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. DBT can be useful in the evaluation of suspected extracapsular silicone implant rupture, which frequently presents 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. 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 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, and comparison with priors is critical. Breast Implant Evaluation Mammography Diagnostic In symptomatic patients with silicone breast implants, an MRI is recommended by the FDA to evaluate for rupture [1]. However, diagnostic mammography can identify extracapsular silicone. Diagnostic mammography can be useful in the evaluation of suspected extracapsular silicone implant rupture, which frequently presents 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. 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. DBT can be useful in the evaluation of suspected extracapsular silicone implant rupture, which frequently presents 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. 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 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, and comparison with priors is critical. Breast Implant Evaluation Mammography Diagnostic In symptomatic patients with silicone breast implants, an MRI is recommended by the FDA to evaluate for rupture [1]. However, diagnostic mammography can identify extracapsular silicone. Diagnostic mammography can be useful in the evaluation of suspected extracapsular silicone implant rupture, which frequently presents 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.