Pre-exam instructions for Breast, Upper and Lower Body, and Cranial Dental Thyroid imaging.
- Do not wear restrictive clothing, such as a bra, to the exam
- No prolonged sun exposure or sunburn to the body for 5 days prior to your exam.
- No use of lotions, creams, powders, or makeup to the area being imaged on the day of the exam.
- No physical stimulation or treatments (chiropractic, acupuncture, massage, physical therapy, electrical muscle stimulation, ultrasound, hot or cold pack use) of the area(s) being imaged for 24 hours before the exam.
- Avoid exercise for 4 hours prior to your exam.
- No shaving on the day of the exam to avoid skin abrasions.
- Avoid bathing for 1 hour prior to the exam.
- No warm or cold beverages 2 hours prior to imaging.
- Do not drink alcohol 12 hours prior to the test.
- If you are using pain medications or decongestants, please avoid taking them for 4 hours prior to the examination. Please consult with your prescribing physician for his/her consent prior to any change in medication use such as this.
- If you have copies of any other test results (e.g. mammograms, ultrasounds, biopsies) please bring them with you
- No use of deodorants or antiperspirants the day of your exam for breast and upper body imaging.
- If you are nursing, please try to abstain from nursing for a minimum of 1 hour prior to exam for breast and upper body imaging.
- Avoid brushing teeth for at least 2 hours prior to imaging for cranial, dental thyroid imaging.
Do not apply any products, lotions or make-up to the face before imaging.
- Avoid taking any decongestants or pain medications for at least 4 hours prior to imaging.
- No hot or cold beverages within 2 hours of imaging.
- Avoid brushing teeth for at least 2 hours prior to imaging.
Please note: Surgical procedures such as implants, reductions, and biopsies do not interfere with infrared imaging. Breast infrared imaging is perfectly safe to have during pregnancy or when nursing.
WHAT TO EXPECT AT YOUR APPOINTMENT
- Your initial appointment time will vary (see FAQ How long will my appointment take?)
- You will be taken to a private examination room where you will be asked to disrobe the area being imaged, in order to become acclimated to the temperature of the room. Lower body undergarments may remain worn. Alternatively, a disposable undergarment can be provided.
- A female technician will be available to answer any questions while you sit behind a privacy screen.
- After 15 minutes, the technician will take a series of images including front, lateral, and oblique views.
- For breast imaging only: You will be asked to plunge your hands into ice water for 60 seconds. This is known as a stress test – the shock of the cold water will put your body into a “fight and flight” response. Normal blood vessels will contract and cool down while blood vessels feeding abnormal cells will not. The technician will then repeat the process of taking images for a before and after view. The imaging itself only takes a couple of minutes.
- Within approximately three weeks, you will be scheduled for a complimentary telephone wellness consultation with one of our technicians or nurse educators. You will receive a detailed report highlighting the thermographic images from your examination, and will learn of any identified areas of inflammation. You will receive personalized advice on how to best improve your health and prevent disease progression.
I have breast implants, or I am pregnant or nursing - is Thermography safe?
Can Thermography diagnose breast cancer?
No. Like other structural testing methods such as ultrasound and mammography, is a screening tool used to identify abnormal physiological changes in your breasts caused by inflammation or malignancy. With all types of screening tools, definitive diagnosis is only made after other procedures such as a biopsy or lumpectomy. Many of our clients come in after an abnormal ultrasound or mammogram to correlate the area to be watched with a thermographic image of the same region. If thermography shows inflammation in the same area, the patient will have more information with which to make an informed decision.
Is Breast Thermography covered by OHIP?
Have any studies been done regarding the accuracy of Thermography?
Yes, hundreds of studies have been published in medical journals.
For further information, please go to:
Do I need a referral from my family physician?
How long does an appointment take?
How often will I need a re-scan?
I have breast implants – is thermography safe?
Why do we plunge our hands into cold water during breast imaging?
Does Thermography replace Mammography?
Why is Thermography not embraced by mainstream medicine?
As a stand-alone test, Thermography has been criticized for its high rate of false negative and false positive results. Historically, infrared cameras lacked the sensitivity to detect subtle temperature changes necessary to identify and monitor disease. Since the 1990’s, major advancements in infrared technology, coupled with sophisticated computerized software programs, have resulted in a significant increase in the accuracy of thermal images. For example, a 4-year clinical trial by Parisky and colleagues demonstrated 97% sensitivity in the detection of Breast Cancer with the use of dynamic, computerized, thermal imaging. In another recent trial, modern digital thermography was also able to detect 97% of biopsy-confirmed breast malignancies.
The high incidence of ‘false’ positive results documented with thermography can often be a reflection of breast abnormalities that are not yet palpable through breast examination or detectable through Mammograms. Early research assessing approximately 58,000 women has shown that a significant percentage (>30%) of abnormal Thermograms, in the absence of any other breast abnormalities, eventually manifest at a later stage as cancer.
Because Thermography cannot provide information on the exact anatomic detail of the breast or define a specific area that needs to be biopsied, it needs to be combined with an anatomical test, such as Mammography. As a functional test, Thermography cannot identify the specific cause of physiological changes to breast tissue. For this reason, it serves as a risk marker and complementary modality, rather than a stand-alone assessment tool.
Thermography is not a competitor to, or a replacement for, Mammography. Rather it is an adjunctive tool that can identify areas of abnormal thermal symmetry, which are often associated with underlying pathology. When functional abnormalities are detected early, there is an opportunity for early intervention. Cure rates for Breast Cancer are thought to be as high as 95% when detected in the earliest stages. When combined with other anatomical procedures, Thermography may contribute to the best possible evaluation of breast health.
Infection Control Policy
We want to ensure you feel safe and comfortable in our facility. Our clinic diligently follows COVID-19 and infection control policies and procedures as set out by the Ministry of Health, Waterloo Region Public Health and the Canadian Association of Clinical Thermography.
- You must properly wear a disposable or reusable cloth mask upon entering the clinic treatment room. If you do not have one, a medical face mask will be provided to you. Our team will also be wearing appropriate protective gear.
- Hand sanitizer is available for use in our waiting room and treatment rooms.
- Distancing will be maintained throughout your entire visit. Thermography imaging does not require you to be within 6 feet of our technician at any time.
- We offer options to pay in advance, or touchless pay to limit the amount of time spent in our clinic.
- The waiting area, washroom and imaging room will be thoroughly cleaned and sanitized. We use an air filtration system with UV-C and true HEPA filters within our clinic spaces
Our goal is to provide quality care to all our clients in a timely manner. We understand that sometimes, unexpected delays can occur, making schedule adjustments necessary. Please be aware of our policy regarding missed appointments.
If you need to cancel or reschedule your appointment, we respectfully request at least 48 hours notice. Our Policy:
- Any cancellation made less than 48 hours may result in a cancellation fee of $50.
- Missed appointments due to exceptional circumstances, or due to illness will be waived from incurring a cancellation fee, provided an the appointment is rescheduled for a later date.
Thermography provides a physiological assessment of the microcirculation and is quite sensitive for the detection of risk factors regarding several pathological conditions. This test, however, does not replace or discourage clinical findings or mammography and any suspicious lesions should be followed up with additional testing or medical evaluation as prescribed by your health care provider.
If you have any further questions or concerns, please feel free to connect with us.
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