Evaluation of autogenous tissue breast reconstruction using MRI.

Abstract:

:Recent controversy encountered with silicone breast implants has increased the use of autogenous tissue for breast reconstruction following mastectomy. Surveillance of patients who have undergone autogenous tissue reconstruction is important in the evaluation of recurrent or new cancer. Magnetic resonance imaging (MRI) has proven to be a useful technique in the delineation of soft tissues and provides excellent resolution. Recently, MRI has been reported to be a valuable diagnostic imaging modality for the evaluation of augmented breast implant patients with regard to implant rupture detection, silicone granuloma identification, and silicone gel migration delineation. In this study, various autologous tissue donor sites currently available for breast reconstruction were imaged by MRI. The following donor flaps were included: fleur-de-lis, TRAM, gluteal, and tensor fasciae latae. A total of 10 clinical cases were investigated. The anatomic basis of each flap type is illustrated, and various tissue components of flap tissue (skin, fat, and muscle) are demonstrated on MRI scan. Anatomic knowledge of autogenous tissue types and MRI appearance of the flap-breast-chest-wall interface are critical in the surveillance and follow-up of breast cancer patients.

journal_name

Plast Reconstr Surg

authors

Ahn CY,Narayanan K,Gorczyca DP,DeBruhl ND,Shaw WW

doi

10.1097/00006534-199501000-00010

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

70-6

issue

1

eissn

0032-1052

issn

1529-4242

journal_volume

95

pub_type

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