文章：

放射科医生为何不认可乳腺热成像？近期研究及建议的批判性回顾

Why Do Radiologists Disown Breast Thermography? A Critical Review of Recent Studies and Recommendations

原文发布日期：29 June 2025

DOI: 10.3390/cancers17132195

类型: Article

开放获取: 是

英文摘要：

Thermography was first applied to breast cancer detection in the 1950s but fell out of favor among radiologists due to inconsistent and inconclusive findings in the following decades. Studies conducted in the 21st century using new-generation thermal cameras and computer vision techniques, particularly artificial intelligence, have reported sensitivity and specificity values comparable to those of mammography. However, most radiologists, being unaware of these results, still believe this technique is ineffective, and medical societies advise against using it, even as an adjunct to mammography. In this paper we review recent studies and discuss whether the recommendations of scientific societies are still valid in the light of new evidence. We also propose some ideas for standardizing breast thermography studies that could help make this technique acceptable to the radiology community.

摘要翻译： 

热成像技术于20世纪50年代首次应用于乳腺癌检测，但由于随后几十年间研究结果的不一致性和不确定性，该技术在放射科医生中逐渐失宠。进入21世纪后，采用新一代热成像相机与计算机视觉技术（特别是人工智能）开展的研究显示，其敏感性与特异性指标已达到与乳腺X线摄影相当的水平。然而，多数放射科医生因不了解这些研究成果，仍认为该技术效果有限，医学协会亦不建议使用该技术，甚至不推荐作为乳腺X线摄影的辅助手段。本文通过综述最新研究进展，结合新证据探讨学术机构现行建议是否仍然成立，同时提出若干标准化乳腺热成像研究的思路，以推动该技术在放射学领域的认可与应用。

原文链接：

Why Do Radiologists Disown Breast Thermography? A Critical Review of Recent Studies and Recommendations