Ruptured gel-filled silicone breast implants: sonographic findings in 19 cases.

Rosculet, K A; Ikeda, Debra M.; Forrest, M E; Oneal, Robert M.; Rubin, J M; Jeffries, Deborah O.; Helvie, M A

doi:10.2214/ajr.159.4.1529833

Cited by 44 publications

(14 citation statements)

References 5 publications

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“…4,7,[13][14][15][16] We refer to this phenomenon as the "lens" effect, and our second laboratory simulation demonstrates how it is caused by the refraction of sound through a silicone bead. Refraction is a physical phenomenon that consists of the bending of a beam (of sound) from its original path when it traverses another medium with a different propagation speed.…”

Section: Physical Interaction 2: Refraction-"lens" Effectmentioning

confidence: 99%

Ultrasound interactions with free silicone in a tissue-mimicking phantom.

Lopez

Harris

1998

Journal of Ultrasound in Medicine

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This study attempts to explain the physical basis for the sonographic appearance of different stages of free silicone in breast tissue by laboratory simulations. A tissue‐mimicking breast phantom was constructed, into which silicone inclusions were introduced, to simulate various forms of silicone leakage within the body. These simulations suggest that silicone leakage into surrounding body tissues can cause three primary physical interactions with an ultrasound beam: (1) distortions due to changes in speed of sound; (2) refraction, causing a "lens" effect; and (3) multiple scattering, producing the "snowstorm" effect described previously as a signature pattern for detection of silicone migration in breast tissue.

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Section: Physical Interaction 2: Refraction-"lens" Effectmentioning

confidence: 99%

Ultrasound interactions with free silicone in a tissue-mimicking phantom.

Lopez

Harris

1998

Journal of Ultrasound in Medicine

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“…Ultrasound scan [39][40][41][42][43][44][45]. The diagnostic accuracy of ultrasound in the hands of a skilled radiologist has a very high sensitivity [39][40][41][42].…”

Section: Radiologicalmentioning

confidence: 99%

“…The diagnostic accuracy of ultrasound in the hands of a skilled radiologist has a very high sensitivity [39][40][41][42]. However, due to the steep learning curve, the absence of a panoramic view and the high operator dependence, there is much debate about the usefulness of this investigative tool.…”

Section: Radiologicalmentioning

confidence: 99%

A literature review and summary of capsular contracture: An ongoing challenge to breast surgeons and their patients

Malahias

Jordan

Hughes

et al. 2016

International Journal of Surgery Open

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A B S T R A C TCapsular contracture is a significant difficulty where implants are used in both breast augmentation and breast reconstruction surgery. This report reviews the published literature focusing on factors and techniques that reduce the incidence of this complication, as well as evaluating the available treatment options for patients who have developed a contracture.A search of the MEDLINE database for clinical studies involving the understanding, diagnosis and management of capsular contracture was performed, with 106 articles deemed relevant for this review. Our search criteria included observational studies as we wish to discuss and highlight the areas of this condition that have been investigated, and unfortunately there is limited clinical evidence in regard to high quality trials in this field.Risk factors for capsular contracture are multi-factorial, and all surgeons should aim to minimise these as much as possible both intra-and peri-operatively. However, in high risk patients it is not achievable to completely remove these elements. When capsular contracture does develop, there are currently only a limited number of surgical options including capsulotomy, capsulectomy with or without reimplantation, or reconstruction with autologous tissue. These procedures, as well as the original implant surgery, ought to be discussed with patients on an individual basis, taking into account their personal needs and expectations.The future of this complication may lie in the development of pharmaceutical interventions, and recent studies have shown promising results. Although this field requires more research, the effectiveness of some new pharmaceutical approaches, to provide alternative non-surgical options for patients with capsular contracture, can only aid both patients and the breast surgeon.

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“…A great variety of ultrasound signs suggesting rupture have been described. [3][4][5][6][7][12][13][14][15][16][17][18][19][20][21][22][23][24][25] The most useful of these signs is the "echodense noise" or snowstorm appearance, which shows the occurrence of diffusely increased free silicone echogenicity in the mammary tissues. 15 This sign (Figure 1) was present in 10% of the ruptured implants.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of the rupture of silicone breast implants by mammography, ultrasonography and magnetic resonance imaging in asymptomatic patients: correlation with surgical findings

et al. 2004

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RESULTS:The respective sensitivity and specificity of mammography were 20% and 89%; sonography, 30% and 81%; and magnetic resonance imaging, 64% and 77%. The differences between patients with breast implants for cosmetic and oncological reasons were discussed. CONCLUSIONS:Our experience suggests that magnetic resonance imaging seems to be the best imaging method on its own for the evaluation of rupturing among asymptomatic patients.

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Ruptured gel-filled silicone breast implants: sonographic findings in 19 cases.

Cited by 44 publications

References 5 publications

Ultrasound interactions with free silicone in a tissue-mimicking phantom.

Ultrasound interactions with free silicone in a tissue-mimicking phantom.

A literature review and summary of capsular contracture: An ongoing challenge to breast surgeons and their patients

Evaluation of the rupture of silicone breast implants by mammography, ultrasonography and magnetic resonance imaging in asymptomatic patients: correlation with surgical findings

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