Breast MRI and Implants

Chapter

Abstract

Breast augmentation is the most common cosmetic surgical procedure performed in the United States. Magnetic resonance imaging (MRI) is the most sensitive modality for evaluating implant integrity. MRI also has the potential to detect breast cancer in women with implants. This chapter reviews the use of breast MRI in women with implants for identification of implant rupture and breast cancer detection. Implant imaging pitfalls as well as future MRI techniques and sequences for evaluating breast implants will also be addressed.

Keywords

Breast implants MRI Silicone Saline Intracapsular rupture Extracapsular rupture Implant integrity Radial folds Breast cancer Diffusion Weighted Imaging (DWI) Spatiotemporally encoded (SPEN) Anaplastic lymphoma 

References

  1. 1.
    Steinbach BG, Hardt NS, Abbitt PL, Lanier L, Caffee HH. Breast implants, common complications, and concurrent breast disease. Radiographics (A Review Publication of the Radiological Society of North America, Inc.). 1993;13(1):95–118. Epub 1993/01/01.CrossRefGoogle Scholar
  2. 2.
    Middleton MS, McNamara Jr MP. Breast implant classification with MR imaging correlation: (CME available on RSNA link). Radiographics (A Review Publication of the Radiological Society of North America, Inc.). 2000;20(3):E1. Epub 2000/06/02.Google Scholar
  3. 3.
    Cronin TD, Gerow FJ, editors. Augmentation mammoplasty: a new “natural feel” prosthesis. Transactions of the third international congress of plastic surgery. Excerpta Medica Foundation; Amsterdam, The Netherlands; 1963.Google Scholar
  4. 4.
    Brenner RJ. Evaluation of breast silicone implants. Magn Reson Imaging Clin N Am. 2013;21(3):547–60. Epub 2013/08/10.CrossRefPubMedGoogle Scholar
  5. 5.
    LeVier RR, Harrison MC, Cook RR, Lane TH. What is silicone? Plast Reconstr Surg. 1993;92(1):163–7. Epub 1993/07/01.CrossRefPubMedGoogle Scholar
  6. 6.
    Morris EA, Liberman L. Breast MRI. New York: Springer; 2005.Google Scholar
  7. 7.
    Surgeons ASoP. Plastic surgery statistics report. 2014.Google Scholar
  8. 8.
    Juanpere S, Perez E, Huc O, Motos N, Pont J, Pedraza S. Imaging of breast implants – a pictorial review. Insights Imaging. 2011;2(6):653–70. Epub 2012/02/22.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Miglioretti DL, Rutter CM, Geller BM, Cutter G, Barlow WE, Rosenberg R, et al. Effect of breast augmentation on the accuracy of mammography and cancer characteristics. JAMA. 2004;291(4):442–50. Epub 2004/01/30.CrossRefPubMedGoogle Scholar
  10. 10.
    Di Benedetto G, Cecchini S, Grassetti L, Baldassarre S, Valeri G, Leva L, et al. Comparative study of breast implant rupture using mammography, sonography, and magnetic resonance imaging: correlation with surgical findings. Breast J. 2008;14(6):532–7. Epub 2008/12/05.CrossRefPubMedGoogle Scholar
  11. 11.
    DeBruhl ND, Gorczyca DP, Ahn CY, Shaw WW, Bassett LW. Silicone breast implants: US evaluation. Radiology. 1993;189(1):95–8. Epub 1993/10/01.CrossRefPubMedGoogle Scholar
  12. 12.
    Administration USFaD. Silicone gel-filled breast implants. 2013.Google Scholar
  13. 13.
    Kreymerman P, Patrick RJ, Rim A, Djohan R, Crowe JP. Guidelines for using breast magnetic resonance imaging to evaluate implant integrity. Ann Plast Surg. 2009;62(4):355–7. Epub 2009/03/28.CrossRefPubMedGoogle Scholar
  14. 14.
    Holmich LR, Vejborg I, Conrad C, Sletting S, McLaughlin JK. The diagnosis of breast implant rupture: MRI findings compared with findings at explantation. Eur J Radiol. 2005;53(2):213–25. Epub 2005/01/25.CrossRefPubMedGoogle Scholar
  15. 15.
    Chung KC, Wilkins EG, Beil Jr RJ, Helvie MA, Ikeda DM, Oneal RM, et al. Diagnosis of silicone gel breast implant rupture by ultrasonography. Plast Reconstr Surg. 1996;97(1):104–9. Epub 1996/01/01.Google Scholar
  16. 16.
    Maxwell GP. Discussion. Rupture rate and patterns of shell failure with the McGhan Style 153 double-lumen breast implant. Plast Reconstr Surg. 2011;127(1):54–5. Epub 2011/01/05.CrossRefPubMedGoogle Scholar
  17. 17.
    Hammond DC. Discussion: prevalence of rupture in poly implant Prothese silicone breast implants, recalled from the European market in 2010. Plast Reconstr Surg. 2012;129(6):1379–80. Epub 2012/05/29.CrossRefPubMedGoogle Scholar
  18. 18.
    Stevens WG, Pacella SJ, Gear AJ, Freeman ME, McWhorter C, Tenenbaum MJ, et al. Clinical experience with a fourth-generation textured silicone gel breast implant: a review of 1012 Mentor MemoryGel breast implants. Aesthet Surg J (The American Society for Aesthetic Plastic Surgery). 2008;28(6):642–7. Epub 2008/12/17.CrossRefGoogle Scholar
  19. 19.
    Middleton MS. MR evaluation of breast implants. Radiol Clin North Am. 2014;52(3):591–608. Epub 2014/05/06.CrossRefPubMedGoogle Scholar
  20. 20.
    McCarthy CM, Pusic AL, Disa JJ, Cordeiro PG, Cody 3rd HS, Mehrara B. Breast cancer in the previously augmented breast. Plast Reconstr Surg. 2007;119(1):49–58. Epub 2007/01/27.CrossRefPubMedGoogle Scholar
  21. 21.
    Mango VL, Kaplan J, Sung JS, Moskowitz CS, Dershaw DD, Morris EA. Breast carcinoma in augmented breasts: MRI findings. AJR Am J Roentgenol. 2015;204(5):W599–604. Epub 2015/04/24.CrossRefPubMedGoogle Scholar
  22. 22.
    Bone B, Aspelin P, Isberg B, Perbeck L, Veress B. Contrast-enhanced MR imaging of the breast in patients with breast implants after cancer surgery. Acta Radiol. 1995;36(2):111–6. Epub 1995/03/01.CrossRefPubMedGoogle Scholar
  23. 23.
    Sharma U, Danishad KK, Seenu V, Jagannathan NR. Longitudinal study of the assessment by MRI and diffusion-weighted imaging of tumor response in patients with locally advanced breast cancer undergoing neoadjuvant chemotherapy. NMR Biomed. 2009;22(1):104–13. Epub 2008/04/04.CrossRefPubMedGoogle Scholar
  24. 24.
    Solomon E, Nissan N, Schmidt R, Furman-Haran E, Ben-Aharon U, Frydman L. Removing silicone artifacts in diffusion-weighted breast MRI by means of shift-resolved spatiotemporally encoding. Magn Reson Med. 2015;75(5):2064–71. Epub 2015/06/23.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Soo MS, Kornguth PJ, Georgiade GS, Sullivan DC. Seromas in residual fibrous capsules after explantation – mammographic and sonographic appearances. Radiology. 1995;194(3):863–6.CrossRefPubMedGoogle Scholar
  26. 26.
    de Jong D, Vasmel WLE, de Boer JP, Verhave G, Barbe E, Casparie MK, et al. Anaplastic large-cell lymphoma in women with breast implants. JAMA. 2008;300(17):2030–5.CrossRefPubMedGoogle Scholar
  27. 27.
    Sutton EJ, Watson EJ, Gibbons G, Goldman DA, Moskowitz CS, Jochelson MS, et al. Incidence of internal mammary lymph nodes with silicone breast implants at MR imaging after oncoplastic surgery. Radiology. 2015;277(2):381–7. Epub 2015/06/23.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of RadiologyNew York University School of MedicineNew YorkUSA

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