278 results match your criteria Imaging in Breast Implant Rupture


MRI for Evaluation of Complications of Breast Augmentation.

Radiographics 2022 May 13:210096. Epub 2022 May 13.

From the Department of Radiology, University of Antioquia, Cra 51d #62-29, Medellín 050010, Colombia (B.D.N.R., M.P.S.R.); Department of Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, Tex (B.E.A., M.S.G.); Department of Breast Imaging, Clínica Las Américas Auna, Medellín, Colombia (A.B.L., C.S.U.); and Department of Diagnostic Imaging, Hospital Universitario Quirón Madrid, Madrid, Spain (V.M.d.V.).

Breast augmentation is one of the most common aesthetic procedures performed in the United States. Several techniques of breast augmentation have been developed, including the implantation of breast prostheses and the injection of autologous fat and other materials. The most common method of breast augmentation is to implant a prosthesis. Read More

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Reverse "cheese wire" fenestration for abdominal aortic dissection repair: a case report and literature review.

BMC Surg 2022 Apr 21;22(1):145. Epub 2022 Apr 21.

Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, 168 Changhai Road, 200433, Shanghai, China.

Background: Aortic dissection is one of the most common emergency condition leading to internal organs or lower limb ischemia and aortic rupture. Herein, we described a reverse "cheese wire" endovascular fenestration repair (CWFER) in a patient with complicated abdominal aortic dissection which had never been reported.

Case Presentation: A 62-year-old male presented abdominal tear-like pain and acute ischemia of the right lower extremity during the endovascular treatment of celiac trunk aneurysms. Read More

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Is breast ultrasound a good alternative to magnetic resonance imaging for evaluating implant integrity?

Radiologia (Engl Ed) 2022 Mar;64 Suppl 1:20-27

Sección Diagnóstico e Intervencionismo Mamario, Servicio de Diagnóstico por Imágenes, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

Objective: To compare the diagnostic performance of breast ultrasound and breast magnetic resonance imaging and to correlate the findings on the two techniques that are suggestive of implant rupture.

Material And Methods: We reviewed the images and reports of breast ultrasound and magnetic resonance imaging studies done in our diagnostic and interventional breast imaging unit to evaluate breast implants in 205 patients between January 2015 and December 2017.

Results: Ultrasound findings were compatible with implant rupture in 87 (42. Read More

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Challenges in Breast Evaluation: Breast Asymmetry, Macromastia, and the Surgically Altered Breast.

Obstet Gynecol Clin North Am 2022 Mar;49(1):73-85

Section of Plastic Surgery, Virginia Tech Carilion, Roanoke, VA, USA; Carilion Clinic Plastic and Reconstructive Surgery, 3 Riverside Circle, Suite 400, Roanoke, VA 24016, USA. Electronic address:

Many breast conditions that warrant referral to a plastic surgeon may first be identified in a routine gynecologic or primary care setting. These range from asymmetric anomalies and macromastia to sequelae of previous aesthetic and reconstructive procedures. The purpose of this reference article is to provide an overview of common breast deformities and discuss their unique challenges in evaluation. Read More

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Breast Implants on Computed Tomography-A Pictorial Review of Normal and Pathologic Findings.

Authors:
Johannes Gossner

Indian J Radiol Imaging 2021 Oct 13;31(4):979-982. Epub 2021 Dec 13.

Department of Diagnostic and Interventional Radiology, Evangelisches Krankenhaus Göttingen- Weende, Göttingen, Germany.

Breast augmentation with implants is frequently performed. Therefore breast implants can be seen quite frequently on computed tomography (CT) of the body. This offers the possibility to detect incidental pathology and help to improve patient outcome. Read More

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October 2021

An Unusual Presentation of Breast Implant Rupture.

Clin Nucl Med 2022 Mar;47(3):e271-e273

From the Department of Radiology and Imaging Sciences, University of Utah School of Medicine, Salt Lake City, UT.

Abstract: A 99mTc-methylene diphosphate (MDP) bone scintigraphy scan was performed to follow up metastatic breast cancer. A circular region of radiotracer uptake in the location of the patient's left breast implant was seen. Review of the same-day chest CT and the prior CT showed that the patient's breast implant had ruptured in the interim. Read More

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Silent Rupture of Silicone Gel Breast Implants: High-Resolution Ultrasound Scans and Surveys of 584 Women.

Authors:
Marc J Salzman

Plast Reconstr Surg 2022 Jan;149(1):7-14

From the Salzman Cosmetic Surgery and Spa.

Background: Patient compliance has been low for U.S. Food and Drug Administration-recommended magnetic resonance imaging scans to screen silicone gel breast implants for silent rupture. Read More

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January 2022

Breast Implants: Common Questions and Answers.

Am Fam Physician 2021 Nov;104(5):500-508

University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Breast implants are used for a wide range of cosmetic and reconstructive purposes. In addition to breast augmentation, implants can be used for postmastectomy breast reconstruction, correction of congenital breast anomalies, breast or chest wall deformities, and male-to-female top surgery. Breast implants may confer significant benefits to patients, but several factors are important to consider preoperatively, including the impact on mammography, future lactation, and potential long-term implant complications (e. Read More

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November 2021

Intrapleural silicone granuloma mimicking pleural malignancy.

Radiol Case Rep 2021 Dec 9;16(12):3824-3828. Epub 2021 Oct 9.

Department of Radiology, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA, 98195, USA.

We describe a 78-year-old initially presenting with left breast cancer, status post mastectomy and bilateral dual-lumen breast implant placement, subsequently developed lung cancer years later status post lobectomy, who later developed FDG-avid pleural nodularity and thickening. The differential diagnosis of pleural thickening and nodularity can be broad, including metastatic cancer, asbestos-related pleural disease, loculated fluid (including simple pleural effusion, hemothorax, or chylothorax), and pleural infection. However, in the setting of two different primary malignancies, our patient's FGD-avid pleural thickening was concerning for metastatic disease. Read More

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December 2021

Predictors for Implant Rupture in Two-Stage Tissue Expander-Based Breast Reconstruction: A Retrospective Cohort Study.

Ann Surg Oncol 2022 Feb 30;29(2):1100-1108. Epub 2021 Sep 30.

Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Two-stage tissue expander/implant-based method has been used predominantly for breast reconstruction. Implant rupture is one of the bothersome complications, inducing additional morbidity including reoperation. The present study aimed to identify the independent factors associated with development of implant rupture. Read More

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February 2022

Risk of rheumatic disease in breast implant users: a qualitative systematic review.

Gland Surg 2021 Aug;10(8):2557-2576

Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.

Background: Recent studies on the risk of rheumatic disease among breast implant users have reported conflicting results. The primary objective of this study was to provide a systematic and critical review of the literature on the association between breast implants and the risk of rheumatic disease.

Methods: A qualitative systematic review was conducted in PubMed, MEDLINE, EMBASE, EBM-Reviews and CINAHL Complete from database inception to June 23rd, 2021. Read More

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Accuracy of Ultrasonography in Breast Implant Rupture Diagnosis: Systematic Review and Meta-Analysis.

Plast Reconstr Surg 2021 Nov;148(5):939-947

From the Laboratory of Translational Biomedicine, Universidade do Extremo Sul Catarinense.

Background: Breast augmentation is the most common aesthetic operation performed in the United States and worldwide; 1,862,506 breast augmentation procedures were performed in 2018, an increase of 27.6 percent compared to 2014 data.

Methods: In the present study, the authors performed a systematic review to identify the accuracy of ultrasonography for diagnosing breast prosthesis rupture. Read More

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November 2021

Internal mammary lymph node siliconoma in absence of prosthesis rupture: a case series that raises concern for potential risk of overdiagnosis.

Gland Surg 2021 Jul;10(7):2123-2129

Division of Thoracic Surgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.

Background: Silicon migration after rupture is an adverse event of breast implant, whose risk increases with the aging of prosthesis. The exact prevalence of this complication remains unclear and reported data are inconsistent. In addition, microscopic diffusion of silicone gel through intact implant, known as gel bleeding, might verify thus complicating diagnosis. Read More

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What's Hot in Breast MRI.

Can Assoc Radiol J 2022 Feb 12;73(1):125-140. Epub 2021 Aug 12.

Medical Imaging Department, 12366University of Toronto, Ontario, Canada.

Several articles in the literature have demonstrated a promising role for breast MRI techniques that are more economic in total exam time than others when used as supplement to mammography for detection and diagnosis of breast cancer. There are many technical factors that must be considered in the shortened breast MRI protocols to cut down time of standard ones, including using optimal fat suppression, gadolinium-chelates intravascular contrast administrations for dynamic imaging with post processing subtractions and maximum intensity projections (MIP) high spatial and temporal resolution among others. Multiparametric breast MRI that includes both gadolinium-dependent, i. Read More

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February 2022

The Value of Ultrasound in the Evaluation of the Integrity of Silicone Breast Implants.

Medicina (Kaunas) 2021 May 3;57(5). Epub 2021 May 3.

Clinic of Radiology, Hospital of Lithuanian University of Health Sciences, LT-50161 Kaunas, Lithuania.

Breast implant surgery for cosmetic purposes is the most popular plastic surgery and it has been performed for over 100 years. Rupture of silicone gel-filled breast implants usually is asymptomatic and is one of the more dangerous complications due to free silicone migration. The aim of our study was to evaluate the diagnostic value of ultrasound (US) in the evaluation of the integrity of silicone breast implants and identify the main sign of intact and ruptured breast implants. Read More

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Silicone granuloma: a cause of cervical lymphadenopathy following breast implantation.

BMJ Case Rep 2021 Mar 3;14(3). Epub 2021 Mar 3.

Otolaryngology & Radiology Department, Sunderland Royal Hospital, Sunderland, UK.

We report a case of a 54-year-old woman with saline-based breast implants who presented to the ear, nose and throat neck lump clinic with a 2-week history of bilateral neck lumps. She was found to have multiple palpable cervical lymph nodes bilaterally in levels IV and Vb. The ultrasonography demonstrated multiple lymph nodes with the snowstorm sign and a core biopsy confirmed a silicone granuloma (siliconoma). Read More

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Progressive silicone lymphadenopathy post mastectomy and implant reconstruction for breast cancer.

BMJ Case Rep 2021 Feb 9;14(2). Epub 2021 Feb 9.

Breast Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

A 56-year-old woman with a 12-year history of recurrent triple-negative invasive carcinoma of the breast presented with progressive enlargement of lymph nodes in the setting of established rupture of the ipsilateral silicone breast implant. Although this was proven to be benign on cytology, its progressive nature led to repeated core biopsies for histology, which were necessary given the high-risk nature of triple-negative breast cancer and the multiple proven previous recurrences. The histology demonstrated features of silicone deposits without evidence of malignancy. Read More

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February 2021

Is breast ultrasound a good alternative to magnetic resonance imaging for evaluating implant integrity?

Radiologia (Engl Ed) 2021 Jan 19. Epub 2021 Jan 19.

Sección Diagnóstico e Intervencionismo Mamario, Servicio de Diagnóstico por Imágenes, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

Objective: To compare the diagnostic performance of breast ultrasound and breast magnetic resonance imaging and to correlate the findings on the two techniques that are suggestive of implant rupture.

Material And Methods: We reviewed the images and reports of breast ultrasound and magnetic resonance imaging studies done in our diagnostic and interventional breast imaging unit to evaluate breast implants in 205 patients between January 2015 and December 2017.

Results: Ultrasound findings were compatible with implant rupture in 87 (42. Read More

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January 2021

Breast implant-associated anaplastic large cell lymphoma with contralateral invasive lobular carcinoma.

Radiol Case Rep 2020 Dec 9;15(12):2572-2576. Epub 2020 Oct 9.

Sutter Health, Santa Rosa, CA.

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare type of T-cell lymphoma that arises in the setting of textured breast implants. In this case report, a 69-year-old woman with a remote history of right-sided invasive lobular carcinoma status post right mastectomy and bilateral breast reconstruction presents with spontaneous right breast swelling and pain, suspicious for implant rupture. Diagnostic MRI revealed a peri-implant fluid collection in the right breast and focal nonmass enhancement in the left breast. Read More

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December 2020

Accuracy of mammography, sonography and magnetic resonance imaging for detecting silicone breast implant ruptures: A retrospective observational study of 367 cases.

Ann Chir Plast Esthet 2021 Feb 26;66(1):25-41. Epub 2020 Sep 26.

Service de chirurgie plastique esthétique et reconstructrice, centre hospitalo-universitaire de Bordeaux, GH Pellegrin Centre François-Xavier Michelet, place Amélie-Raba-Léon, 33000 Bordeaux, France.

Introduction: The purpose of this study was to assess the efficacy of magnetic resonance imaging, ultrasound and mammography in detecting breast implant rupture.

Methods: This retrospective study included all cases of breast implant revision. Implant integrity was determined preoperatively by magnetic resonance imaging, ultrasound and mammography. Read More

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February 2021

Imaging of breast implant and implant-associated complications: Capsular contracture and intra- or extracapsular rupture.

Clin Hemorheol Microcirc 2020 ;76(2):221-231

Department of Radiology, University Hospital Regensburg, Germany.

Background: In recent years, follow-up after breast reconstruction with silicone implants and the detection of complications have been relieved by the possibility of improved diagnostic methods.

Methods: Between January 2015 and December 2019 a total of 40 patients (29-84 years) with silicone implants were included in this retrospective study. The implants were examined clinically and with modern imaging: general ultrasound imaging (US), magnetic resonance imaging (MRI), high resolution computed tomography (CT) and positron emission tomography -computed tomography (PET-CT). Read More

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December 2020

Silicone nipple discharge: A case report of an unusual presentation of breast implant rupture.

Int J Surg Case Rep 2020 7;74:73-76. Epub 2020 Aug 7.

Plastic Surgery Unit, Northern Hospital, Melbourne, Victoria, Australia.

Introduction: Breast implant rupture is a well-documented complication of breast implant surgery. Diagnosis of ruptured silicone implants can be difficult due to the lack of overt symptoms. This is the first reported case of a patient with silicone breast implant rupture presenting with clear nipple discharge and is presented in line with SCARCE 2018 Guidelines [1]. Read More

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Diagnostic value of a spiral breast computed tomography system equipped with photon counting detector technology in patients with implants: An observational study of our initial experiences.

Medicine (Baltimore) 2020 Jul;99(30):e20797

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

To evaluate the value of a breast computed tomography (CT) (B-CT) in assessing breast density, pathologies and implant integrity in women with breast implants.This retrospective study was approved by the local ethics committee. B-CT images of 21 women with implants (silicone/saline; 20 bilateral, 1 unilateral) who underwent opportunistic screening or diagnostic bilateral B-CT were included. Read More

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Inadvertent Rupture of a Silicone Breast Implant during Fat Grafting: Surgical and Radiological Findings.

Plast Reconstr Surg Glob Open 2020 Jun 4;8(6):e2863. Epub 2020 Jun 4.

Department of Plastic and Hand Surgery, Regions Hospital, St. Paul, Minn.

Autologous fat grafting is a common, relatively safe procedure for breast augmentation and reconstruction. The most commonly reported complications tend to be fat necrosis and oil cysts. The incidence of rare events, such as breast implant rupture, is likely underreported. Read More

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

Plast Reconstr Surg 2020 06;145(6):1381-1387

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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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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Uncommon complications of breast prostheses.

Radiologia (Engl Ed) 2020 Jul - Aug;62(4):266-279. 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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FDG PET/CT of a Supraclavicular Silicone Granuloma at Follow-up of a Breast Carcinoma.

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

Anatomopathology, CHU Grenoble, Grenoble, France.

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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