Fundamentals of High-Resolution Ultrasound in Breast Implant Screening for Plastic Surgeons

Abstract

This article introduces the plastic surgeon to the basics of high-resolution ultrasound (HRUS) for screening breast implants. It describes how HRUS has become an accepted alternative to MRI for screening and diagnosis, and how plastic surgeons should use this new technology for the benefit of their patients and their practices. Basic principles, technology, and nomenclature are presented. Key steps to obtaining diagnostic images of breast implants are reviewed, including typical artifacts and sources of error. Imaging examples are presented. The article ends with a review and a step-by-step guide for plastic surgeons looking to use the technology.

Keywords: Breast implants; High-resolution ultrasound; Implant screening; Ultrasound physics; Ultrasound training; Ultrasound versus MRI.