Diagnosis of breast implant rupture: imaging findings and relative efficacies of imaging techniques.

Everson, Lenore I.; Parantainen, Helena; Detlie, Tore; Stillman, Arthur E.; Olson, Paul N.; Landis, Gregg; Foshager, Mary C.; Cunningham, Bruce L.; Griffiths, Huw

doi:10.2214/ajr.163.1.8010248

Cited by 110 publications

(47 citation statements)

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“…In case of rupture, it was determined whether the silicone was contained within the fibrous capsule surrounding the implant (intracapsular rupture) or had escaped outside the boundaries of the normal fibrous capsule (extracapsular rupture). 20 Details about image evaluation and the criteria for rupture diagnosis have been described in detail previously. 4 …”

Section: Mri Evaluationmentioning

confidence: 99%

“…A small pilot study prior to the first MRI revealed a sensitivity of 86% and a specificity of 100% for rupture diagnosis, 4 which is in good accordance with other studies in this area. 20,[23][24][25][26] Because we deliberately decided to have a high specificity rather than a high sensitivity in this study, some ruptures may have been overlooked. We know from surgical reports on explantations among study participants that there were virtually no false-positive results (1 falsepositive rupture in 60 women who underwent surgery either after the first or second MRI).…”

Section: Commentmentioning

confidence: 99%

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Incidence of Silicone Breast Implant Rupture

Hölmich

Friis²,

Fryzek³

et al. 2003

Arch Surg

148

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The incidence of silicone breast implant rupture varies with implantation time and type of implant.Objective: To measure the incidence of implant rupture by repeated magnetic resonance imaging (MRI) among women with silicone breast implants.Design, Setting, and Participants: In 1999, 271 women who had received breast implants at least 3 years before, and who were randomly chosen from a larger cohort of women with cosmetic breast implants, underwent a baseline MRI. A second MRI was performed in 2001; 317 silicone implants (in 186 women) that were intact at the baseline MRI (n=280) or were intact at baseline but removed before the second MRI (n = 37) were included in the rupture incidence analyses.Main Outcome Measures: Implants were diagnosed with definite or possible rupture. Crude and implant age-adjusted incidence rates were calculated, and implant survival was estimated based on the observed rupture rates.Results: We found 33 definite ruptures (10%) and 23 possible ruptures (7%) during the 2-year period. The overall rupture incidence rate for definite ruptures was 5.3 ruptures/100 implants per year (95% confidence interval, 4.0-7.0). The rupture rate increased significantly with increasing implant age. Double-lumen implants were associated with substantially lower rupture risk than singlelumen implants. For modern implants intact 3 years after implantation, we estimated rupture-free survival of 98% at 5 years and 83% to 85% at 10 years. Conclusions:The risk of implant rupture increases with implant age. A minimum of 15% of modern implants can be expected to rupture between the third and tenth year after implantation.

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Section: Mri Evaluationmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Incidence of Silicone Breast Implant Rupture

Hölmich

Friis²,

Fryzek³

et al. 2003

Arch Surg

148

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show abstract

“…----Implant [55] Breast [54,56] Ultrasound Ultrasound Figure 1 The volume measurements were further categorised according to the underlying mechanisms. Of each method, the settings (device, illustration, patient position), reliability (reproducibility), feasibility (time and cost) and application (list of articles that used similar methods) were analysed.…”

Section: Resultsmentioning

confidence: 99%

Objective Breast Volume, Shape and Surface Area Assessment: A Systematic Review of Breast Measurement Methods

Perdanasari

Ong

et al. 2014

Aesth Plast Surg

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“…Die Sensitivität im Nachweis von Implantatrupturen variiert in Studien zwischen 23 und 55% [7,12,13] .…”

Section: Introductionunclassified

“…Im Vergleich zu anderen bildgebenden Verfahren weist sie eine hohe Sensitivität von 76-95% und Spezifität von 93-97% im Nachweis von Implantatrupturen auf [6,[12][13][14] .…”

Section: Introductionunclassified