[Imaging in silicone breast implantation].

Ned Tijdschr Geneeskd

Jeroen Bosch Ziekenhuis, 's-Hertogenbosch.

Published: July 2014

AI Article Synopsis

  • Concerns have arisen about breast implants from PIP due to their risk of rupture and potential toxic materials.
  • MRI is the most effective method for detecting breast implant ruptures, but its high cost necessitates careful use.
  • The text evaluates different imaging techniques (mammography, ultrasound, CT, and MRI) for detecting ruptures and offers a diagnostic approach aimed at lowering healthcare costs.

Article 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.

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