Capsular contracture and possible implant rupture: Is magnetic resonance imaging useful?

Alyssa A. Paetau, Sarah A. McLaughlin, Rebecca B. McNeil, Erez Sternberg, Sarvam P. Terkonda, James C. Waldorf, Galen Perdikis

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Currently, magnetic resonance imaging is considered the accepted standard to evaluate breast implant integrity. Methods: To evaluate its utility in diagnosing ruptured silicone implants in the setting of capsular contracture and to correlate the preoperative assessment of implant integrity with or without magnetic resonance imaging with operative findings, 319 capsulectomies (171 patients with capsular contractures) were retrospectively reviewed. Preoperative magnetic resonance imaging was done on 160 implants, whereas the remaining 159 were evaluated using only physical examination and/or mammography. Postoperative results were analyzed to determine the sensitivity, specificity, and accuracy of preoperative magnetic resonance imaging in comparison with clinical and/or mammography evaluation alone. Results: Although occasionally valuable, overall, preoperative magnetic resonance imaging was no more accurate than clinical evaluation with or without mammography in predicting implant status: magnetic resonance imaging 124 of 160 (78 percent) and clinical 121 of 159 (76 percent; p = 0.77). Conclusions: In the setting of capsular contracture, physical examination with or without mammogram is as accurate as magnetic resonance imaging in determining implant integrity. Although magnetic resonance imaging is a sensitive diagnostic tool, in symptomatic patients with capsular contracture, it cannot be viewed as infallible.

Original languageEnglish (US)
Pages (from-to)830-835
Number of pages6
JournalPlastic and Reconstructive Surgery
Volume125
Issue number3
DOIs
StatePublished - Mar 2010
Externally publishedYes

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Implant Capsular Contracture
Rupture
Magnetic Resonance Imaging
Contracture
Mammography
Physical Examination
Breast Implants
Silicones

ASJC Scopus subject areas

  • Surgery

Cite this

Paetau, A. A., McLaughlin, S. A., McNeil, R. B., Sternberg, E., Terkonda, S. P., Waldorf, J. C., & Perdikis, G. (2010). Capsular contracture and possible implant rupture: Is magnetic resonance imaging useful? Plastic and Reconstructive Surgery, 125(3), 830-835. https://doi.org/10.1097/PRS.0b013e3181cb6066

Capsular contracture and possible implant rupture : Is magnetic resonance imaging useful? / Paetau, Alyssa A.; McLaughlin, Sarah A.; McNeil, Rebecca B.; Sternberg, Erez; Terkonda, Sarvam P.; Waldorf, James C.; Perdikis, Galen.

In: Plastic and Reconstructive Surgery, Vol. 125, No. 3, 03.2010, p. 830-835.

Research output: Contribution to journalArticle

Paetau, AA, McLaughlin, SA, McNeil, RB, Sternberg, E, Terkonda, SP, Waldorf, JC & Perdikis, G 2010, 'Capsular contracture and possible implant rupture: Is magnetic resonance imaging useful?', Plastic and Reconstructive Surgery, vol. 125, no. 3, pp. 830-835. https://doi.org/10.1097/PRS.0b013e3181cb6066
Paetau, Alyssa A. ; McLaughlin, Sarah A. ; McNeil, Rebecca B. ; Sternberg, Erez ; Terkonda, Sarvam P. ; Waldorf, James C. ; Perdikis, Galen. / Capsular contracture and possible implant rupture : Is magnetic resonance imaging useful?. In: Plastic and Reconstructive Surgery. 2010 ; Vol. 125, No. 3. pp. 830-835.
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