Diagnosis of silicone gel breast implant rupture by ultrasonography

作者: Kevin C. Chung , Edwin G. Wilkins , Richard J. Beil , Mark A. Helvie , Debra M. Ikeda

DOI: 10.1097/00006534-199601000-00017

关键词:

摘要: To prospectively evaluate the efficacy of ultrasonography in diagnosis ruptured silicone gel breast implants, 98 patients (192 implants) underwent preoperative prior to implant removal. The prevalence rupture confirmed at surgery this group was 62 192 implants (32 percent). Of 60 diagnosed as by ultrasonography, 46 were having visible defects (true positive) for a positive predictive value 77 percent. 132 intact 116 negative) negative 88 Overall, sensitivity 74 percent, and specificity 89 These findings demonstrate that is an effective imaging modality rupture. Compared with mammography, appears offer superior without radiation exposure or discomfort. Although magnetic resonance has shown considerable promise rupture, provides comparable fraction MRI's cost.

参考文章(21)
Richard A. Levine, T. Collins, Definitive diagnosis of breast implant rupture by ultrasonography Plastic and Reconstructive Surgery. ,vol. 87, pp. 1126- 1128 ,(1990) , 10.1097/00006534-199010000-00054
Edward A. Sickles, Sonographic Detectability Of Breast Calcifications Application of Optical Instrumentation in Medicine XI. ,vol. 0419, pp. 51- 53 ,(1983) , 10.1117/12.936004
ROBERT W. PARSONS, HARLAN R. THERING, Management of the silicone-injected breast. Plastic and Reconstructive Surgery. ,vol. 60, pp. 534- 538 ,(1977) , 10.1097/00006534-197710000-00006
GW Eklund, RC Busby, SH Miller, JS Job, Improved imaging of the augmented breast. American Journal of Roentgenology. ,vol. 151, pp. 469- 473 ,(1988) , 10.2214/AJR.151.3.469
Jan J. van Wingerden, M M van Staden, Ultrasound mammography in prosthesis-related breast augmentation complications. Annals of Plastic Surgery. ,vol. 22, pp. 32- 35 ,(1988) , 10.1097/00000637-198901000-00006
David A. Kessler, The basis of the FDA's decision on breast implants. The New England Journal of Medicine. ,vol. 326, pp. 1713- 1715 ,(1992) , 10.1056/NEJM199206183262525
Robin Anderson, The Plural of Coffee Should Be Tea Plastic and Reconstructive Surgery. ,vol. 84, pp. 171- ,(1989) , 10.1097/00006534-198907000-00043
D B Kopans, J E Meyer, K K Lindfors, Whole-breast US imaging: four-year follow-up. Radiology. ,vol. 157, pp. 505- 507 ,(1985) , 10.1148/RADIOLOGY.157.2.3901112
K A Rosculet, D M Ikeda, M E Forrest, R M Oneal, J M Rubin, D O Jeffries, M A Helvie, Ruptured gel-filled silicone breast implants: sonographic findings in 19 cases. American Journal of Roentgenology. ,vol. 159, pp. 711- 716 ,(1992) , 10.2214/AJR.159.4.1529833