PMID: 9424616Jan 10, 1998Paper

Value of contrast medium magnetic resonance tomography of the breast in breast reconstruction with implant

Der Radiologe
A HeinigR P Spielmann

Abstract

Early recognition of recurrence and work-up of clinically indeterminate lesions may be impaired after reconstruction with silicone implants due to superimposition of the implant or to scarring. This study was undertaken to evaluate the use of contrast-enhanced MRI in patients with silicone implant after breast cancer. Contrast-enhanced MRI was offered to 169 patients. Comparative two- to three-view mammography was also performed in 169 patients, as well as comparative sonography in 144 patients. Conventional imaging and clinical examination detected only 8/13 recurrences, whereas 12/13 were detected by MRI. One recurrence had been visible as a strongly enhancing 2-mm dot in a previous examination (2 years before), but was not called. It was therefore counted as false negative. In addition, multicentricity was detected by MRI alone in two of three cases. MRI correctly diagnosed scar tissue in all cases with indeterminate findings. However, due to false-positive calls caused by enhancing granulomas specificity could not be improved. Contrast-enhanced MRI allowed decisive additional information in our study group and improved the sensitivity significantly (concerning all diagnoses). Contrast-enhanced MRI is recommended in patients...Continue Reading

Citations

Sep 28, 2007·Plastic and Reconstructive Surgery·G Philip BarnsleyLawrence Paszat
Nov 25, 2000·AJR. American Journal of Roentgenology·M StuhrmannM Schietzel
Feb 24, 2005·Der Radiologe·C PerletS H Heywang-Köbrunner

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