بر تصويربرداري از سرطان پستان نتيجه درمان را بهبود مي‌بخشد. تصويربرداري حرارتي (ترموگرافي) شيوه‌اي سريع، غيرتهاجمي، بدون تماس و انعطاف‌پذير براي تشخيص سرطان پستان مي‌باشد. معرفي بيمار: بيمار زن 25 ساله است كه در آبان 1393 و تير 1396 جهت انجام معاينات كلينيكي به مركز تحقيقات راديولوژي نوين و تهاجمي در بيمارستان امام‌خميني (ره) تهران وابسته به دانشگاه علوم پزشكي تهران مراجعه نمود. نتايج سونوگرافي پستان چپ و نواحي آگزيلاري دو طرف و بيوپسي تحت گايد سونوگرافي از ناحيه آگزيلاري چپ حاكي از آن است كه منطبق بر برجستگي ملموس در ساعت 11-12 پستان چپ نسج ضخيم و اكوژن بدون يافته مشكوك ديده شد. نتيجه‌گيري: نتايج حاكي از دقت در شناسايي و همخواني كيست‌هاي بيمار در روش ماموگرافي و سونوگرافي با نتايج ترموگرافي در هر دو بازه زماني آبان 1393 و تير 1396 دارد.

Background: Breast cancer is a common malignancy in which early breast cancer detection by the help of imaging can improve the treatment outcome. Thermography utilizes infrared beams which are fast, non-invasive, and non-contact and the output created images by this technique are flexible and useful to monitor the temperature of the human body. Case presentation: Our patient is a 25-year-old woman who was referred to Tehran's Imam Khomeini Hospital, Tehran University of Medical Sciences, in October 2014 and June 2017 to perform clinical examinations of breast cancer at the Invasive and New Radiology Research Center of Tehran. The results of the sonography for the left breast and bilateral axillary regions and sonography guided biopsy from the left axillary region indicated that: it was consistent with the tangential prominence at 11-12 O’ clock in the left breast tissue and echo gene was found without any suspected findings. Then, using the non-contact infrared imaging camera VisIR 640 (Thermoteknix Systems Ltd, Cambridge, UK), the feasibility of thermography method in the patient's follow-up was investigated. Conclusion: Thermography can be used to detect abnormal areas in the breast tissue that may have cystic origin. The results indicated that the accuracy of the identification and matching of patient cysts in mammography and ultrasonography with the results of thermography in both periods of October 2014 and June 2017. Considering the results, it is noteworthy that the diagnostic clock of the breast cysts in the patient is consistent with the results of the clinical trials with the thermography. Moreover, in a 2 years intervals, the status of thermal morphology status of the cystic region did not considerably change which showed a relatively stable status.