251 results match your criteria Imaging in Breast Implant Rupture


Determinants of surgeon choice in cases of suspected implant rupture following mastectomy or aesthetic breast surgery: Clinical implications.

Medicine (Baltimore) 2020 Jul;99(27):e21134

Legal Medicine, Udine University Hospital, Department of Medical Area (DAME), University of Udine, Udine, Italy.

Implant ruptures may be diagnosed by physical examination, ultrasound (US), and magnetic resonance imaging (MRI). The absence of standard guidelines to approach to implant ruptures may cause unnecessary surgical revisions in the absence of radiological confirmation of prosthetic damages.The purpose of this study was to analyze the diagnostic procedures applied to patients with suspected prosthetic rupture and surgeon choices to perform a revision or to plan a clinical and radiological follow-up. Read More

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http://dx.doi.org/10.1097/MD.0000000000021134DOI Listing

Breast Implant Imaging Surveillance among U.S. Plastic Surgeons: U.S. Food and Drug Administration Recommendations versus Clinical Reality.

Plast Reconstr Surg 2020 Jun;145(6):1381-1387

Hershey, Pa.; and Houston, Texas From the Department of Surgery, Division of Plastic Surgery, Pennsylvania State University, College of Medicine; and the Departments of Plastic Surgery and Diagnostic Radiology, M. D. Anderson Cancer Center, University of Texas.

Background: Device rupture is considered a major complication associated with breast implants. The U.S. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006812DOI Listing
June 2020
2.993 Impact Factor

The Emerging Crisis of Stakeholders in Implant-based Augmentation Mammaplasty in Korea.

J Korean Med Sci 2020 Apr 20;35(15):e103. Epub 2020 Apr 20.

Department of Surgery, Breast Cancer Center, Gachon University Gil Medical Center, Incheon, Korea.

Background: Korea is no longer safe from the risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL); the first reported case was a Korean woman in her 40s who had a 7-year-history of receiving an implant-based augmentation mammaplasty using a textured implant. We conducted this study to discuss the emerging crisis of stakeholders in implant-based augmentation mammaplasty and to propose a multi-disciplinary approach to early detection of its complications.

Methods: We analyzed medical examination data that was collected from patients who visited us between August 12 and September 27, 2019. Read More

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http://dx.doi.org/10.3346/jkms.2020.35.e103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167397PMC

Uncommon complications of breast prostheses.

Radiologia 2020 Apr 6. Epub 2020 Apr 6.

Servicio de Radiodiagnóstico, Hospital Clínico Universitario San Carlos, Madrid, España.

Breast implants are associated with well-known common complications that have been widely studied, such as rupture and capsular contraction. However, the increasingly growing number of patients with breast implants has led to the increased likelihood of coming across less common complications; these include seromas or late infection; adenopathies in the internal mammary chain; granulomas in the capsule of the implant, which in some cases can extend beyond the fibrous capsule; desmoid tumors associated with the implants; and breast implant-associated large cell anaplastic lymphoma. This article aims to review the main uncommon complications associated with breast implants and to describe and illustrate their findings in different imaging techniques. Read More

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http://dx.doi.org/10.1016/j.rx.2020.01.008DOI Listing

FDG PET/CT of a Supraclavicular Silicone Granuloma at Follow-up of a Breast Carcinoma.

Clin Nucl Med 2020 Mar;45(3):e169-e170

From the Nuclear Medicine Department, CHU Grenoble.

We report herein the case of a 33-year-old woman who was referred for FDG PET/CT staging prior to pregnancy after a 4-year lost to follow-up for a breast invasive ductal carcinoma (pT2N1 SBRII). FDG PET/CT revealed right supraclavicular lymphadenopathy potentially caused by breast carcinoma recurrence. No additional site was involved. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002894DOI Listing

Incidence of benign and malignant peri-implant fluid collections and masses on magnetic resonance imaging in women with silicone implants.

Cancer Med 2020 May 30;9(10):3261-3267. Epub 2019 Sep 30.

Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.

Background: To assess the incidence of benign and malignant peri-implant fluid collections and/or masses on magnetic resonance imaging (MRI) in women with silicone implants who are being screened for silent implant rupture.

Methods: The institutional review board approved this HIPAA-compliant retrospective study and waived informed consent. Women who underwent silicone implant oncoplastic and/or cosmetic surgery and postoperative implant-protocol MRI from 2000 to 2014 were included. Read More

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http://dx.doi.org/10.1002/cam4.2189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221432PMC
May 2020
3 Reads

Inflammatory response to the anti PD-L1 drug, atezolizumab, masquerades as breast implant rupture.

Eur J Nucl Med Mol Imaging 2019 Oct 15;46(11):2402-2403. Epub 2019 Jul 15.

Department of Nuclear Medicine and Radiobiology, Faculty of Medicine and Health Sciences, Sherbrooke University, 3001, 12th Avenue North, Sherbrooke, QC, J1H 5N4, Canada.

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http://dx.doi.org/10.1007/s00259-019-04412-6DOI Listing
October 2019
3 Reads

Ability of Dual-Energy CT to Detect Silicone Gel Breast Implant Rupture and Nodal Silicone Spread.

AJR Am J Roentgenol 2019 04 19;212(4):933-942. Epub 2019 Feb 19.

1 Department of Radiology, 200 First St SW, Mayo Clinic, Rochester, MN 55905.

Objective: The purpose of this study is to compare the performance of dual-energy CT (DECT) with that of breast MRI for detection of silicone gel breast implant rupture and nodal spread of silicone.

Subjects And Methods: This prospective study enrolled consecutive patients with current or prior silicone gel implants and clinical suspicion of implant rupture or extra-capsular silicone. All patients underwent MRI followed by unenhanced DECT. Read More

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http://dx.doi.org/10.2214/AJR.18.20138DOI Listing
April 2019
5 Reads

Pericarditis After Breast Implant Rupture: A Case Report.

Cardiol Res 2018 Dec 7;9(6):381-384. Epub 2018 Dec 7.

Department of Gynaecology Surgery, CHU Rangueil, Toulouse, France.

A ruptured breast implant is usually asymptomatic and accidentally discovered during an imaging test. However, implant ruptures can cause isolated silicone granulomas and cases of severe systemic disease. We report the first case of a 39-year-old female patient with augmentation breast implants and myopericarditis secondary to implant rupture. Read More

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http://www.cardiologyres.org/index.php/Cardiologyres/article
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http://dx.doi.org/10.14740/cr756wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306123PMC
December 2018
24 Reads

Mechanical and surface chemical analysis of retrieved breast implants from a single centre.

J Mech Behav Biomed Mater 2019 03 2;91:24-31. Epub 2018 Nov 2.

Division of Surgery and Interventional Science, Royal Free Campus, University College London, Pond Street, London NW3 2QG, United Kingdom.

Introduction: Breast implants are associated with complications such as capsular contracture, implant rupture and leakage often necessitating further corrective surgery. Re-operation rates have been reported to occur in up to 15.4% of primary augmentation patients and up to 27% in primary reconstructions patients within the first three years (Cunningham, 2007). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17516161183035
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http://dx.doi.org/10.1016/j.jmbbm.2018.10.042DOI Listing
March 2019
3 Reads

Six-Year Prospective Outcomes of Primary Breast Augmentation With Nano Surface Implants.

Aesthet Surg J 2019 04;39(5):495-508

Anesthetist in private practice in San Jose, Costa Rica.

Background: Motiva Implants (Establishment Labs Holdings Inc.) are a novel family of silicone breast implants using cutting-edge technologies engineered to optimize aesthetic and safety outcomes.

Objectives: The authors sought to prospectively evaluate the safety and effectiveness of SmoothSilk/SilkSurface Motiva Implants over long-term follow-up. Read More

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https://academic.oup.com/asj/advance-article/doi/10.1093/asj
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http://dx.doi.org/10.1093/asj/sjy196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452326PMC
April 2019
52 Reads

Rat tail sign: Breast implants.

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:42

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

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http://doi.wiley.com/10.1111/1754-9485.28_12785
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http://dx.doi.org/10.1111/1754-9485.28_12785DOI Listing
October 2018
7 Reads

Complication of Ruptured Poly Implant Prothèse Breast Implants Combined with AQUAfilling Gel Injection: A Case Report and Literature Review.

Aesthetic Plast Surg 2019 02 4;43(1):46-52. Epub 2018 Oct 4.

Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, 07061, Korea.

Introduction: We describe the first case of a patient who received AQUAfilling gel (Biomedica, Prague, Czech Republic) after augmentation with Poly Implant Prothèse (PIP) breast implants and later developed breast deformity with bilateral implant rupture.

Case Report: A 49-year-old Korean female patient who received breast augmentation with PIP implants 18 years ago and subsequent insertion of AQUAfilling gel 1 year ago visited our center with a chief complaint of pain and decreased implant sizes in both breasts. Breast implant and foreign body removal operation was performed for both breasts under general anesthesia. Read More

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http://link.springer.com/10.1007/s00266-018-1242-7
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http://dx.doi.org/10.1007/s00266-018-1242-7DOI Listing
February 2019
30 Reads

US FDA Breast Implant Postapproval Studies: Long-term Outcomes in 99,993 Patients.

Ann Surg 2019 01;269(1):30-36

Department of Plastic Surgery, MD Anderson Cancer Center, Houston, TX.

Objective: To analyze the long-term safety and efficacy outcomes of patients with breast implants.

Summary Background Data: Research is ongoing regarding the safety of silicone breast implants. Despite the number of patients with breast implants followed by United States Food and Drug Administration large postapproval studies (LPAS), this database has not been thoroughly analyzed or reported. Read More

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http://Insights.ovid.com/crossref?an=00000658-900000000-9539
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http://dx.doi.org/10.1097/SLA.0000000000002990DOI Listing
January 2019
43 Reads

F-FDG PET/CT Unveiling of Implant Rupture and Clinically Unsuspected Silicone Granuloma in Treated Breast Cancer.

J Nucl Med Technol 2018 Dec 3;46(4):394-395. Epub 2018 Aug 3.

Division of Molecular Imaging and Therapeutics, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.

F-FDG uptake in enlarged lymph nodes is always suspicious, especially in cancer patients. We report a case of hypermetabolic internal mammary lymphadenopathy in a breast cancer patient who was previously treated with bilateral mastectomy and implants. The abnormal nodal uptake turned out to be due to foreign body-induced inflammation, as confirmed histopathologically. Read More

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http://dx.doi.org/10.2967/jnmt.118.211979DOI Listing
December 2018
7 Reads

Extracapsular breast implant rupture mimicking local cancer recurrence on F-FDG PET/CT.

Rev Esp Med Nucl Imagen Mol 2018 Nov - Dec;37(6):392-394. Epub 2018 Jul 19.

Servicio de Medicina Nuclear, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.

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http://dx.doi.org/10.1016/j.remn.2018.05.005DOI Listing
May 2019
3 Reads

Management of a late breast implant rupture in the setting of previous radiation.

BMJ Case Rep 2018 Jun 4;2018. Epub 2018 Jun 4.

Plastic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Management of ruptured breast implants is scarcely discussed in the literature, especially in the setting of previous breast cancer and radiation. The authors present an uncommon presentation of late breast implant rupture with seroma and history of prior radiation. It is important to acknowledge the increased risk of wound healing complications in patients who are several years' postradiation therapy for breast cancer and should be an important factor when discussing treatment options with the patient. Read More

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http://dx.doi.org/10.1136/bcr-2018-224578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990078PMC
June 2018
11 Reads

Adverse Effects and Imaging Appearances of Breast Implants.

Authors:
Kathryn Faguy

Radiol Technol 2018 May;89(5):467M-482M

Implants commonly are used to augment or reconstruct breasts but are associated with many adverse effects, both in the short term and years after implantation. This article discusses different types of breast implants and some of the common adverse effects associated with them including contracture, rupture, leakage, and infection. The clinical and imaging appearances of these adverse effects are presented. Read More

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May 2018
5 Reads

ACR Appropriateness Criteria Breast Implant Evaluation.

J Am Coll Radiol 2018 May;15(5S):S13-S25

Panel Chair, Emory University Hospital, Atlanta, Georgia.

Breast implant imaging varies depending on patient age, implant type, and symptoms. For asymptomatic patients (any age, any implant), imaging is not recommended. Rupture of saline implants is often clinically evident, as the saline is resorbed and there is a change in breast contour. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15461440183033
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http://dx.doi.org/10.1016/j.jacr.2018.03.009DOI Listing
May 2018
43 Reads

Imaging findings of mammary and systemic silicone deposition secondary to breast implants.

Br J Radiol 2018 Sep 10;91(1089):20180098. Epub 2018 May 10.

1 Radiology, Mayo Clinic , Rochester, MN , USA.

In patients with silicone breast implants, implant rupture can occur, which can be intra- or extracapsular. Following implant rupture, silicone can travel through the lymphatic system into regional and distant lymph nodes. The purpose of this pictorial essay is to present findings of silicone implant rupture with intramammary and systemic silicone deposition as seen on dual energy CT, ultrasound, mammogram, PET/CT and MRI. Read More

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http://www.birpublications.org/doi/10.1259/bjr.20180098
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http://dx.doi.org/10.1259/bjr.20180098DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223170PMC
September 2018
13 Reads

IDEAL IMPLANT Structured Breast Implants: Core Study Results at 6 Years.

Plast Reconstr Surg 2018 07;142(1):66-75

Newport Beach and Riverside, Calif.; and Dallas, Texas From the Pacific Center for Plastic Surgery; Imagine Plastic Surgery Center; and Dallas Plastic Surgery.

Background: The structured breast implant uses different technology than saline or silicone gel implants, making it a third type of implant. The U.S. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004460DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6045953PMC
July 2018
4 Reads

Silicone Granuloma Associated with Pectoral Muscle Involvement after Ruptured Breast Implant: a Novel case report.

Eur J Breast Health 2018 Jan 1;14(1):54-57. Epub 2018 Jan 1.

Department of Pathology, Haseki Training and Research Hospital, İstanbul, Turkey.

In this study, an unusual case of a patient who was previously operated on a ruptured breast implant following silicone granuloma associated with pectoral muscle involvement is reported. A 72-year-old woman had undergone breast augmentation surgery when she was 52-year-old and silicone implant rupture 10 years later. After 10 years of ruptured silicone implant, her mammography showed diffuse, multiple high-density nodules in the left breast. Read More

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http://dx.doi.org/10.5152/ejbh.2017.3499DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758066PMC
January 2018
6 Reads

Painful lymphadenopathy due to silicone breast implant rupture following extensive global air travel.

Acute Med 2017 ;16(4):192-195

FRCP, DTM&H, PhD.

A 25-year-old Caucasian flight attendant with an extensive travel history presented with night sweats, fevers, weight loss and axillary and supraclavicular lymphadenopathy. Apart from surgical breast augmentation, she had no past medical or surgical history. She was anaemic, leucopenic and lymphopenic, and a broad infection screen was negative. Read More

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January 2018
16 Reads

Systemic reaction and mediastinal involvement secondary to breast implant rupture.

Med Clin (Barc) 2018 07 11;151(1):42-43. Epub 2017 Dec 11.

Servicio de Neumología, Hospital Universitario Virgen de las Nieves, Granada, España.

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http://dx.doi.org/10.1016/j.medcli.2017.11.010DOI Listing
July 2018
4 Reads

Adventures and Misadventures in Plastic Surgery and Soft-Tissue Implants.

Radiographics 2017 Nov-Dec;37(7):2145-2163

From the Department of Radiology, New York-Presbyterian Hospital, Columbia University Medical Center, 622 W 168th St, MC-28, New York, NY 10032 (D.J.L., T.T.W., J.K.K.); and the Department of Radiology, NYU Langone Medical Center-Hospital for Joint Diseases, New York, NY (G.A.C.).

Soft-tissue augmentation and implants are increasingly seen by the radiologist as more techniques emerge for a variety of indications and locations. Some surgical and implant procedures are performed for purely cosmetic reasons in otherwise healthy patients seeking to improve their body image, and some are performed for reconstruction after cancer or other chronic illnesses. Abdominoplasty, liposuction, and autologous fat grafting can be performed for abdominal and gluteal contouring. Read More

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http://dx.doi.org/10.1148/rg.2017170090DOI Listing
April 2018
22 Reads

Breast Implant-Associated Anaplastic Large-Cell Lymphoma in a Transgender Woman.

Aesthet Surg J 2017 Sep;37(8):NP83-NP87

Department of Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Center, Maastricht, the Netherlands. Department of Plastic, Reconstructive, and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands. Department of Oncology, Netherlands Cancer Institute, Amsterdam. Dutch Nationwide Network and Registry of Histo- and Cytopathology, Houten, the Netherlands. Division of Epidemiology, Netherlands Cancer Institute, Amsterdam. Department of Plastic, Reconstructive, and Hand Surgery, MST, Enschede, the Netherlands, Dutch Society of Plastic Surgery. Division of Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Center. Department of Pathology, VU University Medical Center. Department of Plastic, Reconstructive, and Hand Surgery, VU University Medical Center. Center of Expertise on Gender Dysphoria at the VU University Medical Center. Division of Pathology, VU University Medical Center. Dutch BIA-ALCL Consortium.

Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare but serious complication in patients with breast implants, Patients are at risk of BIA-ALCL whether they receive breast implants for cosmetic reasons or for reconstructive purposes after surgery for breast cancer or prophylactic mastectomy. During the past decade, an increased number of reports have addressed BIA-ALCL. Herein, we describe BIA-ALCL in a transgender woman. Read More

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http://dx.doi.org/10.1093/asj/sjx098DOI Listing
September 2017
58 Reads

RE: Prosthetic Breast Implant Rupture: Imaging-Pictorial Essay : Full Cooperation Between Surgeon and Radiologist: "The Best of Both Worlds".

Aesthetic Plast Surg 2017 Dec 10;41(6):1478-1480. Epub 2017 Aug 10.

Department of Surgery "P.Valdoni", Unit of Plastic and Reconstructive Surgery, 'Sapienza' University of Rome, Policlinico Umberto I, Via Giovanni Maria Lancisi, 2, 00161, Rome, Italy.

Cooperation between plastic surgeons and radiologists is fundamental when breast prosthesis rupture is suspected. We describe our experience managing the case of suspected implant rupture in a patient that underwent CT scan imaging for thoracic pain. Poor clinical information given to radiologists leads to wrong diagnosis: during surgery, both prostheses were checked revealing no signs of rupture. Read More

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http://dx.doi.org/10.1007/s00266-017-0942-8DOI Listing
December 2017
25 Reads

Efficacy of ultrasound, mammography and magnetic resonance imaging in detecting breast implant rupture: A retrospective study of 175 reconstructive and aesthetic sub-pectoral breast augmentation cases.

J Plast Reconstr Aesthet Surg 2017 Nov 3;70(11):1520-1526. Epub 2017 Jun 3.

Department of Plastic, Reconstructive and Aesthetic Surgery, Saint Louis Hospital, AP-HP Hôpital Saint-Louis, Avenue Claude Vellefaux, 75475 Paris Cedex 10, France; Paris Diderot University, Sorbonne Paris, France.

To date, the effectiveness of radiological imaging in detecting silicone breast implant rupture is uncertain. The purpose of this study is to retrospectively evaluate the effectiveness of radiological imaging when diagnosing a rupture. In this study, 175 patients with 242 breast implants were included, of which 168 and 74 implants were used for breast reconstruction and aesthetic augmentation, respectively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815173022
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http://dx.doi.org/10.1016/j.bjps.2017.05.051DOI Listing
November 2017
44 Reads

Silicone breast implant rupture: a review.

Gland Surg 2017 Apr;6(2):163-168

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN 55455, USA.

Silicone breast implants have been in use for nearly 6 decades. In this time they have undergone significant changes in design and use. They have been subject to intense scrutiny with regard to safety and efficacy, including an almost 10 years moratorium on their use. Read More

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http://dx.doi.org/10.21037/gs.2016.09.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409893PMC
April 2017
48 Reads

Association between Enlarged Axillary Lymph Nodes and Silicone Breast Implant Ruptures seen on Magnetic Resonance Imaging.

Isr Med Assoc J 2016 Dec;18(12):719-724

Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Israel.

Background: Silicone breast augmentation is a common cosmetic surgery. Previous case reports demonstrated lymphadenopathy in the presence of implant ruptures.

Objectives: To investigate the association between enlarged axillary lymph nodes and silicone implant ruptures as seen on breast magnetic resonance imaging (MRI). Read More

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December 2016
30 Reads

Water-fat Dixon sequences in the evaluation of breast implants: proposal of a time effective rapid approach in the clinical practice.

Clin Radiol 2017 Sep 21;72(9):799.e9-799.e15. Epub 2017 Apr 21.

Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Switzerland.

Aim: To evaluate the diagnostic accuracy achieved from a fat-water Dixon sequence alone compared to a combination of a silicone-specific magnetic resonance imaging (MRI) sequence and a water-specific MRI sequence in the assessment of breast implants.

Materials And Methods: In this institutional review board (IRB)-approved study the integrity of breast implants was assessed retrospectively in 27 patients undergoing breast MRI at 3 T. A qualitative evaluation of (set 1) a silicon-selective water-saturated short tau inversion recovery (STIR) sequence in combination with a water-only Dixon dataset (total acquisition time 7 minutes 17 seconds), and of (set 2) fat-only and water-only Dixon datasets (4 minutes 8 seconds) was performed by two readers independently evaluating the following features: margin definition of the implant, water suppression homogeneity, image quality, presence of artefacts and their effects on the imaging interpretation, and diagnostic confidence. Read More

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http://dx.doi.org/10.1016/j.crad.2017.03.020DOI Listing
September 2017
7 Reads

Single Institution Review of Patients With Prior Breast Augmentation Undergoing Breast Conservation Therapy for Breast Cancer.

Ann Plast Surg 2017 Jun;78(6S Suppl 5):S289-S291

From the *H. Lee Moffitt Cancer Center and Research Institute; and †Division of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University of South Florida, Tampa, FL.

Background: Increasing number of patients with preexisting breast implants desire breast conservation therapy for breast cancer. There is paucity of comparative data on tumor margins and re-excisions in these patients. High re-excision rates up to 25% have been reported in breast conservation therapy patients; efforts to obtain cosmesis and avoid implant rupture might increase this further. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001040DOI Listing
June 2017
12 Reads

Intracapsular Breast Implant Rupture.

Ultrasound Q 2017 Mar;33(1):93-95

Albert Einstein Medical Center, Philadelphia, PA.

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http://dx.doi.org/10.1097/RUQ.0000000000000261DOI Listing
March 2017
7 Reads

Multimodality Imaging-based Evaluation of Single-Lumen Silicone Breast Implants for Rupture.

Radiographics 2017 Mar-Apr;37(2):366-382. Epub 2017 Feb 10.

From the Departments of Radiology (S.J.S., P.B.S., J.C.H., R.G., A.R.M., E.D.E., W.P.E.) and Plastic Surgery (S.S.T.), University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-8896.

Breast implants are frequently encountered on breast imaging studies, and it is essential for any radiologist interpreting these studies to be able to correctly assess implant integrity. Ruptures of silicone gel-filled implants often occur without becoming clinically obvious and are incidentally detected at imaging. Early diagnosis of implant rupture is important because surgical removal of extracapsular silicone in the breast parenchyma and lymphatics is difficult. Read More

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http://dx.doi.org/10.1148/rg.2017160086DOI Listing
October 2017
103 Reads

A pictorial essay of breast implant imaging and implant complications.

Ann Ital Chir 2016 ;87:493-501

Nowadays as more breast conserving surgeries and mastectomies are being performed, more breast implants are being used. Follow-up of these patients is as important as treatment. We, radiologists should be aware of normal imaging appearance of implants during follow ups. Read More

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October 2017
13 Reads

Preoperative White Blood Cell Count in Patients with Abdominal Aortic Aneurysms and Its Relation to Survival following Surgery.

Ann Vasc Surg 2017 May 27;41:127-134. Epub 2016 Nov 27.

Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway; Department of Vascular Surgery, University Hospital of Trondheim, Trondheim, Norway.

Background: The aim of the present study was to explore whether preoperative white blood cell (WBC) count may predict 30-day mortality and long-term survival following surgery for abdominal aortic aneurysm (AAA). Secondarily, we wanted to assess the potential sex differences in WBC in these patients.

Methods: The study was carried out as a retrospective cohort study. Read More

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http://dx.doi.org/10.1016/j.avsg.2016.08.028DOI Listing
May 2017
13 Reads

Distant Migration of Multiple Siliconomas in Lower Extremities following Breast Implant Rupture: Case Report.

Plast Reconstr Surg Glob Open 2016 Oct 27;4(10):e1011. Epub 2016 Oct 27.

Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Siliconoma from ruptured breast implants has been reported in multiple body sites, including but not limited to the breast parenchyma, axillary lymph nodes, upper arm, and even lower leg. In this regard, we report a rare case of distant silicone migration to the lower extremities after traumatic breast implant rupture. A 55-year-old Asian woman who received bilateral augmentation mammoplasty 20 years ago presented with ruptured breast implants from a car accident 2 years earlier. Read More

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http://Insights.ovid.com/crossref?an=01720096-201610000-0002
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http://dx.doi.org/10.1097/GOX.0000000000001011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5096512PMC
October 2016
49 Reads

Analysis of 109 Consecutive Explanted Breast Implants: Correlation Between Suspected Implant Rupture and Surgical Findings.

Aesthetic Plast Surg 2016 Oct 11;40(5):739-44. Epub 2016 Aug 11.

Department of Plastic & Reconstructive Surgery, Shaare Zedek Medical Center, POB 3235, 91031, Jerusalem, Israel.

Introduction: The use of breast implants is on the rise due to increases in breast reconstructive and aesthetic surgery. Implant rupture is a possible complication. Among assessment modalities for implant rupture detection, MRI is considered the gold standard. Read More

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http://dx.doi.org/10.1007/s00266-016-0689-7DOI Listing
October 2016
29 Reads

Imaging of common breast implants and implant-related complications: A pictorial essay.

Indian J Radiol Imaging 2016 Apr-Jun;26(2):216-25

Department of Breast Imaging, Dr. Jankharia's Imaging Centre, Mumbai, Maharashtra, India.

The number of women undergoing breast implant procedures is increasing exponentially. It is, therefore, imperative for a radiologist to be familiar with the normal and abnormal imaging appearances of common breast implants. Diagnostic imaging studies such as mammography, ultrasonography, and magnetic resonance imaging are used to evaluate implant integrity, detect abnormalities of the implant and its surrounding capsule, and detect breast conditions unrelated to implants. Read More

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http://dx.doi.org/10.4103/0971-3026.184409DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4931781PMC
July 2016
5 Reads

Poly Implant Prothèse and Rofil Substandard Breast Implant Explantations from a Large German Single Centre from 2011 to 2014: A Comparative Study.

Aesthetic Plast Surg 2016 Aug 10;40(4):507-13. Epub 2016 Jun 10.

Department of Plastic & Aesthetic, Reconstructive & Hand Surgery, AGAPLESION Markus Hospital, Academic Teaching Hospital of the Johann Wolfgang von Goethe University, Wilhelm-Epstein-Str. 4, 60431, Frankfurt am Main, Germany.

Background: Following a Europe-wide scandal, substandard breast implants containing silicone for industry purposes produced by Poly Implant Prothèse (PIP&Rofil) were explanted due to its potential health risks.

Objective: We investigated whether these implants actually imposed a threat to patients' health.

Methods: In this retrospective single-centre case-control study, we compared patients with breast augmentation receiving implant explantation (01/2011-01/2015). Read More

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http://dx.doi.org/10.1007/s00266-016-0666-1DOI Listing
August 2016
44 Reads

Massive inflammatory reaction following the removal of a ruptured silicone implant masking the invasive breast cancer - case report and literature review.

Pol Przegl Chir 2016 Jan;88(1):41-7

This paper presents a case of a patient with invasive ductal breast cancer following breast augmentation. Following breast implants rupture in March 2013 the breast implants have been removed - histopathological examination revealed leaked silicone with inflammatory infiltration, without evidence of cancerous lesions. Diagnostic imaging revealed multiple encapsulated silicone particles and clusters of post-inflammatory macrocalcifications in both breasts. Read More

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http://dx.doi.org/10.1515/pjs-2016-0026DOI Listing
January 2016
34 Reads

Magnetic resonance imaging of breast augmentation: a pictorial review.

Insights Imaging 2016 Jun 9;7(3):399-410. Epub 2016 Mar 9.

Department of Radiology, Block B, LG1, Princess Margaret Hospital, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong.

Unlabelled: The increasing prevalence of breast augmentation presents new challenges in breast imaging interpretation. Magnetic resonance imaging (MRI) is recognized as the gold standard for the evaluation of augmented breasts. This article reviews the MRI features of different breast augmentation techniques, their associated complications, and the role of MRI in the assessment of concurrent breast abnormalities. Read More

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https://pdfs.semanticscholar.org/f06d/3d4f9a6bb63101a2637b29
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http://link.springer.com/10.1007/s13244-016-0482-9
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http://dx.doi.org/10.1007/s13244-016-0482-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877348PMC
June 2016
10 Reads

Dual-Energy CT for Evaluation of Intra- and Extracapsular Silicone Implant Rupture.

Case Rep Radiol 2016 28;2016:6323709. Epub 2016 Jan 28.

Mayo Clinic, 200 First Street SW, Rochester, MN 55904, USA.

Silicone implants are commonly used for both breast augmentation and breast reconstruction. With aging of the implant, the silicone envelope may become weak or may rupture. The technique of choice for evaluation of implant integrity is breast MRI; however this may be contraindicated in some patients or the cost may be prohibitive. Read More

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http://dx.doi.org/10.1155/2016/6323709DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4749786PMC
March 2016
5 Reads

Poly Implant Prothèse™ (PIP) experience in the United Kingdom: A prospective cohort study into the accuracy of diagnostic imaging findings in comparison to operative findings of 1029 implants.

J Plast Reconstr Aesthet Surg 2016 Apr 3;69(4):446-51. Epub 2016 Feb 3.

Suite 3, 30 Harley Street, London W1G 9PW, UK.

The Poly Implant Prosthèse™ (PIP) implants were withdrawn from market use in the United Kingdom on 31st March 2010 following Government issued advice. In June 2012 a final Government report was issued and during this period the majority of patients elected to have their prostheses removed. This study presents the operative findings of three surgeons. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815160004
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http://dx.doi.org/10.1016/j.bjps.2016.01.015DOI Listing
April 2016
5 Reads

Subacute silicone pneumonitis after silent rupture of breast implant.

Arch Bronconeumol 2016 Jul 23;52(7):397-8. Epub 2015 Dec 23.

Departamento de Radiodiagnóstico, Complejo Hospitalario Universitario de Granada, Granada, España.

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http://dx.doi.org/10.1016/j.arbres.2015.10.009DOI Listing
July 2016
59 Reads

Role of US in evaluating breast implant integrity.

J Ultrasound 2015 Dec 23;18(4):329-33. Epub 2015 Jun 23.

DIM - Interdisciplinary Department of Medicine - Section of Diagnostic Imaging, Aldo Moro University of Bari Medical School, Piazza Giulio Cesare 11, 70124 Bari, Italy.

Purpose: To assess the diagnostic accuracy and inter-observer variability of ultrasound (US) in recognizing signs of intra or extra-capsular rupture of silicone breast implants by using the magnetic resonance imaging (MRI) findings as the reference standard.

Methods: 150 patients for a total of 300 implants underwent breast US and subsequently MR examination searching for signs of intra or extra-capsular rupture. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy were calculated for breast US having MRI findings as the reference standard. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs40477-015-01
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http://link.springer.com/10.1007/s40477-015-0170-5
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http://dx.doi.org/10.1007/s40477-015-0170-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630265PMC
December 2015
6 Reads

[Changing and follow-up of silicone gel-filled breast implants: Multicentric, retrospective study about 130 rupture cases].

Ann Chir Plast Esthet 2015 Dec 18;60(6):465-71. Epub 2015 Aug 18.

Institut de cancérologie de Lorraine, 6, avenue de Bourgogne, 54500 Vandoeuvre-Lès-Nancy, France; Faculté de médecine de Nancy, université de Lorraine, 9, avenue de la Forêt-de-Haye, 54500 Vandoeuvre-Lès-Nancy, France.

Subject: A recent report from "Agence Nationale de sécurité du medicament et des produits de santé" (ANSM) assesses the rupture of silicone gel breast implants without proposing rules for follow-up and replacement of implants.

Objective: To demonstrate that systematic follow-up surveillance of silicone breast implants could improve early diagnosis of ruptures; to propose a surveillance protocol based on the findings.

Materials And Methods: This is a multicentric, retrospective study which reports cases of ruptured silicone gel breast implants from January 2006 to June 2014. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02941260150012
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http://dx.doi.org/10.1016/j.anplas.2015.07.006DOI Listing
December 2015
8 Reads

MRI evaluation of post-mastectomy irradiated breast implants: prevalence and analysis of complications.

Clin Radiol 2015 Sep 3;70(9):948-53. Epub 2015 Jun 3.

DIM - Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, Aldo Moro University of Bari Medical School, Piazza Giulio Cesare 11, 70124, Bari, Italy. Electronic address:

Aim: To evaluate the effect of post-mastectomy radiation therapy (RT) on breast implants as detected by magnetic resonance imaging (MRI) searching for short-term complications.

Materials And Methods: One hundred and forty patients (total of 144 implants) were evaluated by MRI; 80 (group 1) had undergone RT, whereas the remaining 60 patients (group 2) underwent mastectomy with implant reconstruction without RT. Two radiologists evaluated MRI images searching for implant rupture signs, sub-capsular seromas, capsular contracture, soft-tissue oedema, peri-implant fluid collections. Read More

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http://dx.doi.org/10.1016/j.crad.2015.04.018DOI Listing
September 2015
6 Reads

Longitudinal Ultrasound Study of Breast Implant Rupture Over a Six-Year Interval.

Ann Plast Surg 2016 Feb;76(2):150-4

From the *Casa di Cura Villa Valeria; †Department of Plastic Surgery, and ‡Department of Plastic and Reconstructive Surgery, Catholic University of "Sacro Cuore", University Hospital Rome, Italy.

Background: Silicone gel-filled implants as opposed to saline-filled breast implants are the most commonly used breast implants in Europe, and this has recently also become the case in the United States. Modern implants have a multiple layer silicone shell and high to very high levels of cohesive silicone gel inside. Although breast magnetic resonance imaging is at present considered the gold standard imaging method for breast implant rupture detection, breast ultrasound (US) imaging is still the first-step investigation in Europe. Read More

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http://dx.doi.org/10.1097/SAP.0000000000000539DOI Listing
February 2016
16 Reads