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Diagnostic value of clinical examination and various imaging techniques for breast implant rupture as determined in 81 patients having implant removal.
Netscher, D T; Weizer, G; Malone, R S; Walker, L E; Thornby, J; Patten, B M.
Afiliación
  • Netscher DT; Division of Plastic Surgery, Baylor College of Medicine, Houston, Tex., USA.
South Med J ; 89(4): 397-404, 1996 Apr.
Article en En | MEDLINE | ID: mdl-8614880
To determine sensitivity and specificity of magnetic resonance imaging (MRI) and ultrasonography (US) in the detection of breast implant rupture, and also to determine the relative merits of clinical examination and mammography, we studied 81 patients (160 implants). All patients had implants removed, thus allowing confirmation of the presence or absence of rupture. Clinical examination positively identified only one patient with implant rupture, and mammography detected only two implant ruptures (both extracapsular). The sensitivity for US was 70% and specificity was 90%, while for MRI it was 75.6% and 94%, respectively. These differences between MRI and US were not statistically significant. Combining the results of US and MRI did not seem to add to the diagnostic discrimination. The most cost-effective method of diagnosing implant rupture was US in our study.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diagnóstico por Imagen / Implantes de Mama Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Adult / Female / Humans / Middle aged Idioma: En Revista: South Med J Año: 1996 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diagnóstico por Imagen / Implantes de Mama Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Adult / Female / Humans / Middle aged Idioma: En Revista: South Med J Año: 1996 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos