title: [Imaging in silicone breast implantation].
abstract: Recently, there have been concerns regarding the use of breast implants from Poly Implant Prothèse (PIP, Seyne sur Mer, France) for breast augmentation due to their tendency to rupture and the possibility of having toxic contents. MRI using a specific silicone-sensitive sequence has proven to be the most sensitive and specific technique in the detection of intra- and extracapsular implant rupture. However, given its high costs, it is important that this technique is used sparingly. In this clinical lesson, we compare the sensitivity and specificity of mammography, ultrasound, CT and MRI for the detection of breast implant rupture. Based on two cases, a diagnostic approach is given in order to reduce health care costs.
authors.affiliation: Jeroen Bosch Ziekenhuis, 's-Hertogenbosch.
authors.forename: Maaike  P M
authors.initials: M
authors.lastname: Gielens
authors.forename: Pieter G L
authors.initials: PG
authors.lastname: Koolen
authors.forename: Roland A E C
authors.initials: RA
authors.lastname: Hermens
authors.forename: Matthieu J C M
authors.initials: MJ
authors.lastname: Rutten
mesh_terms: D000328:Adult; D000368:Aged; D001941:Breast Diseases / Q000139:chemically induced* / Q000175:diagnosis; D019928:Breast Implantation / Q000009:adverse effects*; D018427:Breast Implants / Q000009:adverse effects; D020878:Device Removal; D005260:Female; D005602:France; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008327:Mammography; D011475:Prosthesis Failure; D020034:Silicone Gels / Q000009:adverse effects
chemical_list: D020034:Silicone Gels