MRI for Evaluation of Complications of Breast Augmentation
- 1 July 2022
- journal article
- research article
- Published by Radiological Society of North America (RSNA) in RadioGraphics
- Vol. 42 (4), 929-946
- https://doi.org/10.1148/rg.210096
Abstract
Breast augmentation is one of the most common aesthetic procedures performed in the United States. Several techniques of breast augmentation have been developed, including the implantation of breast prostheses and the injection of autologous fat and other materials. The most common method of breast augmentation is to implant a prosthesis. There are different types of breast implants that vary in shape, composition, and the number of lumina. The rupture of breast implants is the leading cause of implant removal. The rupture rate increases substantially with the increasing age of the implant. Most implant ruptures are asymptomatic. Implant complications can be grouped into two categories: local complications in the breast and adjacent soft tissue, and systemic complications associated with rheumatologic or neurologic symptoms. The onset of local complications may be early (infection and periprosthetic collections including seromas, hematomas, or abscesses) or late (capsular contraction, implant rupture, gel bleed, or breast implant–associated anaplastic large cell lymphoma). Although mammography is the imaging modality for breast cancer screening, noncontrast breast MRI is the imaging modality of choice for evaluation of the integrity of breast implants and the complications of breast augmentation, for equivocal findings at conventional imaging, and as a supplement to mammography in patients with free injectable materials. The fifth edition of the Breast Imaging Reporting and Data System (BI-RADS) provides a systematic outline for MRI evaluation of patients with breast implants. Silicone- and water-selective sequences provide useful supplemental information to confirm intracapsular and extracapsular rupture. Breast MRI for evaluation of implant integrity does not require intravenous contrast material. The use of MRI contrast material in patients with breast augmentation is indicated when infection or malignancy is suspected. Radiologists should have a thorough understanding of the different techniques for breast augmentation, normal imaging features, and complications specific to breast augmentation. An invited commentary by Ojeda-Fournier is available online. ©RSNA, 2022 Download as PowerPointKeywords
This publication has 66 references indexed in Scilit:
- Intra-prosthetic breast MR virtual navigation: A preliminary study for a new evaluation of silicone breast implantsMagnetic Resonance Imaging, 2013
- Challenges in Mammography: Part 2, Multimodality Review of Breast Augmentation—Imaging Findings and ComplicationsAmerican Journal of Roentgenology, 2011
- Imaging of breast implants—a pictorial reviewInsights into Imaging, 2011
- Magnetic resonance imaging of the breast: Recommendations from the EUSOMA working groupEuropean Journal of Cancer, 2010
- Imaging in patients with breast implants—results of the First International Breast (Implant) Conference 2009Insights into Imaging, 2010
- Late Seroma Formation after Breast Surgery with Textured Silicone Implants: A Problem Worth Bearing in MindPlastic and Reconstructive Surgery, 2010
- Breast MRI: guidelines from the European Society of Breast ImagingEuropean Radiology, 2008
- Complex radial folds versus subtle signs of intracapsular rupture of breast implants: MR findings with surgical correlation.American Journal of Roentgenology, 1996
- VINCENZ CZERNY AND THE BEGINNINGS OF BREAST RECONSTRUCTIONPlastic and Reconstructive Surgery, 1978
- AN ANATOMIC SUBSTITUTE FOR THE FEMALE BREASTAnnals of Surgery, 1917