title: Comparative study of breast implant rupture using mammography, sonography, and magnetic resonance imaging: correlation with surgical findings.
abstract: Purpose of this study was to evaluate the accuracy of mammography, ultrasonography, and magnetic resonance imaging (MRI), in the detection of breast implant rupture and to make a correlation with findings at explantation. The study population consisted of 63 women with 82 implants, undergoing surgical explantation. Implant rupture status was blindly determined obtaining diagnosis of rupture, possible rupture, or intact implant. Strictly predetermined rupture criteria were applied and compared with findings at surgery, which were considered the gold standard. False-positives and false-negatives were retrospectively evaluated to identify pitfalls in the investigation. All associations between imaging signs and surgical findings were evaluated by using chi-square test. The respective sensitivity and specificity of investigations are reported. Our experience suggests that MRI is the more accurate method for identification of breast implant rupture, even if it should be performed following the diagnostic algorithm proposed.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Marche Polytechnical University, Ancona, Italy. dibenplast@hotmail.com
authors.forename: Giovanni
authors.initials: G
authors.lastname: Di Benedetto
authors.forename: Sara
authors.initials: S
authors.lastname: Cecchini
authors.forename: Luca
authors.initials: L
authors.lastname: Grassetti
authors.forename: Silvia
authors.initials: S
authors.lastname: Baldassarre
authors.forename: Gianluca
authors.initials: G
authors.lastname: Valeri
authors.forename: Luca
authors.initials: L
authors.lastname: Leva
authors.forename: Gian Marco
authors.initials: GM
authors.lastname: Giuseppetti
authors.forename: Aldo
authors.initials: A
authors.lastname: Bertani
mesh_terms: D019928:Breast Implantation / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008327:Mammography; D019736:Prostheses and Implants / Q000009:adverse effects*; D012421:Rupture / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D012828:Silicones / Q000009:adverse effects; D014463:Ultrasonography
chemical_list: D012828:Silicones