Breast augmentation and reconstructive surgery: MR imaging of implant rupture and malignancy.

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Title: Breast augmentation and reconstructive surgery: MR imaging of implant rupture and malignancy.
Authors: Herborn, Christoph U.1,2 christoph.herborn@uni-essen.de, Marincek, Borut1, Erfmann, Daniel1, Meuli-Simmen, Claudia3, Wedler, Volker3, Bode-Lesniewska, Beate4, Kubik-Huch, Rahel A.1
Source: European Radiology. Sep2002, Vol. 12 Issue 9, p2198-2206. 9p.
Subjects: Augmentation mammaplasty, Magnetic resonance imaging, Diagnostic imaging, Cancer, Patients, Medical research
Abstract: The purpose of this study was to assess the diagnostic accuracy of MRI in detecting prosthesis integrity and malignancy after breast augmentation and reconstruction. Forty-one implants in 25 patients were analyzed by MRI before surgical removal. Imaging results were compared with ex vivo findings. Magnetic resonance imaging of the breast was performed on a 1.5-T system using a dedicated surface breast coil. Axial and sagittal T2-weighted fast spin-echo as well as dynamic contrast-enhanced T1-weighted gradient-recalled-echo sequences were acquired. The linguine sign indicating collapse of the silicone shell or siliconomas indicating free silicone proved implant rupture, whereas early focal contrast enhancement of a lesion was suspicious for malignancy. The sensitivity for detection of implant rupture was 86.7% with a specificity of 88.5%. The positive and negative predictive values were 81.3 and 92.0%, respectively. The linguine sign as a predictor of intracapsular implant rupture had a sensitivity of 80% with a specificity of 96.2%. Magnetic resonance imaging revealed two lesions with suspicious contrast enhancement (one carcinoma, one extra-abdominal fibromatosis). Magnetic resonance imaging is a reliable and reproducible technique for diagnosing both implant rupture and malignant lesions in women after breast augmentation and reconstruction. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Breast augmentation and reconstructive surgery: MR imaging of implant rupture and malignancy.
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  Data: <searchLink fieldCode="AR" term="%22Herborn%2C+Christoph+U%2E%22">Herborn, Christoph U.</searchLink><relatesTo>1,2</relatesTo><i> christoph.herborn@uni-essen.de</i><br /><searchLink fieldCode="AR" term="%22Marincek%2C+Borut%22">Marincek, Borut</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Erfmann%2C+Daniel%22">Erfmann, Daniel</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Meuli-Simmen%2C+Claudia%22">Meuli-Simmen, Claudia</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Wedler%2C+Volker%22">Wedler, Volker</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Bode-Lesniewska%2C+Beate%22">Bode-Lesniewska, Beate</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Kubik-Huch%2C+Rahel+A%2E%22">Kubik-Huch, Rahel A.</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Sep2002, Vol. 12 Issue 9, p2198-2206. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Augmentation+mammaplasty%22">Augmentation mammaplasty</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+imaging%22">Diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer%22">Cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+research%22">Medical research</searchLink>
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  Data: The purpose of this study was to assess the diagnostic accuracy of MRI in detecting prosthesis integrity and malignancy after breast augmentation and reconstruction. Forty-one implants in 25 patients were analyzed by MRI before surgical removal. Imaging results were compared with ex vivo findings. Magnetic resonance imaging of the breast was performed on a 1.5-T system using a dedicated surface breast coil. Axial and sagittal T2-weighted fast spin-echo as well as dynamic contrast-enhanced T1-weighted gradient-recalled-echo sequences were acquired. The linguine sign indicating collapse of the silicone shell or siliconomas indicating free silicone proved implant rupture, whereas early focal contrast enhancement of a lesion was suspicious for malignancy. The sensitivity for detection of implant rupture was 86.7% with a specificity of 88.5%. The positive and negative predictive values were 81.3 and 92.0%, respectively. The linguine sign as a predictor of intracapsular implant rupture had a sensitivity of 80% with a specificity of 96.2%. Magnetic resonance imaging revealed two lesions with suspicious contrast enhancement (one carcinoma, one extra-abdominal fibromatosis). Magnetic resonance imaging is a reliable and reproducible technique for diagnosing both implant rupture and malignant lesions in women after breast augmentation and reconstruction. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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