silicone breast implants - how to detect ruptures
DESCRIPTION
A breast implant rupture is a recognized complication of breast implants and can be either intra or extra capsular. An intra-capsular rupture occurs when the shell of the implant ruptures but the fibrous capsule formed by the breast remains intact. Silicone gel does not freely extravasate and this makes it difficult to detect on clinical exam or mammography. Intracapsular rupture is best seen on an MRI. An extra-capsular rupture can lead to a change in the implant contour and may be detected on clinical examination , mammography or ultrasound. An extracapsular rupture implies intracapsular rupture as well. MAMMOGRAPHY OF THE BREAST The detection of implant ruptures (particularly silicone implant ruptures) are very difficult on mammography and detection of intra-capsular silicone ruptures are almost impossible on mammography. ULTRASOUND OF BREAST Ultrasound may demonstrate a snowstorm appearance of an extra-capsular rupture, or the stepladder sign of an intra-capsular rupture. The overall sensitivity rates on ultrasound are thought to range between 59-85%. The cost for this is $198 and the Medicare rebate is approximately half of this amount. MRI OF BREAST MRI is the most accurate imaging examination for the evaluation of silicone gel breast implant rupture. Often MRI does not require contrast if the indication is solely for this purpose. MRI has a reported result of 76%-95% in the detection of rupture. There is no Medicare rebate for MRI of the breast available at the present time and the cost for this is $490.TRANSCRIPT
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Breast Implants – How to Detect Ruptures?
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HOW TO DETECT SILICONE BREAST IMPLANT RUPTURE
![Page 3: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/3.jpg)
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A breast implant rupture is a recognised complication of breast implants
and can be either intra or extra capsular
![Page 4: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/4.jpg)
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An intra-capsular rupture occurs when the shell of the implant ruptures but
the fibrous capsule formed by the breast remains intact
![Page 5: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/5.jpg)
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Silicone gel does not freely extravasate and this makes it difficult to detect on
clinical exam or mammography
![Page 6: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/6.jpg)
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Intra-capsular rupture is best seen on an MRI
![Page 7: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/7.jpg)
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An extra-capsular rupture can lead to a change in the implant contour and may
be detected on clinical examination,mammography or ultrasound
![Page 8: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/8.jpg)
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An extra-capsular rupture implies intra-capsular rupture as well
![Page 9: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/9.jpg)
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MAMMOGRAPHY OF THE BREAST
![Page 10: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/10.jpg)
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The detection of implant ruptures (particularly silicone implant ruptures)
are very difficult on mammography
![Page 11: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/11.jpg)
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And detection of intra-capsular silicone ruptures are almost
impossible on mammography
![Page 12: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/12.jpg)
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ULTRASOUND OF BREAST
![Page 13: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/13.jpg)
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Ultrasound may demonstrate a snowstorm appearance of an
extra-capsular rupture
![Page 14: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/14.jpg)
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Or the stepladder sign of an intra-capsular rupture
![Page 15: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/15.jpg)
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The overall sensitivity rates on ultrasound are thought to
range between 59-85%
![Page 16: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/16.jpg)
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The cost for this is $198 and the Medicare rebate is approximately
half of this amount
![Page 18: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/18.jpg)
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MRI is the most accurate imaging examination for the evaluation of silicone gel breast implant rupture
![Page 19: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/19.jpg)
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Often MRI does not require contrast if the indication is solely
for this purpose
![Page 20: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/20.jpg)
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MRI has a reported result of 76%-95% in the detection of rupture
![Page 21: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/21.jpg)
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There is no Medicare rebate for MRI of the breast available at the present time and the cost for this is $490
![Page 22: Silicone Breast Implants - How To Detect Ruptures](https://reader036.vdocument.in/reader036/viewer/2022081414/54bfc3084a795925588b4586/html5/thumbnails/22.jpg)
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