Female or transfeminine. Evaluation of silicone breast implants. Suspected implant complication. Initial imaging. Digital Breast Tomosynthesis Diagnostic In symptomatic patients with silicone breast implants, an MRI is recommended by the FDA to evaluate for rupture [1]. DBT is typically not performed as the initial imaging study in patients under the age of 30. Extracapsular silicone implant ruptures, although only a minority of all implant ruptures, frequently present with palpable findings or other symptoms. The diagnosis of silicone implant rupture can be challenging, however, with clinical examination known to be unreliable [19]. DBT can identify extracapsular silicone [20,29,31,35], which presents as high-density material outside the confines of the implant shell. In patients without prior explantation of silicone implants, this is diagnostic of extracapsular rupture. However, in patients who have had prior silicone implants, this Breast Implant Evaluation may represent residual silicone rather than rupture of the new implants, and comparison with priors is critical. Intracapsular silicone implant rupture is frequently asymptomatic and may not be reliably diagnosed with DBT. Mammography Diagnostic In symptomatic patients with silicone breast implants, an MRI is recommended by the FDA to evaluate for rupture [1]. Diagnostic mammography is typically not performed as the initial imaging study in patients under the age of 30. Extracapsular silicone implant ruptures, although only a minority of all implant ruptures, frequently present with palpable findings or other symptoms. The diagnosis of silicone implant rupture can be challenging, with clinical examination known to be unreliable [19]. In cases of extracapsular silicone implant rupture, the diagnosis is often made with mammography in which high-density silicone is seen outside the implant contour. Mammography does not detect intracapsular silicone implant rupture.
Breast Implant Evaluation. Female or transfeminine. Evaluation of silicone breast implants. Suspected implant complication. Initial imaging. Digital Breast Tomosynthesis Diagnostic In symptomatic patients with silicone breast implants, an MRI is recommended by the FDA to evaluate for rupture [1]. DBT is typically not performed as the initial imaging study in patients under the age of 30. Extracapsular silicone implant ruptures, although only a minority of all implant ruptures, frequently present with palpable findings or other symptoms. The diagnosis of silicone implant rupture can be challenging, however, with clinical examination known to be unreliable [19]. DBT can identify extracapsular silicone [20,29,31,35], which presents as high-density material outside the confines of the implant shell. In patients without prior explantation of silicone implants, this is diagnostic of extracapsular rupture. However, in patients who have had prior silicone implants, this Breast Implant Evaluation may represent residual silicone rather than rupture of the new implants, and comparison with priors is critical. Intracapsular silicone implant rupture is frequently asymptomatic and may not be reliably diagnosed with DBT. Mammography Diagnostic In symptomatic patients with silicone breast implants, an MRI is recommended by the FDA to evaluate for rupture [1]. Diagnostic mammography is typically not performed as the initial imaging study in patients under the age of 30. Extracapsular silicone implant ruptures, although only a minority of all implant ruptures, frequently present with palpable findings or other symptoms. The diagnosis of silicone implant rupture can be challenging, with clinical examination known to be unreliable [19]. In cases of extracapsular silicone implant rupture, the diagnosis is often made with mammography in which high-density silicone is seen outside the implant contour. Mammography does not detect intracapsular silicone implant rupture.