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Insights into Imaging

, Volume 7, Issue 3, pp 399–410

First Online: 09 March 2016Received: 04 October 2015Revised: 08 February 2016Accepted: 08 February 2016

AbstractThe increasing prevalence of breast augmentation presents new challenges in breast imaging interpretation. Magnetic resonance imaging MRI is recognized as the gold standard for the evaluation of augmented breasts. This article reviews the MRI features of different breast augmentation techniques, their associated complications, and the role of MRI in the assessment of concurrent breast abnormalities.

Teaching Points• MRI has the highest sensitivity and specificity for implant rupture detection.

• MRI is able to discriminate the nature of implanted prosthesis or injected materials.

• Sensitivity of cancer detection by MRI is not reduced through implants.

KeywordsMRI Breast Augmentation Implant Malignancy AbbreviationsBIA ALCLBreast implant-associated anaplastic large cell lymphoma

DIEP flapDeep inferior epigastric perforator flap

MRIMagnetic resonance imaging

PAAGPolyacrylamide gel

TRAM flapTransverse rectus abdominis myocutanaeous flap

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Author: Ting Wong - Lai Wan Lo - Po Yan Eliza Fung - Hiu Yan Miranda Lai - Hoi Lam Helen She - Wing Kei Carol Ng - King Mi


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