Magnetic resonance imaging of breast implants

Mala Shah, Neil Tanna, Laurie Margolies

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

Silicone breast implants have significantly evolved since their introduction half a century ago, yet implant rupture remains a common and expected complication, especially in patients with earlier-generation implants. Magnetic resonance imaging is the primary modality for assessing the integrity of silicone implants and has excellent sensitivity and specificity, and the Food and Drug Administration currently recommends periodic magnetic resonance imaging screening for silent silicone breast implant rupture. Familiarity with the types of silicone implants and potential complications is essential for the radiologist. Signs of intracapsular rupture include the noose, droplet, subcapsular line, and linguine signs. Signs of extracapsular rupture include herniation of silicone with a capsular defect and extruded silicone material. Specific sequences including water and silicone suppression are essential for distinguishing rupture from other pathologies and artifacts. Magnetic resonance imaging provides valuable information about the integrity of silicone implants and associated complications.

Original languageEnglish
Pages (from-to)345-353
Number of pages9
JournalTopics in Magnetic Resonance Imaging
Volume23
Issue number6
DOIs
StatePublished - 14 Dec 2014

Keywords

  • Breast
  • Implants
  • MRI
  • Rupture
  • Silicone

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