Cardiac imaging impaired by a silicone breast implant.
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.
Meine
Trip J
TJ
Duke Clinical Research Institute, Department of Medicine, Division of Cardiology, Duke University Medical Center, Durham, North Carolina 27715, USA. meine001@mc.duke.edu
Patel
Manesh R
MR
Heitner
John
J
Fortin
Terry A
TA
Pagnanelli
Robert A
RA
Gehrig
Thomas R
TR
Kim
Raymond
R
Borges-Neto
Salvador
S
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
D012828:Silicones