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Digital Infrared Thermal Imaging

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Digital Infrared Thermal Imaging

  1. 1. Ann E. Stanger, MD 2940 Chapel Valley Road Madison WI 53711 608-233-2378
  2. 2. The clinical applications of DIGITAL INFRARED THERMAL IMAGING American College of Clinical Thermology
  3. 3. Clinical Thermography is a test of physiology that relies on the sympathetic nerve control of skin blood flow and the ability of the sympathetic system to respond and react to pathology anywhere in the body.
  4. 4. The very first thermal image in 1948 took 40 minutes to to scan
  5. 5. DITI’s role in breast cancer and other breast disorders is to help in early detection and monitoring of abnormal physiology and the establishment of risk factors for the development or existence of cancer. When used with other procedures the best possible evaluation of breast health is made.
  6. 6. Normal Breast Study with no significant thermal asymmetries.
  7. 7. DITI detects the subtle physiologic changes that accompany breast pathology, whether it is cancer, fibrocystic disease, an infection or a vascular disease. Doctors can then plan accordingly and lay out a careful program to further diagnose and /or MONITOR until other standard testing becomes positive. This allows for the earliest possible treatment.
  8. 8. Breast Cancers tend to grow significantly faster in younger woman under 50 A VERAGE AGE TUMOUR DOUBLING TIME Under 50 80 days Age 50 - 70 157 days Over Age 70 188 days Source: Cancer 71:3547-3551, 1993
  9. 9. All women can benefit from DITI breast screening. However, it is especially appropriate for younger women (30 - 50) whose denser breast tissue makes it more difficult for mammography to be effective. Also for women of all ages who, for many reasons, are unable to undergo routine mammography. This test can provide a 'clinical marker' to the doctor or mammographer that a specific area of the breast needs particularly close examination. It takes years for a tumor to grow thus the earliest possible indication of abnormality is needed to allow for the earliest possible treatment and intervention. DITI’s role in monitoring breast health is to help in early detection and monitoring of abnormal physiology.
  10. 11. Early Detection DITI is especially appropriate for younger women between 30 & 50 whose denser breast tissue makes it more difficult for mammography to pick up suspicious lesions. This test can provide a 'clinical marker' to the doctor or mammographer that a specific area of the breast needs particularly close examination.
  11. 12. Baseline 3 months 6 months 9 months 12 months
  12. 17. DCIS Greyscale
  13. 22. Digital Infrared Thermal Imaging can be used to image the entire body. Asymmetries in the body or changes from prior studies can correlate to physiologic changes that relate to pathology.
  14. 23. Focal hypothermia relating to a malignant cyst Small metastatic tumors indicated by focal areas of hypothermia over the lumbar spine
  15. 24. MVA, Steering wheel impacted the low chest, subsequent x-ray as a result of thermal findings showed fractures in the low sternum and left last rib.
  16. 26. Inflammation over the right kidney
  17. 29. Focal hypothermia over T1 / T2
  18. 30. Patients with diagnosed CFS and Fibromyalgia
  19. 31. Hyperthermia over both lobes of the thyroid Indicating thyroid ‘dysfunction’
  20. 35. Facial paralysis (bells palsy)
  21. 36. Brachial plexus entrapment <ul><li>Right side brachial plexus entrapment </li></ul><ul><li>Lower right arm sympathetic reaction </li></ul>
  22. 37. Myofascial Trigger Point - in semispinalis cervicus
  23. 38. Myofascial Trigger Point <ul><li>Trigger point in </li></ul><ul><li>upper part of left </li></ul><ul><li>Rhomboid </li></ul>
  24. 39. T 4 inflammation
  25. 40. Gluteus maximus <ul><li>Competitive swimmer with pain in left gluteus maximus </li></ul><ul><li>(Swimmers nemesis) </li></ul>
  26. 41. Stress Fracture <ul><li>Football player with stress fracture, confirmed with scintigraphy </li></ul>
  27. 42. Sympathetic Pain Sympathetic irritation in the heel of the left foot
  28. 43. Fracture to left ankle Sympathetic shutdown in affected limb
  29. 44. Three stress fractures of the transverse processes of the lumbar spine.
  30. 45. Post fracture <ul><li>Poor healing response left ankle after cast removal </li></ul>
  31. 46. Right ankle fracture <ul><li>6 weeks post fracture right ankle </li></ul><ul><li>Weight transfer to left shin </li></ul>
  32. 47. Post surgery <ul><li>Right knee 3 weeks post arthroscopy </li></ul>
  33. 48. Monitoring the effects of Acupuncture Baseline before needle placement Stabilized result after needle Removal Sequential recording at 5 minute intervals with needles in place
  34. 49. <ul><li>Posterior cruciate strain left knee </li></ul>Posterior cruciate <ul><li>Vascular damage below knee </li></ul>
  35. 50. <ul><li>Left knee medial ligament strain </li></ul>Medial ligament
  36. 51. Complex Regional Pain Syndrome <ul><li>RSD left toes </li></ul>
  37. 52. RSD of the right foot
  38. 53. RSD (CRPS) of the left hand. Glove-like hypothermia. The return of normal sympathetic function after treatment was short term.
  39. 54. <ul><li>Neuropathy in the fingers of the right hand </li></ul>
  40. 55. Right leg radiculopathy from L3 L4 nerve root injury
  41. 56. Early stage bilateral carpal tunnel syndrome Chronic right carpal tunnel syndrome
  42. 57. Carotid Artery dysfunction (Right side)
  43. 59. Normal Thermal Patterns
  44. 61. Contact Information <ul><li>Ann Stanger, MD </li></ul><ul><li>2940 Chapel Valley Rd </li></ul><ul><li>Madison, WI 53711 </li></ul><ul><li>(608)233-2378 </li></ul><ul><li>Annstangermd.com </li></ul>

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