Breast implant rupture: Diagnosis with US

Cynthia I. Caskey; Wendie A. Berg; Norman D. Anderson; Sheila Sheth; Bernard W. Chang; Ulrike M. Hamper

doi:10.1148/radiology.190.3.8115633

Breast implant rupture: Diagnosis with US

Cynthia I. Caskey, Wendie A. Berg, Norman D. Anderson, Sheila Sheth, Bernard W. Chang, Ulrike M. Hamper

School of Medicine

Research output: Contribution to journal › Article › peer-review

47 Scopus citations

Abstract

PURPOSE: To characterize sonographic criteria for the detection of implant rupture. MATERIALS AND METHODS: One hundred nineteen symptomatic women (221 silicone implants) were evaluated with ultrasound (US) over 11 months to detect implant rupture. Fifty-nine breast prostheses in 31 women were surgically removed. RESULTS: Five sonographic findings associated with rupture were identified: echogenic noise, low-level homogeneous echoes within the implant, echogenic lines coursing within the implant, a contour bulge of the implant, and peri-implant fluid accumulations. The most useful finding in the detection of implant rupture was low-level homogeneous echoes, which were associated with 55% of ruptured implants and 16% of intact implants. This was statistically significant, achieving a 55% sensitivity and 84% specificity for the detection of implant rupture. Nine of 22 ruptured implants (41%) displayed none of the described criteria. CONCLUSION: US may be useful to detect implant rupture; however, a larger prospective study is necessary for adequate evaluation.

Original language	English (US)
Pages (from-to)	819-823
Number of pages	5
Journal	Radiology
Volume	190
Issue number	3
DOIs	https://doi.org/10.1148/radiology.190.3.8115633
State	Published - Mar 1994

Keywords

Breast, prostheses
Silicone
Stents and prostheses

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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@article{4112226e1af74ae398362eb2e91016b3,

title = "Breast implant rupture: Diagnosis with US",

abstract = "PURPOSE: To characterize sonographic criteria for the detection of implant rupture. MATERIALS AND METHODS: One hundred nineteen symptomatic women (221 silicone implants) were evaluated with ultrasound (US) over 11 months to detect implant rupture. Fifty-nine breast prostheses in 31 women were surgically removed. RESULTS: Five sonographic findings associated with rupture were identified: echogenic noise, low-level homogeneous echoes within the implant, echogenic lines coursing within the implant, a contour bulge of the implant, and peri-implant fluid accumulations. The most useful finding in the detection of implant rupture was low-level homogeneous echoes, which were associated with 55% of ruptured implants and 16% of intact implants. This was statistically significant, achieving a 55% sensitivity and 84% specificity for the detection of implant rupture. Nine of 22 ruptured implants (41%) displayed none of the described criteria. CONCLUSION: US may be useful to detect implant rupture; however, a larger prospective study is necessary for adequate evaluation.",

keywords = "Breast, prostheses, Silicone, Stents and prostheses",

author = "Caskey, {Cynthia I.} and Berg, {Wendie A.} and Anderson, {Norman D.} and Sheila Sheth and Chang, {Bernard W.} and Hamper, {Ulrike M.}",

year = "1994",

month = mar,

doi = "10.1148/radiology.190.3.8115633",

language = "English (US)",

volume = "190",

pages = "819--823",

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issn = "0033-8419",

publisher = "Radiological Society of North America Inc.",

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TY - JOUR

T1 - Breast implant rupture

T2 - Diagnosis with US

AU - Caskey, Cynthia I.

AU - Berg, Wendie A.

AU - Anderson, Norman D.

AU - Sheth, Sheila

AU - Chang, Bernard W.

AU - Hamper, Ulrike M.

PY - 1994/3

Y1 - 1994/3

N2 - PURPOSE: To characterize sonographic criteria for the detection of implant rupture. MATERIALS AND METHODS: One hundred nineteen symptomatic women (221 silicone implants) were evaluated with ultrasound (US) over 11 months to detect implant rupture. Fifty-nine breast prostheses in 31 women were surgically removed. RESULTS: Five sonographic findings associated with rupture were identified: echogenic noise, low-level homogeneous echoes within the implant, echogenic lines coursing within the implant, a contour bulge of the implant, and peri-implant fluid accumulations. The most useful finding in the detection of implant rupture was low-level homogeneous echoes, which were associated with 55% of ruptured implants and 16% of intact implants. This was statistically significant, achieving a 55% sensitivity and 84% specificity for the detection of implant rupture. Nine of 22 ruptured implants (41%) displayed none of the described criteria. CONCLUSION: US may be useful to detect implant rupture; however, a larger prospective study is necessary for adequate evaluation.

AB - PURPOSE: To characterize sonographic criteria for the detection of implant rupture. MATERIALS AND METHODS: One hundred nineteen symptomatic women (221 silicone implants) were evaluated with ultrasound (US) over 11 months to detect implant rupture. Fifty-nine breast prostheses in 31 women were surgically removed. RESULTS: Five sonographic findings associated with rupture were identified: echogenic noise, low-level homogeneous echoes within the implant, echogenic lines coursing within the implant, a contour bulge of the implant, and peri-implant fluid accumulations. The most useful finding in the detection of implant rupture was low-level homogeneous echoes, which were associated with 55% of ruptured implants and 16% of intact implants. This was statistically significant, achieving a 55% sensitivity and 84% specificity for the detection of implant rupture. Nine of 22 ruptured implants (41%) displayed none of the described criteria. CONCLUSION: US may be useful to detect implant rupture; however, a larger prospective study is necessary for adequate evaluation.

KW - Breast, prostheses

KW - Silicone

KW - Stents and prostheses

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JF - Radiology

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Breast implant rupture: Diagnosis with US

Abstract

Keywords

ASJC Scopus subject areas

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