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Breast Imaging Outcomes following Abnormal Thermography
Colleen H Neal1, Kelsey A Flynt1, Deborah O Jeffries1
1Department of Radiology, University of Michigan, C415 MIB SPC 5842, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109.
Abnormal breast thermography rarely indicates cancer, especially in asymptomatic women. Conventional imaging like mammography and ultrasound effectively evaluate these findings, confirming a 100% negative predictive value for cancer in this study.
Area of Science:
- Radiology
- Oncology
- Medical Imaging
Background:
- Abnormal breast thermography findings warrant further investigation to rule out malignancy.
- Conventional breast imaging modalities play a crucial role in evaluating suspicious thermographic results.
Purpose of the Study:
- To assess the outcomes of patients with abnormal breast thermography who underwent conventional breast imaging.
- To determine the diagnostic accuracy of mammography and ultrasound in evaluating thermography-detected abnormalities.
Main Methods:
- A retrospective review of 38 patients with abnormal breast thermography who underwent mammography and/or ultrasound.
- Inclusion criteria: women with thermography-detected abnormalities evaluated between 2000-2015.
- Outcome determination through biopsy or at least one year of follow-up.
Main Results:
- Only 5% (2 of 38) of patients were diagnosed with breast cancer, both presenting with suspicious clinical symptoms.
- No asymptomatic women were diagnosed with cancer, yielding a 100% negative predictive value.
- The majority of patients (79%) had benign findings (BI-RADS 1 or 2).
Conclusions:
- Abnormal breast thermography in asymptomatic women is highly unlikely to be associated with breast cancer.
- Mammography and ultrasound are effective tools for characterizing thermography-detected abnormalities.
- Suspicious clinical findings are key indicators in patients diagnosed with cancer following abnormal thermography.
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