MR imaging of silicone gel-filled breast implants in vivo with a method that visualizes silicone selectively.
The lack of an adequately sensitive method for detecting silicone leakage and reported serious complications due to silicone leakage were cited as justification by the U.S. Food and Drug Administration for imposing the current restrictions on silicone gel-filled breast prostheses. The authors report a new magnetic resonance imaging method for visualizing silicone leakage: the silicone-only sequence (SOS). The method uses the conventional STIR (short-inversion-time inversion-recovery) technique combined with a 1331 radio-frequency pulse train widely used for water suppression in spectroscopy. With the SOS, silicone can be imaged while signals from fat and water are suppressed. The authors used the SOS to image phantoms and normal and ruptured silicone gel-filled breast prostheses.
Frederik Philips Magnetic Resonance Research Center, Department of Radiology, Emory University School of Medicine, Atlanta, GA 30322.
S
S
Mukundan
W T
WT
Dixon
B D
BD
Kruse
D L
DL
Monticciolo
R C
RC
Nelson
D001940:Breast / Q000473:pathology*; D005260:Female; D006801:Humans; D009682:Magnetic Resonance Spectroscopy / Q000379:methods; D016462:Mammaplasty; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D012828:Silicones
D012828:Silicones