Note that in the updated FDA recommendations for asymptomatic patients with silicone implants, the first US or MRI should be performed at 5 to 6 years postoperatively, then every 2 to 3 years thereafter [1]. Breast Implant Evaluation Breast Implant Evaluation 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 asymptomatic silicone implants. MRI Breast Without IV Contrast MRI without IV contrast is helpful for imaging silicone implants. The FDA updated guidance recommends that for asymptomatic patients, the first US or MRI should be performed at 5 to 6 years postoperatively, then every 2 to 3 years thereafter [1]. T1- and T2-weighted, short tau inversion recovery, and silicone-suppressed sequences allow for optimal imaging of implant integrity [16]. There is currently no consensus on whether ruptured implants require surgery in asymptomatic patients, and the benefits of screening for implant rupture are controversial. Some authors [21] have advocated a patient-centered approach with shared decision making between the patient and surgeon rather than generalized recommendations for all patients with silicone implants. Most studies focused on symptomatic women, in whom the expected prevalence of rupture would be higher than among asymptomatic women. In addition, numerous studies evaluating the rupture rate of more modern implants have shown this rate to be low [22-25]. Studies of asymptomatic women have reported sensitivities and specificities of 64% and 77% [26], accuracy of 94% [27], sensitivity of 89%, specificity of 97%, accuracy of 92%, positive predictive value (PPV) of 99%, and negative predictive value (NPV) of 79% [28]. US Breast In the updated FDA recommendations, for asymptomatic patients with silicone implants, the first US or MRI should be performed at 5 to 6 years postoperatively, then every 2 to 3 years thereafter [1]. Variant 7: Adult younger than 30 years of age.
Breast Implant Evaluation. Note that in the updated FDA recommendations for asymptomatic patients with silicone implants, the first US or MRI should be performed at 5 to 6 years postoperatively, then every 2 to 3 years thereafter [1]. Breast Implant Evaluation Breast Implant Evaluation 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 asymptomatic silicone implants. MRI Breast Without IV Contrast MRI without IV contrast is helpful for imaging silicone implants. The FDA updated guidance recommends that for asymptomatic patients, the first US or MRI should be performed at 5 to 6 years postoperatively, then every 2 to 3 years thereafter [1]. T1- and T2-weighted, short tau inversion recovery, and silicone-suppressed sequences allow for optimal imaging of implant integrity [16]. There is currently no consensus on whether ruptured implants require surgery in asymptomatic patients, and the benefits of screening for implant rupture are controversial. Some authors [21] have advocated a patient-centered approach with shared decision making between the patient and surgeon rather than generalized recommendations for all patients with silicone implants. Most studies focused on symptomatic women, in whom the expected prevalence of rupture would be higher than among asymptomatic women. In addition, numerous studies evaluating the rupture rate of more modern implants have shown this rate to be low [22-25]. Studies of asymptomatic women have reported sensitivities and specificities of 64% and 77% [26], accuracy of 94% [27], sensitivity of 89%, specificity of 97%, accuracy of 92%, positive predictive value (PPV) of 99%, and negative predictive value (NPV) of 79% [28]. US Breast In the updated FDA recommendations, for asymptomatic patients with silicone implants, the first US or MRI should be performed at 5 to 6 years postoperatively, then every 2 to 3 years thereafter [1]. Variant 7: Adult younger than 30 years of age.