Koru Day Clinic Center, Via XXIV Maggio 4, Novi Ligure, AL, Italy.
Aesthetic Plast Surg. 2011 Oct;35(5):891-900. doi: 10.1007/s00266-011-9694-z. Epub 2011 Apr 13.
In recent years, requests for breast implant surgery have occurred for several reasons. First, the number of diagnosed breast cancer cases has increased, and the number of reconstructive surgeries consequently has multiplied. Second, the number of patients who constantly try to achieve a better physical shape, corresponding in Western countries to the common image of prosperous and tonic breasts, has proliferated. These circumstances have led to an increasingly frequent need for more accurate and sophisticated imaging methods to study prosthetic breast implants and their integrity. Diagnostic imaging for the study of patients with suspected breast implant ruptures uses different techniques of radiologic investigation such as mammography and ultrasonography, even if the current gold standard is magnetic resonance imaging (MRI). This study aimed to draw attention to the main MRI signs capable of highlighting contractures or ruptures of the implants that are not always clinically detectable and thus to provide plastic surgeons with an adequate instrument for discerning any possible alterations in prosthetic implants. Furthermore, it was necessary to stress the importance of teamwork. In fact, proper cooperation and coordination between radiologists and dedicated plastic surgeons are fundamental for the proper management of patients and the complications they may experience.
近年来，乳房植入手术的需求增加有几个原因。首先，乳腺癌的诊断病例数量增加，相应的重建手术数量也随之增加。其次，越来越多的患者试图通过手术来获得更好的体型，这在西方国家对应着繁荣和丰满的乳房的普遍形象。这些情况导致了对更准确和复杂的成像方法来研究假体乳房植入物及其完整性的需求日益增加。用于研究疑似乳房植入物破裂的诊断成像使用不同的放射学研究技术，如乳房 X 线摄影术和超声检查，尽管目前的金标准是磁共振成像（MRI）。本研究旨在引起人们对主要 MRI 征象的关注，这些征象能够突出显示假体植入物的挛缩或破裂，这些破裂在临床上并不总是能检测到，从而为整形医生提供一种辨别假体植入物任何可能变化的充分手段。此外，还必须强调团队合作的重要性。事实上，放射科医生和专门的整形外科医生之间的适当合作和协调对于患者的正确管理以及他们可能经历的并发症至关重要。
