Gielens Maaike P M, Koolen Pieter G L, Hermens Roland A E C, Rutten Matthieu J C M
Jeroen Bosch Ziekenhuis, 's-Hertogenbosch.
Ned Tijdschr Geneeskd. 2013;157(47):A6412.
Recently, there have been concerns regarding the use of breast implants from Poly Implant Prothèse (PIP, Seyne sur Mer, France) for breast augmentation due to their tendency to rupture and the possibility of having toxic contents. MRI using a specific silicone-sensitive sequence has proven to be the most sensitive and specific technique in the detection of intra- and extracapsular implant rupture. However, given its high costs, it is important that this technique is used sparingly. In this clinical lesson, we compare the sensitivity and specificity of mammography, ultrasound, CT and MRI for the detection of breast implant rupture. Based on two cases, a diagnostic approach is given in order to reduce health care costs.
最近，由于法国滨海塞纳省的聚植入假体公司（PIP）生产的隆胸假体有破裂倾向且可能含有有毒物质，人们对其在隆胸手术中的使用产生了担忧。使用特定硅胶敏感序列的磁共振成像（MRI）已被证明是检测囊内和囊外植入物破裂最敏感和特异的技术。然而，鉴于其成本高昂，谨慎使用该技术很重要。在本临床经验中，我们比较了乳房X线摄影、超声、CT和MRI检测乳房植入物破裂的敏感性和特异性。基于两个病例，给出了一种诊断方法以降低医疗成本。
