Application of Breast Ultrasound Elastography to Differentiate Intracapsular Collection from Silicone-Induced Granuloma of Breast Implant Capsule Complementarily to Contrast-Enhanced Breast Magnetic Resonance Imaging
Background: To determine whether there is correlation between magnetic resonance imaging (MRI) findings and breast elastography to differentiate seroma/hematoma from silicone-induced granuloma of breast implant capsule (SIGBIC). Methods: Prospective study of 99 patients with breast implants submitte...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-11-01
|
| Series: | Breast Cancer: Basic and Clinical Research |
| Online Access: | https://doi.org/10.1177/1178223417737994 |
| _version_ | 1818323006287511552 |
|---|---|
| author | Eduardo de Faria Castro Fleury Ana Claudia Gianini Veronica Ayres Luciana C Ramalho Decio Roveda Vilmar Marques de Oliveira |
| author_facet | Eduardo de Faria Castro Fleury Ana Claudia Gianini Veronica Ayres Luciana C Ramalho Decio Roveda Vilmar Marques de Oliveira |
| author_sort | Eduardo de Faria Castro Fleury |
| collection | DOAJ |
| description | Background: To determine whether there is correlation between magnetic resonance imaging (MRI) findings and breast elastography to differentiate seroma/hematoma from silicone-induced granuloma of breast implant capsule (SIGBIC). Methods: Prospective study of 99 patients with breast implants submitted to breast MRI during the period from February 1 to May 1, 2017. Patients who present MRI findings of seroma/hematoma or SIGBIC were submitted to a complementary ultrasound elastography study to evaluate the correlation of the results. The criteria adopted for the diagnosis of granuloma by MRI were heterogeneous hypersignal in the T2-weighted sequences, late contrast enhancement, and black drop sign. Lesions that did not enhance after the use of contrast were considered as seroma/hematoma. By elastography, the results were considered positive for granuloma when presented as hard lesions, whereas seroma/hematoma presented as soft lesions. Results: Of the 99 patients evaluated, 15 were included in the study. Of the 15 patients, 9 had solid intracapsular MRI masses, whereas 6 presented collections without contrast enhancement. The complementary elastography study showed correlation with MRI results in all cases of SIGBIC and seroma/hematoma, being elastography able to differentiate lesions from solid to cystic. Conclusions: Elastography of intracapsular masses in breast implants presented results compatible with those found by MRI to differentiate solid lesions from collections. |
| first_indexed | 2024-12-13T11:05:50Z |
| format | Article |
| id | doaj.art-41b1341f9cb24fddafcb9dff27476595 |
| institution | Directory Open Access Journal |
| issn | 1178-2234 |
| language | English |
| last_indexed | 2024-12-13T11:05:50Z |
| publishDate | 2017-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Breast Cancer: Basic and Clinical Research |
| spelling | doaj.art-41b1341f9cb24fddafcb9dff274765952022-12-21T23:49:00ZengSAGE PublishingBreast Cancer: Basic and Clinical Research1178-22342017-11-011110.1177/1178223417737994Application of Breast Ultrasound Elastography to Differentiate Intracapsular Collection from Silicone-Induced Granuloma of Breast Implant Capsule Complementarily to Contrast-Enhanced Breast Magnetic Resonance ImagingEduardo de Faria Castro Fleury0Ana Claudia Gianini1Veronica AyresLuciana C Ramalho2Decio Roveda3Vilmar Marques de Oliveira4Department of Radiology, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Santa Casa de Misericórdia de São Paulo, São Paulo, BrazilDepartment of Radiology, IBCC—Insituto Brasileiro de Controle do Câncer, São Paulo, BrazilDepartment of Radiology, IBCC—Insituto Brasileiro de Controle do Câncer, São Paulo, BrazilDepartment of Radiology, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Santa Casa de Misericórdia de São Paulo, São Paulo, BrazilDepartment of Radiology, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Santa Casa de Misericórdia de São Paulo, São Paulo, BrazilBackground: To determine whether there is correlation between magnetic resonance imaging (MRI) findings and breast elastography to differentiate seroma/hematoma from silicone-induced granuloma of breast implant capsule (SIGBIC). Methods: Prospective study of 99 patients with breast implants submitted to breast MRI during the period from February 1 to May 1, 2017. Patients who present MRI findings of seroma/hematoma or SIGBIC were submitted to a complementary ultrasound elastography study to evaluate the correlation of the results. The criteria adopted for the diagnosis of granuloma by MRI were heterogeneous hypersignal in the T2-weighted sequences, late contrast enhancement, and black drop sign. Lesions that did not enhance after the use of contrast were considered as seroma/hematoma. By elastography, the results were considered positive for granuloma when presented as hard lesions, whereas seroma/hematoma presented as soft lesions. Results: Of the 99 patients evaluated, 15 were included in the study. Of the 15 patients, 9 had solid intracapsular MRI masses, whereas 6 presented collections without contrast enhancement. The complementary elastography study showed correlation with MRI results in all cases of SIGBIC and seroma/hematoma, being elastography able to differentiate lesions from solid to cystic. Conclusions: Elastography of intracapsular masses in breast implants presented results compatible with those found by MRI to differentiate solid lesions from collections.https://doi.org/10.1177/1178223417737994 |
| spellingShingle | Eduardo de Faria Castro Fleury Ana Claudia Gianini Veronica Ayres Luciana C Ramalho Decio Roveda Vilmar Marques de Oliveira Application of Breast Ultrasound Elastography to Differentiate Intracapsular Collection from Silicone-Induced Granuloma of Breast Implant Capsule Complementarily to Contrast-Enhanced Breast Magnetic Resonance Imaging Breast Cancer: Basic and Clinical Research |
| title | Application of Breast Ultrasound Elastography to Differentiate Intracapsular Collection from Silicone-Induced Granuloma of Breast Implant Capsule Complementarily to Contrast-Enhanced Breast Magnetic Resonance Imaging |
| title_full | Application of Breast Ultrasound Elastography to Differentiate Intracapsular Collection from Silicone-Induced Granuloma of Breast Implant Capsule Complementarily to Contrast-Enhanced Breast Magnetic Resonance Imaging |
| title_fullStr | Application of Breast Ultrasound Elastography to Differentiate Intracapsular Collection from Silicone-Induced Granuloma of Breast Implant Capsule Complementarily to Contrast-Enhanced Breast Magnetic Resonance Imaging |
| title_full_unstemmed | Application of Breast Ultrasound Elastography to Differentiate Intracapsular Collection from Silicone-Induced Granuloma of Breast Implant Capsule Complementarily to Contrast-Enhanced Breast Magnetic Resonance Imaging |
| title_short | Application of Breast Ultrasound Elastography to Differentiate Intracapsular Collection from Silicone-Induced Granuloma of Breast Implant Capsule Complementarily to Contrast-Enhanced Breast Magnetic Resonance Imaging |
| title_sort | application of breast ultrasound elastography to differentiate intracapsular collection from silicone induced granuloma of breast implant capsule complementarily to contrast enhanced breast magnetic resonance imaging |
| url | https://doi.org/10.1177/1178223417737994 |
| work_keys_str_mv | AT eduardodefariacastrofleury applicationofbreastultrasoundelastographytodifferentiateintracapsularcollectionfromsiliconeinducedgranulomaofbreastimplantcapsulecomplementarilytocontrastenhancedbreastmagneticresonanceimaging AT anaclaudiagianini applicationofbreastultrasoundelastographytodifferentiateintracapsularcollectionfromsiliconeinducedgranulomaofbreastimplantcapsulecomplementarilytocontrastenhancedbreastmagneticresonanceimaging AT veronicaayres applicationofbreastultrasoundelastographytodifferentiateintracapsularcollectionfromsiliconeinducedgranulomaofbreastimplantcapsulecomplementarilytocontrastenhancedbreastmagneticresonanceimaging AT lucianacramalho applicationofbreastultrasoundelastographytodifferentiateintracapsularcollectionfromsiliconeinducedgranulomaofbreastimplantcapsulecomplementarilytocontrastenhancedbreastmagneticresonanceimaging AT decioroveda applicationofbreastultrasoundelastographytodifferentiateintracapsularcollectionfromsiliconeinducedgranulomaofbreastimplantcapsulecomplementarilytocontrastenhancedbreastmagneticresonanceimaging AT vilmarmarquesdeoliveira applicationofbreastultrasoundelastographytodifferentiateintracapsularcollectionfromsiliconeinducedgranulomaofbreastimplantcapsulecomplementarilytocontrastenhancedbreastmagneticresonanceimaging |