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How should we investigate breast implant rupture?

Authors :
Hold PM
Alam S
Pilbrow WJ
Kelly JF
Everitt EM
Dhital SK
Juma A
Source :
The breast journal [Breast J] 2012 May-Jun; Vol. 18 (3), pp. 253-6.
Publication Year :
2012

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.<br /> (© 2012 Wiley Periodicals, Inc.)

Details

Language :
English
ISSN :
1524-4741
Volume :
18
Issue :
3
Database :
MEDLINE
Journal :
The breast journal
Publication Type :
Academic Journal
Accession number :
22583195
Full Text :
https://doi.org/10.1111/j.1524-4741.2012.01226.x