Comparative Study of Breast Implant Rupture Using Mammography, Sonography, and Magnetic Resonance Imaging: Correlation with Surgical Findings
Comparative Study of Breast Implant Rupture Using Mammography, Sonography, and Magnetic Resonance Imaging: Correlation with Surgical Findings
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DOI：
10.1111/j.1524-4741.2008.00643.x
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发表时间：
2008-11-01
期刊：
影响因子：
2.1
通讯作者：
Bertani, Aldo
中科院分区：
文献类型：
--
作者：
Di Benedetto, Giovanni;Cecchini, Sara;Bertani, Aldo
本研究的目的是评估乳房X光检查、超声检查和磁共振成像（MRI）在检测乳房植入物破裂方面的准确性，并与移出时的结果建立相关性。研究对象包括 63 名女性，她们拥有 82 个植入物，正在接受手术移植。盲目确定植入物破裂状态以获得破裂、可能破裂或完整植入物的诊断。应用严格预先确定的破裂标准，并与手术时的结果进行比较，这被认为是金标准。回顾性评估假阳性和假阴性，以确定调查中的陷阱。通过卡方检验评估影像学征象和手术结果之间的所有关联。报告了调查各自的敏感性和特异性。我们的经验表明，MRI 是识别乳房植入物破裂的更准确方法，即使它应该按照建议的诊断算法进行。
Purpose of this study was to evaluate the accuracy of mammography, ultrasonography, and magnetic resonance imaging (MRI), in the detection of breast implant rupture and to make a correlation with findings at explantation. The study population consisted of 63 women with 82 implants, undergoing surgical explantation. Implant rupture status was blindly determined obtaining diagnosis of rupture, possible rupture, or intact implant. Strictly predetermined rupture criteria were applied and compared with findings at surgery, which were considered the gold standard. False-positives and false-negatives were retrospectively evaluated to identify pitfalls in the investigation. All associations between imaging signs and surgical findings were evaluated by using chi-square test. The respective sensitivity and specificity of investigations are reported. Our experience suggests that MRI is the more accurate method for identification of breast implant rupture, even if it should be performed following the diagnostic algorithm proposed.