Relationship Between Microvessel Density and Thermographic Hot Areas in Breast Cancer

Abstract.Purpose: This study was conducted to evaluate the validity of thermography in breast examination. Methods: We performed contact thermography and measured the direct temperature by inserting a needle-type thermometer into the tissue. The core temperature of the tumor (dTt) and the temperature of the tissue surrounding the tumor (dTs) were compared with normal tissue. The microvessel density (MVD) and the MIB-1 labeling index (MIB-1 LI) of the tumor were examined immunohistochemically. The subjects were 48 women with primary invasive ductal carcinoma. The area of the tumor was diagnosed pathologically, and the hot area was measured using thermography. Results: The dTt was significantly higher than the dTs. Both the dTt and dTs were significantly higher when the thermographical hot area was positive, or when more than four lymph node metastases were found. The dTs was correlated with MVD. A correlation between MVD and tumor temperature measured directly was also confirmed. A higher dTs was related to the dissociated wide area of the thermogram. Conclusion: These findings suggested a relationship between dTs and the high-risk group of breast cancer. We also found that abnormalities in temperature were reflected in thermography and that a higher dTs was related to the dissociated wide area of the thermogram.

[1]  Michael Anbar,et al.  Quantitative Dynamic Telethermometry in Medical Diagnosis and Management , 1994 .

[2]  M. Indelli,et al.  MIB-1 proliferative activity in invasive breast cancer measured by image analysis. , 1996, Journal of clinical pathology.

[3]  THE CLINICOPATHOLOGICAL SIGNIFICANCE OF MEASUREMENT OF THE TEMPERATURE IN THE CENTER OF BREASE TUMOR , 1997 .

[4]  E Y Ng,et al.  Effect of blood flow, tumour and cold stress in a female breast: A novel time-accurate computer simulation , 2001, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[5]  A. Harris,et al.  Clinical importance of the determination of tumor angiogenesis in breast carcinoma: much more than a new prognostic tool. , 1995, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[6]  S. Sengupta,et al.  Thermography: Its relation to pathologic characteristics, vascularity, proliferation rate, and survival of patients with invasive ductal carcinoma of the breast , 1996, Cancer.

[7]  M Gautherie Improved system for the objective evaluation of breast thermograms. , 1982, Progress in clinical and biological research.

[8]  A. Ellis Breast , 2002, BMJ : British Medical Journal.

[9]  J. Coindre,et al.  Comparison of quantitative and semiquantitative methods of assessing MIB-1 with the S-phase fraction in breast carcinoma. , 1997, Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc.

[10]  N. Harbeck,et al.  Prognostic impact of proliferation-associated factors MIB1 (Ki-67) and S-phase in node-negative breast cancer. , 1997, British Journal of Cancer.

[11]  E.Y.K. Ng, N.M. Sudharsan Numerical uncertainty and perfusion induced instability in bioheat equation: its importance in thermographic interpretation , 2001, Journal of medical engineering & technology.

[12]  G. Jennings,et al.  Impaired reactivity of the peripheral vasculature to pressor agents in alcoholic cirrhosis. , 1993, Gastroenterology.

[13]  G. Gasparini,et al.  Clinical significance of angiogenic factors in breast cancer , 2004, Breast Cancer Research and Treatment.

[14]  G. Gasparini,et al.  Prognostic value of vascular endothelial growth factor in breast cancer. , 2000, The oncologist.

[15]  J. Folkman,et al.  Tumor angiogenesis and metastasis--correlation in invasive breast carcinoma. , 1991, The New England journal of medicine.

[16]  H. J. Isard THERMOGRAPHY IN BREAST CANCER , 1975, The Lancet.