Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 54 (6), 583-9

The Diagnosis of Silicone Breast-Implant Rupture: Clinical Findings Compared With Findings at Magnetic Resonance Imaging

Affiliations

The Diagnosis of Silicone Breast-Implant Rupture: Clinical Findings Compared With Findings at Magnetic Resonance Imaging

Lisbet Rosenkrantz Hölmich et al. Ann Plast Surg.

Abstract

The objective was to evaluate the usefulness of clinical examination in the evaluation of breast-implant integrity, using the diagnosis at magnetic resonance imaging (MRI) as the "gold standard." Fifty-five women with 109 implants underwent a breast examination either just before or shortly after an MRI examination. Twenty-four of 109 implants were clinically diagnosed with possible rupture or rupture. Eighteen of the 24 implants were ruptured according to the MRI examination (75%). Eighty-five implants were clinically classified as intact, and 43 of these were actually ruptured at MRI (51%). The sensitivity of the clinical examination for diagnosing rupture was thus 30% and the specificity 88%. The positive predictive value of a clinical diagnosis of rupture was 75%, and the negative predictive value was 49%. In this study, we found that when a clinical examination is used as the sole diagnostic tool to identify implant rupture, neither the sensitivity nor the specificity is acceptable.

Similar articles

See all similar articles

Cited by 13 PubMed Central articles

  • Silicone Migration After Buttock Augmentation
    R Biguria et al. Plast Reconstr Surg Glob Open 5 (12), e1583. PMID 29632764. - Case Reports
    We present the case of a 30-year-old woman who presented with enlarged inguinal lymph nodes and sacral hyperpigmentation 4 months after gluteal augmentation with silicone …
  • How to Prevent Complications in Breast Augmentation
    MB Nava et al. Gland Surg 6 (2), 210-217. PMID 28497025. - Review
    No high-level evidences about the best technique or the best implant to use for obtaining the best outcomes in aesthetic breast augmentation, with low complications and r …
  • Silicone Breast Implant Rupture: A Review
    C Hillard et al. Gland Surg 6 (2), 163-168. PMID 28497020. - Review
    Silicone breast implants have been in use for nearly 6 decades. In this time they have undergone significant changes in design and use. They have been subject to intense …
  • Role of US in Evaluating Breast Implant Integrity
    M Telegrafo et al. J Ultrasound 18 (4), 329-33. PMID 26550071.
    US can be used as the first examination in patients with breast implants. US intra-capsular rupture detection requires further evaluation by MRI; in case of extra-capsula …
  • Soft, Brown Rupture: Clinical Signs and Symptoms Associated With Ruptured PIP Breast Implants
    Y Godwin et al. Plast Reconstr Surg Glob Open 2 (11), e249. PMID 25506532.
    Preoperative signs can be predictive of PIP implant failure. Brown-stained implants are more prone to rupture. The presence of iodine in the gel suggests unacceptable per …
See all "Cited by" articles

Publication types

LinkOut - more resources

Feedback