Definitive diagnosis of breast implant rupture using magnetic resonance imaging.

Abstract:

:Breast implant rupture is an important complication of augmented and reconstructed breasts. Although several techniques such as mammography, xeromammography, ultrasound, thermography, and computed tomographic (CT) scanning have been proven to be useful to detect implant rupture, they have several disadvantages and lack specificity. In the current study, we have established magnetic resonance imaging (MRI) as a definitive, reliable, and reproducible technique to diagnose both intracapsular and extracapsular ruptures. The study was conducted in 100 symptomatic patients. Our imaging parameters were able to identify ruptures in implants with silicone shells. All the ruptures showed the presence of wavy lines, free-floating silicone shell within the gel ("free-floating loose-thread sign" or "linguine sign"). We had a 3.75 percent incidence of false-positive and false-negative results. The sensitivity for detection of silicone implant rupture was 76 percent, with a specificity of 97 percent. In addition, we also were able to identify the artifacts that may interfere with the definitive diagnosis of implant rupture.

journal_name

Plast Reconstr Surg

authors

Ahn CY,Shaw WW,Narayanan K,Gorczyca DP,Sinha S,Debruhl ND,Bassett LW

doi

10.1097/00006534-199309001-00018

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

681-91

issue

4

eissn

0032-1052

issn

1529-4242

journal_volume

92

pub_type

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