Both standard craniocaudal and mediolateral oblique and implant-displaced views should be obtained. Mammography 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 may represent residual silicone rather than rupture of the new implants, and comparison with priors is critical. MRI Breast Without and With IV Contrast There is no relevant literature to support the use of MRI without and with IV contrast in the evaluation of symptomatic silicone implants. Breast Implant Evaluation In patients without prior explantation of silicone implants, this finding is diagnostic of extracapsular rupture. However, in patients who have had prior silicone implants, this may represent residual silicone rather than rupture of the new implants. Variant 8: Adult 30 to 39 years of age. 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]. However, DBT can identify extracapsular silicone. 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 DBT in which high-density silicone is seen outside the implant contour. DBT does not detect intracapsular silicone implant rupture. Both standard craniocaudal and mediolateral oblique and implant-displaced views should be obtained.
Breast Implant Evaluation. Both standard craniocaudal and mediolateral oblique and implant-displaced views should be obtained. Mammography 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 may represent residual silicone rather than rupture of the new implants, and comparison with priors is critical. MRI Breast Without and With IV Contrast There is no relevant literature to support the use of MRI without and with IV contrast in the evaluation of symptomatic silicone implants. Breast Implant Evaluation In patients without prior explantation of silicone implants, this finding is diagnostic of extracapsular rupture. However, in patients who have had prior silicone implants, this may represent residual silicone rather than rupture of the new implants. Variant 8: Adult 30 to 39 years of age. 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]. However, DBT can identify extracapsular silicone. 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 DBT in which high-density silicone is seen outside the implant contour. DBT does not detect intracapsular silicone implant rupture. Both standard craniocaudal and mediolateral oblique and implant-displaced views should be obtained.