Annonier C
J Belge Radiol. 1990 Oct;73(5):387-94.
The old method of diaphanoscopy or transillumination is generally considered by most physicians to be as non-invasive as it is needless. However, since the beginning of the eighties, thanks to the video camera, the computer, the use of red and infrared lights, new modes of application of this method have been possible; i.e. diaphanography, light scanning, diaphanoscopy, in vivo spectrometry. Two fields of indications for diaphanography are now evaluated: 1) In breast cancer detection and diagnosis, interesting results are claimed. The discussion about the comparison of these results with those of mammography may be long and hard. 2) In the evaluation of the richness of the structures of the breast, diaphanography offers unique possibilities. It has a special ability for the detection of local or general hyperplasia which is positively correlated with the risk of cancer. It may be too early to appreciate with certainty the value of these new modes of application of diaphanography, but its theoretical background shows that it is able to offer original information. Therefore, considering the difficulties and the importance of the diagnosis of breast diseases and the limits of the methods today in use, we should feel compelled to develop this examination procedure.
大多数医生普遍认为，传统的透照检查法或透照术既无创又不必要。然而，自20世纪80年代初以来，由于摄像机、计算机以及红光灯和红外灯的使用，这种方法有了新的应用模式，即透照造影术、光扫描、透照检查、活体光谱测定法。目前正在评估透照造影术的两个适应证领域：1）在乳腺癌检测和诊断方面，据称取得了有趣的结果。关于将这些结果与乳房X线摄影结果进行比较的讨论可能漫长而艰难。2）在评估乳房结构的丰富程度方面，透照造影术提供了独特的可能性。它对检测与癌症风险呈正相关的局部或全身性增生具有特殊能力。现在确定评估透照造影术这些新应用模式的价值可能还为时过早，但其理论背景表明它能够提供原始信息。因此，考虑到乳腺疾病诊断的困难和重要性以及目前所用方法的局限性，我们应该感到有必要开展这种检查程序。
