
gatishil angiothermography

dynamic angiothermography (dii. aii. tii. jee.) heey stanachya karkarogachya nidanasathiche eka tantra aahe. heey tantra jaree junya sankalpanechya thermographytun ugam pavale asale, taree teey purnapane vegalya tattvavar aadharit aahe. angiogenesisamule stanatil raktavahinyanmadhil badalanshi sambandhit tapmanatil badalanchi nond dii. tii. jee. karate. stanachya uutinmadhil gathee aanee jakhamanchi upasthiti, badal aanee vaadh stanatil raktavahinyanche jaale badalate. parinami, kalantarane raktavahinyanchi rachana mojtana, arbude aanee jakhmanmule stanachya uutinmadhil badalavar prabhavipane laksh thewale jaate. stanachya karkarogachya nidanasathi sadhya itar tantransah yacha vapar keela jaato. hii nidan paddhat itar tantranchya tulanet qamee kharchik aahe.
angiothermography hii itar chachanyanchi jaaga ghenari chachani nahee, parantu tyanchya sandarbhat eka tantra mhanoon ubhi aahe jeey vaidyakeey chitra spasht karnyasathi aanee nidanachi gunavatta sudharanyasathi atirikt mahitee dete.
itihas.
1970 chya dashakachya suruvatila, praa. jeey. francemadhil trikoni pattyane drav sphatik asalelya platescha vapar karoon stanachya karkarogachya tapasanisathi sampark thermographychya vaparavar laksh kendrit kele. jyaa tattvavar trichoirne vikasit keleli karyapaddhati aadharit hotee, teey tattva mhanje sambhavyapane udbhavananya gathindware nirman honanya ushnatechi nond karane aanee tyacha nakasha tayar karane. yaa abhyasachi suruvat atishay manoranjak hotee, kaaran pariksha purnapane aakramak navhati (konatyahi kiranotsargachi aavashyakta nahee kinwa virodhabhas ghatak naheet). thermal detection screen stanachya samparkat thevun, pratima tayar karnyasathi vel deuun aanee parinami pratimeche vishleshan karoon chachani kelee jaate. tumour aanee jakhamanche kahee praman aadhalun aale asatana, yaa tantrat mothya pramanat chukichya sakaratmak (karkarogache nidan naan hone) honyachi pravrutti dekhil samavisht hotee.
jyaa kalat contact thermography screening sarav keela jaat hota tyaa kalat tumour aanee jakhamanchya upasthitimule stanat honanya badalavar adhik tapshilvar abhyas keela jaat hota. 1965 madhye suru jhalelya angiogenesisvaril sanshodhanat, juda lokkalakarane stanachya gathee aanee raktavahinyanmadhil sambandh adhorekhit keela aanee tyacha tapshilvar abhyas keela. yaa abhyasanmule, yaa prakriyeche adhik sampoorn varnan aanee yaa karyatoon udbhavalelya namunyanmule, 1992 madhye lokkalakarala aushadhatil landga puraskar midala.
dynamic angiothermography thermal imagingcha vapar karate parantu "junya" thermographyshy mahattvapoorn farkansah, jeey shodh karypradarshanavar parinam karate. pratham, mageel drav sphatik pattyanpeksha shodhak khoop sudharle aahet; tyat changle avkashiy sankalp, vipareet kamgiri aanee pratima adhik vegane tayar hote. gaath/jakhamechya vadhis aadhar denyasathi raktavahinyanchya jaalyatil badalanmule honare aushnik badal olakhanyat adhik lakshaniy farak aahe. keval arbudamule nirman jhalelya ushnatetil badalachi nond karnyaivaji, pratima aata stun granthichya raktavahinyanmule honare badal olakhoo shakate. gaath (ugam, vikas aanee vaadh) honyasathi vadhiv raktpurvatha aavashyak aahe (angiogenesis siddhant). raktavahinyanchya jaalyachya adhik tapshilvar nakashamadhye gaath samavoon ghenyasathi stun kuthe badalale aahe tyaa thikanakade nirdesh karnari mahitee asate. sarvat mahattvache mhanje, karkarogachya purvasthitit gathinchi kalpana karanyachi kshamata twarit aanee dhoranatmakaritya kadhoon taknyas saksham karate, jyamule tumourche kaaran nakkich door hote.
anek vaidyakeey abhyasanmadhun samore aaleli samanya kalpana ashee aahe qee pratyek mahilechi swatachi rakt namuna pratima asate, jee botanchya thipkyasarkhi asate aanee nirogi mahilanmadhye, kalantarane badaloo shakat nahee. yaa 'fingerprint' madheel badal heey tumour kinwa tumourpoorv kriyakalapancha sanshayaspad purava aahet.
varnan.
jyaa upkaranadvare hii tapasani kelee jaate, tyachi sadhyachi sthitee done bhaganchi asate aanee tee atyant gatishil padchinhanmadhye jodali jaau shakate. pahila ghatak mhanje stanavar thevalela thermographic sensor. dusare mhanje adhigrahit pratima nondavnanya sangankashi jodani. haah sanvedak 30°seey. teey 35°seey. darmyanchya tapmanat raktachya vitaranachi nond karato. jevha sanvedak stanavar zukato, tevha raktavahinyandvare nirman honari ushnata, ghan (kalya rangacha) dravarup avasthetun dravarup avasthemadhye honanya badalamule pratima prerit karate. mageel sampark thermographymadhye doctoranni rung vitaranacha abhyas keela, tarr naveen paddhatimadhye (dynamic angiothermography) sthanik rakt vitaranabaddal vyakt kelelya mahitisathi pratimechi tapasani kelee jaate. nirogi stanat, samanya raktavahinyadvare tayar jhalela namuna stanagrachya dishene asalelya tokdar pratimesarkha disato. gaath kinwa agadi karkarogpoorv jakhamechya babatit, chinhe golakar aakarachi kinwa stanachya vegvegalya bhagatoon gaath 'feed' karnyasathi ekatra yetat asey disate. pratimancha arth doctorandware drushyamanpane lavala jaau shakato aanee/kinwa digital pratima vadhichya sadhananchya madatine tyanche moolyankan kele jaau shakate. bhavishyatil shakyata sanganak-sahayyit tapasanicha vapar karoon adhik svayanchalit shodhanyaparyant vistartat. pramanit prakriya ashee aahe qee doctor pratham rugnakade vaidyakiyadrushtya pahatat (dhaddhadanyasah tapasani) aanee nantar ujavya stanache (bajoo aanee samore) aanee davya stanache (bajoo aanee samore) done andaj prapt karatat. digital chhayachitrehi ghetali jaatat aanee yaa parinamanchi tulana purvi midavalelya itar chhayachitranshi kelee jaate. varvarchya spasht raktavahinyanchya babatit, thund havechya pravahane stun thund karane aavashyak aahe.
itar tantranshi tulana qaraa.
stanachya karkarogachya sandarbhatil tulanatmak nidanatmak pariksha mhanje memography ('suvarn' manak), ultrasound aanee 3 dii imaging nuclear magnetic resonance kinwa stanachya sitisathi alikade vikasit kelelya drushtikonansathi aahet.
dii. tii. jee. hii chachani itar chachanyanchi thet jaaga ghenari nahee, parantu stanatil rakt pravahatil badalanvar tapshilvar aanee aakramak nasalele darshan pradan karnare eka tantra mhanoon tyanchya sandarbhat aahe. tyamule, nidanachi gunavatta sudharanyasathi itar chachanyanchya sanyogane yacha sarvat yashasviritya vapar keela gela aahe. pudhe, lavkar tapasani karnyasathi heey sarvat aakramak nasalele tantra asoo shakate.
"memography" heey stanachya aatalya uutinchya ghanateche farak lakshaniy avkashiy sankalpanesah mojate parantu kiman kiranotsargachya qamee matrechi aavashyakta asate. anek prakarananmadhye, aakar aanee aakarachya sandarbhat gaath/jakhamanche thet chitran kele jaate. mammogramsathi pratimecha arth lavane paripakv aahe aanee prabhavi tharoo shakate. tathapi, 40/45 peksha qamee vayachya rugnanmadhye stanachya uutinchi uchch ghanata yaa tantrat midavaleli nidan mahitee qamee karate ashee chinta aahe. kahee abhyasanni asey darshavile aahe qee vayachya 50 vya varshapurvi mammography qamee prabhavi asate. mammographys karkarogachya aadhiche jakhama pahane dekhil katheen aahe, jeey kiranotsargachya qamee matredvare chitrit kelelya sthanik ghanatetil badalanmadhye udayas aalele naheet.
"ultrasound" tapasani konatyahi vayogatatil mahilanvar lagoo kelee jaau shakate aanee tyat kiranotsargacha vapar samavisht nasato. pudhe, ultrasound tantre arbudacha aakar moju shakatat aanee stanachya uutinmadhil dravpadarthanpasun ghanpadarthanmadhye farak karnyas saksham asatat. tathapi, stanachya ultrasound imagingmadhil anek prakarchya sanrachanansathi dhwanik pratibadha samanya samanatemule anek 'vikrutee' kinwa 'sambhavya thikane' aadhaltat jee khotee sakaratmak aahet aanee yamule tyachi upayuktata maryadit hote. doppler ultrasound stanatil rakt pravahabaddal kahee mahitee deu shakato, parantu niyamit ultrasound tapasanivar haah eka lakshaniy farak aahe. ekandarit, ultrasound tantre itar kahee marganni sapadalelya gathiche moolyankan karnyasathi aanee/kinwa memographidware olakhalya gelelya vishisht jaagecha tapas karnyasathi sarvottampane vaparali jaatat.
"nuclear magnetic resonance" (aine. emm. aar.) scanning, jase dii. tii. jee. karate, teey stanatil rakt pravahachya vitaranacha nakasha banavoo shakate aanee serve vayogatatil rugnanna mahitee pradan karate. tathapi, heey tantra nakaratmak pratikriyecha kahee dhoka asalelya saumya aakramak asalelya vipareet ghatakachya vaparasah sarvat prabhavi aahe. yaa scanchya tulanet yaa scansathi mothya suvidhanchi aavashyakta asate aanee scanning aanee arth lavane heey barech mahag asate.
"stun seaty scanning" madhye bhedak kiranotsargacha vapar hoto aanee tyamule rugnala vitarit kelelya ksh-kiran matrecha samavesh hoto. mammographychya ulat, virodhabhas samaan karnyasathi stun 'sapat' kinwa 'hatalale jaat nahee. tyaeivaji, gurutvakarshan vaparale jaate aanee stun srot-shodhak lifafyat latkavale jaate. stun citymadhye mammographymadhye vitarit kelelya samaan matresathi tumour aanee jakhamanchya 3 dii volumetric pratima tayar karatat jyaa raktavahinyanchya jaalyashi sambandh darshavu shakatat. pudhe, yaa pratimanche moolyankan samanya seaty imagingsathi nivasi tyach pratima vishleshan sadhanansah kele jaau shakate. aine. emm. aar. chya babatit yaa prakarchya scanning hardware footprint heey dii. tii. jee. peksha adhik lakshaniy aahe.
"dynamic angiothermography (dii. aii. tii. jee.) heey eka tantra aahe, jyasathi aayanikaran kiranotsarg kinwa vishari vipareet ghatakanchi aavashyakta nasate, serve vayogatatil rugnanvar vaparale jaau shakate, tyachi vishishtata changli asate aanee tumour/jakhamecha aakar mojanyat saksham nasatanahi karkarogachya aadhichya jakhamanche nidan karnyas saksham asate.
fayade aanee tote.
dii. tii. jee. stanachya karkarogache soochak asalele, tarun rugnansathi vaparale jaau shakanare, purnapane aakramak nasalele (kiranotsarg kinwa vipareet ghatakachi aavashyakta nahee, stanachya sankuchitatechi aavashyakta nahee) aanee kiman suvidhanchi aavashyakta asalelya paryayanpeksha qamee kharchik asalele raktpravahatil badal shodhanyat saksham aahe. heey tantradnyan, patkan (bhetisathi 5-6 minite) aanee atishay achookpane kele jaate, teey tapasanisathi upayukt aahe aanee karkarogachya aadhiche vran shodhanyat dekhil saksham aahe. yaa paddhatidvare, aakramak ductal carcinoma aanee lobular karsinommadhye ghuskhori karane tyach achookatesah nidan karane kase shakya aahe heey abhyasatoon disun aale aahe. tarun rugnansathi kinwa daat stananchya rugnansathi, jethe mammographychya vipareet kamgirila aavhan dile jaate, dii. tii. jee. heey dhoranatmak asoo shakate. dii. tii. jee. chaa aanakhi eka vapar mhanje stanachya karkarogachya vadhiv badalansah jokhim asalelya rugnanche nirikshan karane jeey samprerak pratisthapan upchar ghetat (kadhikadhi rajonivruttichi lakshane qamee karnyasathi ghetale jaatat) aanee inn-vitro fertilisationmadhe bhag ghetat.
yaulat, dii. tii. jee. gathicha aakar nirdharit karoo shakat nahee. tyaeivaji, dii. tii. jee. pasoonchi nidan mahitee sanshayaspad jakhamechi upasthiti darshavate aanee tee kuthe shodhayachi tyaa bhagakade nirdesh karate. kharey tarr, chitratil vaishishtyanchi tivrata aanee aakar, jee dii. tii. jee. neey prapt kelee aahe, tee gathchya aakarashi aanee aakarashi sambandhit nahee tarr tyachya antarnihit jaivik kriyakalapanshi sambandhit aahe (varr varnan kelele angiogenesis pahaa). shevati, dettug pratimancha arth lavane heey ektar radiologist, sarjan, oncologist, strirog tadnya kinwa fakt vaidyakeey vyavsayikadvare dettug pratimanche moolyankan karnyasathi spasht prashikshan ghetalyanantar kele jaau shakate.