Gorczyca David P, Gorczyca Stephanie M, Gorczyca Kathryn L
Las Vegas, Nev. From Red Rock Radiology and The Breast Center at Sunrise.
Plast Reconstr Surg. 2007 Dec;120(7 Suppl 1):49S-61S. doi: 10.1097/01.prs.0000286569.45745.6a.
Magnetic resonance imaging of the breast in the diagnosis of silicone breast implant rupture is widely accepted to be the imaging study of choice for most women. Magnetic resonance imaging in the detection of silicone implant failure has been shown to have the highest sensitivity and specificity and has the ability to image the entire implant without the use of ionizing radiation. Unfortunately, some women are unable to have a magnetic resonance imaging examination of the breast because of contraindications such as cardiac pacemakers, aneurysm clips, and claustrophobia. Therefore, mammography, ultrasonography, and computed tomography will have roles in the diagnosis of silicone breast implant ruptures. This article illustrates the spectrum of imaging appearances of normal silicone gel implants and the appearances of silicone breast implant ruptures.
磁共振成像用于诊断硅胶乳房植入物破裂，已被广泛认为是大多数女性首选的影像学检查。磁共振成像在检测硅胶植入物故障方面已显示出具有最高的灵敏度和特异性，并且能够在不使用电离辐射的情况下对整个植入物进行成像。不幸的是，一些女性由于心脏起搏器、动脉瘤夹和幽闭恐惧症等禁忌症而无法进行乳房磁共振成像检查。因此，乳房X线摄影、超声检查和计算机断层扫描在硅胶乳房植入物破裂的诊断中也将发挥作用。本文阐述了正常硅胶凝胶植入物的影像学表现范围以及硅胶乳房植入物破裂的表现。
