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Downloaded from http://journals.lww.com/topicsinmri by BhDMf5ePHKbH4TTImqenVJ2toCr/9wZZjwPUWvYES9lBjFbu9i0DAnSw4JagSjiU on 10/30/2020 REVIEW ARTICLE Mala Shah, MD,* Neil Tanna, MD, MBA,† and Laurie Margolies, MD* it provides excellent sensitivity and specificity in the detection Abstract: Silicone breast implants have significantly evolved since their of common complications. Magnetic resonance imaging is the introduction half a century ago, yet implant rupture remains a common optimal tool for detecting silicone implant rupture. Clinical exam- and expected complication, especially in patients with earlier-generation 6 ination alone can miss up to half of ruptures. Implant rupture implants. Magnetic resonance imaging is the primary modality for assess- is most common 10 to 15 years after surgery and increases with ing the integrity of silicone implants and has excellent sensitivity and age; the average incidence is approximately 2 ruptures per 100 specificity, and the Food and Drug Administration currently recommends implant-years, either intracapsular or extracapsular, with intact periodic magnetic resonance imaging screening for silent silicone breast 6 rates of 98% at 5 years and 83% to 85% at 10 years. Thus, in implant rupture. Familiarity with the types of silicone implants and poten- 2006, the FDA issued specific guidelines advocating the use tial complications is essential for the radiologist. Signs of
Topics in Magnetic Resonance Imaging – Wolters Kluwer Health
Published: Dec 1, 2014
Keywords: breast,implants,MRI,silicone,rupture
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