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American Journal of Roentgenology, Vol 161, 773-778, Copyright © 1993 by American Roentgen Ray Society

ARTICLES

MR imaging of the breast in patients with silicone-gel implants: spectrum of findings

DF Mund, DM Farria, DP Gorczyca, ND DeBruhl, CY Ahn, WW Shaw and LW Bassett
Iris Cantor Center for Breast Imaging, Department of Radiological Sciences, University of California, Los Angeles, School of Medicine 90024.

Because of recent concerns about the potential dangers of rupture and leakage of silicone-gel implants, radiologists are often requested to evaluate the integrity of normal breast implants. Clinical studies suggest that MR imaging can accurately depict implant rupture. The purpose of this pictorial essay is to illustrate the spectrum of MR appearances of breasts in patients with silicone-gel implants. Types of prostheses range from the more common single-lumen silicone-gel implants to the rare foam-filled implants. Recognition of the variable appearance of intact implants is emphasized in order to distinguish these from intracapsular or extracapsular ruptures. Finally, we briefly review various investigational MR sequences designed to improve the evaluation of the integrity of silicone-gel implants and the localization of free silicone. This article is based on our experience in performing MR imaging in more than 350 patients with breast implants. In more than 50% of these patients, the MR imaging findings have been correlated with surgical and pathologic findings.
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Copyright © 1993 by the American Roentgen Ray Society.