Possibilities of MRI in Diagnostics the Seromas after Augmentation Mammaplasty of Silicone Gel Implants
Abstract
Aim. To study the opportunities of the magnetic resonance tomography (MRl) in diagnostics of seromas of a bed of silicone gel implants after endoprosthesis replacement of mammary glands. Material and methods. Complex kliniko-radiological examination of 630 women with 1260 implants after a breast augmentation of mammary glands is conducted. Various complications after endoprosthesis replacement of mammary glands were diagnosed at 127 (20.1%) women. Thus, seromas around of breast silicone implants were revealed in 21.3% cases and developed in terms from 1 year to 16 years after endoprosthesis replacement of mammary glands. Results. Sensitivity of mammography in diagnostics of seromas round implants of mammary glands made 37%, specificity - 78.7%. Sensitivity of ultrasonography in diagnostics of seromas in a bed of implants of mammary glands made 87%, specificity - 99%. Sensitivity and specificity of MRI in diagnostics of seromas of implants of mammary glands made 100%. Conclusion. MRI, is the most informative method in diagnostics of seromas around of an endoprosthesis. Application of MRI is shown for specification of nature of changes of mammary glands and the endoprosthesis revealed at sonography, and also in cases of existence of pain, feeling of a pressure from in and a dyscomfort in mammary glands if at ultrasonography of pathological changes it is not revealed.
About the Authors
Tatyana Anatolyevna Shumakova
Acad. I.P. Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
Victor Evgenyevich Savello
Acad. I.P. Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Shumakova T.A., Savello V.E. Possibilities of MRI in Diagnostics the Seromas after Augmentation Mammaplasty of Silicone Gel Implants. Medical Visualization. 2014;(4):132-141. (In Russ.)
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