title: Cardiac imaging impaired by a silicone breast implant.
abstract: The authors report a case of a left-sided silicone breast implant interfering with nuclear imaging of the myocardium. Cardiac SPECT imaging of a woman documented widespread infarct in the anterolateral, inferior, and posterolateral walls, as well as mixed ischemia/infarct in the anterior wall. Subsequent cardiac MRI revealed just anterolateral and inferolateral infarct. The anterior wall was completely viable. Also apparent on the MR images was a left breast implant overlying the anterior myocardial wall. This case of a left-sided silicone breast implant interfering with nuclear imaging of the myocardium highlights the importance of understanding the potential interference from silicone breast implants.
authors.affiliation: Duke Clinical Research Institute, Department of Medicine, Division of Cardiology, Duke University Medical Center, Durham, North Carolina 27715, USA. meine001@mc.duke.edu
authors.forename: Trip J
authors.initials: TJ
authors.lastname: Meine
authors.forename: Manesh R
authors.initials: MR
authors.lastname: Patel
authors.forename: John
authors.initials: J
authors.lastname: Heitner
authors.forename: Terry A
authors.initials: TA
authors.lastname: Fortin
authors.forename: Robert A
authors.initials: RA
authors.lastname: Pagnanelli
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Gehrig
authors.forename: Raymond
authors.initials: R
authors.lastname: Kim
authors.forename: Salvador
authors.initials: S
authors.lastname: Borges-Neto
mesh_terms: D000368:Aged; D016477:Artifacts; D018427:Breast Implants; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control*; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000000981:diagnostic imaging*; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009203:Myocardial Infarction / Q000175:diagnosis / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012828:Silicones
chemical_list: D012828:Silicones