Breast Thermography Examination Procedure
Camera Setup Procedure
  1. Assure that the camera is properly mounted, plugged into the computer, and power applied.
  2. If the 'Startup' dialog box is not displayed, from the Camera Control Menu Bar, choose 'Camera,' then 'Select.'
  3. After a brief interval, when the camera information has become bold, click it (A). A live image will appear in the Image/Camera Control Window.
  1. If the camera is unidentified or doesn't connect, click on 'Search Again' (B).
Set Viewing Palette to Grayscale
  1. From the Camera Control Menu Bar select 'View,' then 'Palette,' then 'Grayscale.'
  2. When the live grayscale image is visible, press 'Continue.'


EXAMINATION PROCEDURE

Patient information for images to be recorded is entered in the 'Record Settings' dialog box. If it's not already displayed, press F5 to launch. Assure the following values are set:

  • All 'Pretrigger' and 'Record Conditions' boxes should be unchecked.
  • The 'Record To' field should point to 'c\new_images.' If not, use the file-browse box '...' to navigate to that location.
  • Under 'File Naming,' the Snapshots tab must be selected.
  • Prefix and Timestamp boxes should be unchecked. Text and Count boxes should be checked. The Count and step fieldS should be set to 1.
  • Place cursor in the 'Text' field, enter the patient's name.
  • Review and if everything is correctly set and entered, Press 'OK,' then 'Continue.'
Patient Positioning Procedure

The importance of patient positioning and posture cannot be overemphasized. Carefully follow positioning instructions.

Typically, three images of the patient are required. They are the frontal view, right oblique view, and left oblique view.

Some patients may require additional image recordings of lateral (side) views to assure that all areas of the breasts are recorded. This is necessary when both axillary areas are obscured or hidden in the right and left oblique views.

  Check box if recordings of the lateral views are needed.

The Frontal View Position and Posture

  • Position patient directly facing camera, with toes aligned to a line on the floor. The patient should be 3- to 4-feet from the camera.
  1. Patient's hands should be placed on top of the head, or just above the hips with arms held away from the body. It is important that patient's arms not touch the body throughout the process of capturing all images for the examination.
  2. Instruct patient to move arms back so the elbows are in line with patient's torso.
  3. Press here to quick focus, and then adjust the camera so the breasts are centered in the image.
Camera Focusing

Camera Focusing is important. Autofocus should be supplemented with fine focusing, as necessary.

  1. Use auto-focus by pressing here:  to automatically focus the camera.
  2. If fine-focusing is not necessary, press 'Continue,' below. If fine-focusing is necessary, press here:  .
  3. Click the 'Focus' button on the Camera Controller to launch the focus control box.
  4. Check to ensure patient's hair is pulled back so all areas of the face including the forehead and auricular regions are uncovered.
  1. Using short single clicks, click the + and - buttons in the Focus Control Box to fine tune image focus, if necessary. Focusing should be adjusted so the entire image is in focus.
  2. When finished focusing, click the 'x' to close the focus control box.
Recording the Frontal View Image
  1. Confirm the patient is in position for the Frontal View
  2. Instruct patient to move arms back so elbows are in line with patient's torso.
  1. Instruct patient to inhale and hold breath.
  2. Press to record the image.
  3. Instruct patient to breathe normally, maintain position, keep hands on head or hips, and relax without allowing the arms to touch the body.
  4. Confirm in the Files Window that the new file was created and named as expected, e.g. Patient-000001.img.
  1. Click and drag the recorded image file from the Files Window to the Camera Control Software window. Assure that the image is properly focused, and clearly displayed.
  2. If the image is judged satisfactory, click 'Continue.' If not, click the 'Retake' button and when the live image reappears, delete the image file (in the File window) and then retake the image.
Capturing the Right Oblique View Image
  1. From the Frontal Position, instruct patient to shift weight to the right foot, and pivoting over the left heel, rotate the left foot counterclockwise 90° so it remains in line with the inside heel of the right foot.

It is very important that after positioning, the patient does not shift weight from the right leg to the left leg, as this requires re-focusing.

  1. Instruct patient to point right nipple directly at the camera keeping the feet in place and slightly rotating the upper torso to fine adjust the rotational position.
  1. Adjust the camera so the breasts are centered in the image.
  2. Assure image is focused. To refocus:   
  3. Press to record the image.
  4. Confirm in the Files window that the new file was created. If not, press 'Record' again.
  5. Instruct patient to breathe normally, maintain position, keep hands on head or hips, and relax without allowing the arms to touch the body.
  6. Click and drag the recorded image file from the Files Window to the Camera Control Software window. Assure that the image is properly focused, and clearly displayed.
  7. If the image is satisfactory, click 'Continue.' If not, click the 'Retake' button and when the live image reappears delete the image file and then retake the image.
Capturing the Left Oblique View Image
  1. From the Frontal Position, instruct patient to shift weight to the left foot, and pivoting over the right heel, rotate the right foot clockwise 90° so it remains in line with the inside heel of the left foot.

It is very important that after positioning, the patient does not shift weight from the left leg to the right leg, as this requires re-focusing.

  1. Instruct patient to point the left nipple directly at the camera by keeping the feet in place and slightly rotating the upper torso to fine adjust the rotational position.
  2. Adjust the camera so the breasts are centered in the image.
  1. Assure image is focused. To refocus:   
  2. Press to record the image.
  3. Confirm in the Files window that the new file was created. If not, press 'Record' again.
  4. Instruct patient to breathe normally, maintain position, keep hands on head or hips, and relax without allowing the arms to touch the body.
  5. Click and drag the recorded image file from the Files Window to the Camera Control Software window. Assure that the image is properly focused, and clearly displayed.
  6. If the image is satisfactory, click 'Continue.' If not, click the 'Retake' button and when the live image reappears delete the image file and then retake the image.
Recording the Right Lateral View
  1. Return patient to the Frontal Position, feet together and toes touching the line created on the floor.
  2. For lateral views, it is imperative that patient's are placed on head. If necessary, instruct patient to do so.
  1. Instruct the patient to rotate clockwise 90°, with the right foot ending up against and parallel to the line on the floor, with the left foot aligned next to the right foot. The left leg should be relaxed with the patient supported by the right leg.

It is very important that the patient does not shift weight from the right leg to the left leg, as this will require re-focusing.

  1. Adjust the camera to center the right breast and right axilla in the image.
  2. Instruct patient to move arms back so elbows are in line with patient's torso, and take and hold a deep breath.
  3. Press to record the image.
  4. Instruct patient to maintain position and keep hands on head, but relax arms.
  5. Confirm in the Files Window that the new file was created and correctly named.
  6. Click and drag the recorded image file from the Files Window to the Camera Control Software window. Assure that the image is properly focused, and clearly displayed.
  7. If the image is assured satisfactory, click 'Continue.' If not, click the 'Retake' button and when the live image reappears delete the image file in the Files Window, then retake the image.
Capturing the Left Lateral View
  1. Return patient to the Frontal Position, feet together, toes touching the line created on the floor, and with hands on the head.
  2. For lateral views, it is imperative that patient's are placed on head. If necessary, instruct patient to do so.
  1. Instruct the patient to rotate counterclockwise 90°, with the left foot ending up against and parallel to the line on the floor, with the right foot aligned next to the left foot as shown. The right leg should be relaxed and with the patient supported by the left leg.

It is very important that the patient does not shift weight from the left leg to the right leg, as this will require re-focusing.

  1. Adjust the camera to center the left breast and left axilla in the image.
  2. Instruct patient move arms back so elbows are in line with patient's torso and take and hold a deep breath.
  3. Press to record the image.
  4. Instruct patient to maintain position and keep hands on head, but relax arms.
  5. Confirm in the Files Window that the new file was created and correctly named.
  6. Click and drag the recorded image file from the Files Window to the Camera Control Software window. Assure that the image is properly focused, and clearly displayed.
  7. If the image is assured satisfactory, click 'Continue.' If not, click the 'Retake' button and when the live image reappears delete the image file in the Files Window, then retake the image. With the integrity of the examination assured, the patient may be instructed to relax.
This concludes the Image Recording Phase of the thermographic examination. The patient may be dismissed.
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