Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature review

Breast tissue expanders (TEs) with magnetic infusion ports are labeled “MR Unsafe.” Therefore, patients with these implants are typically prevented from undergoing magnetic resonance imaging (MRI). We report a patient with a total submuscular breast TE who inadvertently underwent an MRI exam. She su...

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Main Authors: Rami Dibbs, Bozena Culo, Ravi Tandon, Hugo St. Hilaire, Frank G. Shellock, Frank H. Lau
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2019-07-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2018.01431
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author Rami Dibbs
Bozena Culo
Ravi Tandon
Hugo St. Hilaire
Frank G. Shellock
Frank H. Lau
author_facet Rami Dibbs
Bozena Culo
Ravi Tandon
Hugo St. Hilaire
Frank G. Shellock
Frank H. Lau
author_sort Rami Dibbs
collection DOAJ
description Breast tissue expanders (TEs) with magnetic infusion ports are labeled “MR Unsafe.” Therefore, patients with these implants are typically prevented from undergoing magnetic resonance imaging (MRI). We report a patient with a total submuscular breast TE who inadvertently underwent an MRI exam. She subsequently developed expander exposure, requiring explantation and autologous reconstruction. The safety profile of TEs with magnetic ports and the use of MRI in patients with these implants is surprisingly controversial. Therefore, we present our case report, a systematic literature review, and propose procedural guidelines to help ensure the safety of patients with TEs with magnetic ports that need to undergo MRI exams.
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spelling doaj.art-1af0b5fe13bb46219c8e6aa211f7df1b2022-12-22T04:00:05ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712019-07-01460437538010.5999/aps.2018.014313621Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature reviewRami Dibbs0Bozena Culo1Ravi Tandon2Hugo St. Hilaire3Frank G. Shellock4Frank H. Lau5School of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USALoyola Marymount University, Los Angeles, CA, USADivision of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USADivision of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USAKeck School of Medicine, University of Southern California, Playa Del Rey, CA, USADivision of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USABreast tissue expanders (TEs) with magnetic infusion ports are labeled “MR Unsafe.” Therefore, patients with these implants are typically prevented from undergoing magnetic resonance imaging (MRI). We report a patient with a total submuscular breast TE who inadvertently underwent an MRI exam. She subsequently developed expander exposure, requiring explantation and autologous reconstruction. The safety profile of TEs with magnetic ports and the use of MRI in patients with these implants is surprisingly controversial. Therefore, we present our case report, a systematic literature review, and propose procedural guidelines to help ensure the safety of patients with TEs with magnetic ports that need to undergo MRI exams.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2018.01431breast tissue expanderbreast reconstructionmagnetic resonance imagingsafety
spellingShingle Rami Dibbs
Bozena Culo
Ravi Tandon
Hugo St. Hilaire
Frank G. Shellock
Frank H. Lau
Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature review
Archives of Plastic Surgery
breast tissue expander
breast reconstruction
magnetic resonance imaging
safety
title Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature review
title_full Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature review
title_fullStr Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature review
title_full_unstemmed Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature review
title_short Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature review
title_sort reconsidering the mr unsafe breast tissue expander with magnetic infusion port a case report and literature review
topic breast tissue expander
breast reconstruction
magnetic resonance imaging
safety
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2018.01431
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