Drexler B, Davis J L, Schofield G
Radiology. 1985 Oct;157(1):41-4. doi: 10.1148/radiology.157.1.4034975.
In diaphanography, a light source is applied to the breast to visualize lesions through a television camera sensitive to infrared light. Diaphanography and mammography were performed on 1,476 patients in a screening population. Twenty-six cancers in 24 patients were confirmed by biopsy; detection rates were 96% for mammography, 58% for diaphanography, and 62% for physical examination. Mammography was significantly more sensitive than either diaphanography or physical examination (p less than 0.005). Mammography detected 10 cancers that were missed at physical examination, whereas diaphanography detected five such lesions. It is concluded that diaphanography does not satisfy the criteria of a screening procedure, but because the examination is completely innocuous, it may serve as an adjunct to physical examination. In addition, the authors developed a breast model for diaphanography that appears to correlate with the human breast and demonstrates some of the physics and limitations of diaphanography.
在透照检查中，将光源照射在乳房上，通过对红外光敏感的电视摄像机来观察病变。对筛查人群中的1476名患者进行了透照检查和乳房X线摄影检查。经活检确诊24例患者患有26处癌症；乳房X线摄影检查的检出率为96%，透照检查为58%，体格检查为62%。乳房X线摄影检查的敏感性显著高于透照检查或体格检查（p<0.005）。乳房X线摄影检查发现了10例体格检查漏诊的癌症，而透照检查发现了5例此类病变。得出的结论是，透照检查不符合筛查程序的标准，但由于该检查完全无害，它可作为体格检查的辅助手段。此外，作者开发了一种用于透照检查的乳房模型，该模型似乎与人类乳房相关，并展示了透照检查的一些物理原理和局限性。
