How should we investigate breast implant rupture?

The Breast Journal
Phoebe M HoldAli Juma

Abstract

We aimed to examine a cohort of patients presenting with breast implant complications to establish the sensitivity and specificity of clinical examination, Ultrasound Scanning (US) and Magnetic Resonance Imaging (MRI) in the diagnosis of implant rupture, and to examine the correlation between US and MRI. We performed a 26-month retrospective review. Patients underwent US and MRI to exclude rupture. Results of US and MRI were compared prospectively for concordance, then retrospectively to clinical findings and surgical diagnosis. Thirty-four patients with 60 implants were reviewed. The sensitivities of clinical diagnosis, US, and MRI for rupture was 42%, 50%, and 83%, respectively, while the specificities were 50%, 90%, and 90%. The concordance between US and MRI was 87%. MRI is the investigation of choice for implant rupture. US is a valuable alternative with good concordance with MRI. When US is positive for implant rupture an MRI is not necessary to confirm the diagnosis. Knowledge of the sensitivity and specificity as well as the concordance between the two investigations is useful to ensure the appropriate use of available resources.

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Citations

May 15, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M G Berry, Jan J Stanek
Mar 20, 2014·Aesthetic Plastic Surgery·Jesús Benito-Ruiz, F de Cabo
Aug 10, 2013·Magnetic Resonance Imaging Clinics of North America·R James Brenner
May 24, 2015·European Radiology·Ritse M MannUNKNOWN European Society of Breast Imaging (EUSOBI), with language review by Europa Donna–The European Breast Cancer Coalition
May 8, 2015·Aesthetic Surgery Journal·Melinda J HawsDavid L Kaufman
Dec 17, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·J C MennieA Quaba
Aug 11, 2018·Insights Into Imaging·Andrew EvansUNKNOWN European Society of Breast Imaging (EUSOBI) , with language review by Europa Donna–The European Breast Cancer Coalition
Mar 22, 2016·Molecular and Clinical Oncology·Gang ChenJin-Long Huang
Nov 19, 2020·The Western Journal of Emergency Medicine·Tim MontriefBrit J Long
Mar 30, 2021·Plastic and Reconstructive Surgery·Neil TannaAdam D Perry
Jun 3, 2021·Medicina·Dalia RukanskienėEglė Jonaitienė
Sep 9, 2021·Plastic and Reconstructive Surgery·Ana Cristina Lacerda MacedoMaria I Rosa

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