Learning objectives
To illustrate the multimodality imaging features of breast implant rupture.
To assess the advantages and diagnostic pitfalls of each imaging technique
Background
Breast implant rupture is a well-known complication of breast implants.
But clinical diagnosis of implant rupture is difficult,
being based on the often vague and nonspecific findings
Imaging findings OR Procedure details
♦Breast implant rupture
: Well-known complication of breast implants.
–2~5.3 ruptures/100 implants x years
–Rupture-free survival
• 98% at 5years,
83-85% at 10years
1.
Types of breat implant
Silicone gel
* Advantage
–Natural weight and feel,
easy molded & shaped.
–Lower rate of rupture/malpositon/asymmetry
–Recent 4th generation cohesive gel : Resistant to rupture
* Disadvantage
–Cannot be adjusted in size during intraOp.
–More common contracture at over 5years.
Saline
* Advantage
–Natural–Flexibility in adjusting content amount
–Smaller incisions
* Disadvantage
- If overfilled: firm ball,...
Conclusion
Different imaging methods can identify the integrity of breast implants and the extent of possible implant leakage.
Comprehensive knowledge of the various signs and awareness with the diagnostic pitfalls of implant rupture would be essential for a radiologist to increase an accurate interpretation and diagnosis in clinical practice.
References
Caskey et al,
Imaging spectrum of extracapsular silicone:correlation of US,
MR imaging,
Mammographic,
and Histopathologic findings,
Radiographics 1999;19:s39-S51
Holmich et al,
The diagnosis of breast implant rupture:MRI findings compared with findings at explanataiton.
C GLYNN et al,
Imaging breast augmentation and reconstruction,
The British Journal of Radiology,
81(2008),
587–595
Yang et al,
The Augmented Breast: A Pictorial Review of the Abnormal and Unusual,
AJR2011; 196:W451–W460
Benedetto et al,
Comparative Study of Breast Implant Rupture Using Mammography,
Sonography,
and Magnetic Resonance Imaging: Correlation with Surgical Findings,...