Bremond A, Ollier V, Drapier-Faure E
Clinique gynécologique, Hôpital Edouard-Herriot, Lyon, France.
Bull Cancer. 1988;75(2):183-6.
Thermography is a questionable method of diagnosis of breast diseases. In our study, we demonstrate that the low sensitivity and specificity is not related to the experience of the reader. One hundred thermograms were given to five different readers: three of them were thermographists, one was a gynecologist and the last one radiotherapist. Sixteen patients had a breast carcinoma, 18 had benign lesions. Seventy-two patients had no lesion at the time of diagnosis and 4 years after. The false negative and the false positive rates were not different according to the readers. The reproducibility, judged with the Kappa test, was poor. This study, in agreement with most of the previous studies, demonstrates that thermography must not be recommended neither for diagnosis nor for screening of breast diseases.
热成像术是一种用于诊断乳腺疾病的存在疑问的方法。在我们的研究中，我们证明了其低敏感性和特异性与阅片者的经验无关。一百份热成像图被分给了五位不同的阅片者：其中三位是热成像专家，一位是妇科医生，最后一位是放射治疗师。16名患者患有乳腺癌，18名有良性病变。72名患者在诊断时以及4年后均无病变。假阴性率和假阳性率在不同阅片者之间并无差异。通过Kappa检验判断，其可重复性较差。本研究与大多数先前的研究一致，表明热成像术无论是用于诊断还是乳腺疾病筛查都不应被推荐。
