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专用超声检查与磁共振成像用于乳房植入物评估的初步研究

Dedicated Ultrasonography Versus Magnetic Resonance Imaging for Breast Implant Evaluation, Initial Study.

作者信息

De Faria Castro Fleury Eduardo, Junqueira Michele Rodrigues da Silva, Teixeira Tiago Sarmet Esteves, Ferreira Pryscilla Alves, Matheus E Castro Giulia, Viotti Bruna Aguiar Portugal

机构信息

Radiology, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brazil.

Radiology, Instituto Brasileiro de Controle do Câncer - IBCC, São Paulo, Brazil.

出版信息

Med Devices (Auckl). 2025 Mar 14;18:177-189. doi: 10.2147/MDER.S503466. eCollection 2025.

DOI:10.2147/MDER.S503466
PMID:40109575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11920629/
Abstract

AIM

Describe the role of dedicated ultrasound in evaluating breast implants compared to breast magnetic resonance.

MATERIALS AND METHODS

A prospective observational study was conducted in a single center to evaluate breast implant complications in patients referred to breast magnetic resonance (MRI) scan. All patients who had breast implants submitted to MRI scan were invited to a complementary dedicated ultrasound (US) evaluation of the breast implants. The implant changes were classified following a dedicated protocol. The classifiers used to evaluate the implant include evaluation of implant surface (shell), implant internal content homogeneity, fibrous capsule, intracapsular space, pericapsular space, and axillary extension.

RESULTS

Preliminary results included evaluating 29 consecutive patients who underwent MRI. Twenty-nine patients with 49 implants were included in the study. The US showed a superior ability to assess the internal contents of the implants, the implant surface, and the intracapsular contents. There were no significant statistical differences in evaluating macro changes such as implant location, intracapsular collection, and radio-frequency identification (RFID) presence. MRI was superior to the US in classifying the fibrous capsule type.

CONCLUSION

US of silicone implants can be used as an alternative to MRI to evaluate implant complications.

摘要

目的

描述专用超声在评估乳房植入物方面相对于乳房磁共振成像的作用。

材料与方法

在单一中心进行了一项前瞻性观察性研究，以评估接受乳房磁共振成像（MRI）扫描的患者的乳房植入物并发症。所有接受乳房植入物MRI扫描的患者均被邀请接受乳房植入物的补充专用超声（US）评估。根据专用方案对植入物变化进行分类。用于评估植入物的分类指标包括植入物表面（外壳）、植入物内部内容物均匀性、纤维囊、囊内间隙、囊周间隙和腋窝延伸情况的评估。

结果

初步结果包括对29例连续接受MRI检查的患者进行评估。研究纳入了29例患者的49个植入物。超声在评估植入物内部内容物、植入物表面和囊内内容物方面表现出更强的能力。在评估植入物位置、囊内积液和射频识别（RFID）存在等宏观变化方面，两者无显著统计学差异。MRI在纤维囊类型分类方面优于超声。

结论

硅胶植入物的超声检查可作为评估植入物并发症的MRI替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/6e44f5025df8/MDER-18-177-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/8b5219c77535/MDER-18-177-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/2d9b65e0939e/MDER-18-177-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/2b77b6f51abd/MDER-18-177-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/3dcd64ea5f6b/MDER-18-177-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/5baec4871aa1/MDER-18-177-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/6e44f5025df8/MDER-18-177-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/8b5219c77535/MDER-18-177-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/2d9b65e0939e/MDER-18-177-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/2b77b6f51abd/MDER-18-177-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/3dcd64ea5f6b/MDER-18-177-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/5baec4871aa1/MDER-18-177-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/11920629/6e44f5025df8/MDER-18-177-g0006.jpg

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本文引用的文献

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J Plast Reconstr Aesthet Surg. 2024 Nov;98:201-210. doi: 10.1016/j.bjps.2024.07.066. Epub 2024 Jul 29.
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Non-contrast MRI and post-mastectomy silicone breast implant rupture: preventing false positive diagnoses.非增强型 MRI 与乳房假体隆乳术后破裂：避免假阳性诊断。
Eur J Cancer Prev. 2024 Nov 1;33(6):525-532. doi: 10.1097/CEJ.0000000000000887. Epub 2024 Apr 8.
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Why Is the Baker Classification Inadequate for Classifying Silicone Implant Fibrous Capsules?
为什么贝克分类法不足以对硅胶植入物纤维包膜进行分类？
Cureus. 2024 Mar 8;16(3):e55776. doi: 10.7759/cureus.55776. eCollection 2024 Mar.
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Ultrasound Criteria and Baker Scale for Breast Implant Capsular Contracture Diagnosis.乳房植入物包膜挛缩诊断的超声标准及贝克量表
Plast Reconstr Surg Glob Open. 2022 Oct 19;10(10):e4582. doi: 10.1097/GOX.0000000000004582. eCollection 2022 Oct.
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Magnetic resonance classification proposal for fibrous capsules in breast silicone implants.乳房硅胶囊假体中纤维囊磁共振分类建议。
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Case Report: Evidence of Migratory Silicone Particles Arising From Cohesive Silicone Breast Implants.病例报告：来自凝聚性硅胶乳房植入物的迁移性硅胶颗粒的证据。
Front Glob Womens Health. 2022 Apr 25;3:730276. doi: 10.3389/fgwh.2022.730276. eCollection 2022.
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Is breast ultrasound a good alternative to magnetic resonance imaging for evaluating implant integrity?乳房超声检查是否是评估植入物完整性的磁共振成像的良好替代品？
Radiologia (Engl Ed). 2022 Mar;64 Suppl 1:20-27. doi: 10.1016/j.rxeng.2020.10.011.
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