MRI for Evaluation of Complications of Breast Augmentation. July-August 2022-RG210096-2022-Norena-Rengifo-SG

RG210096-2022-Norena-Rengifo-SG

Pdf Summary

The study guide for Test 210096 provides a structured framework for evaluating complications associated with breast augmentation using MRI, as part of the SA-CME activity from RadioGraphics Online. It notes that the most common type of breast implant is a single-lumen saline implant, though participants in the actual SA-CME program need to confirm these answers by taking the online test at rsna.org.<br /><br />MRI is pinpointed as the diagnostic test of choice recommended by the U.S. Food and Drug Administration (FDA) for assessing breast implant rupture. This underscores MRI's pivotal role in the thorough evaluation of breast implants, surpassing other imaging modalities such as Doppler ultrasound, CT, and conventional radiography.<br /><br />For intracapsular rupture diagnosis in MRI, the most crucial imaging finding is the "linguine sign," which helps identify issues within the implant. When it comes to diagnosing extracapsular rupture, the presence of free silicone outside the implant amid intracapsular rupture is deemed a reliable marker.<br /><br />Additionally, the guide alludes to an imaging case, detailed in Figure 22A, involving the T1-weighted MRI characteristics of a mass suggestive of a desmoid tumor. Here, the noteworthy feature is signal isointensity in comparison to muscle, which guides the assessment towards identifying the mass as a desmoid tumor.<br /><br />The guide provides a snapshot of essential knowledge and diagnostic skills pertinent to the field of radiology and breast imaging, aiding participants in preparing for the relevant online test to earn SA-CME credit. However, it stresses that credits will not be awarded for the mere submission of answers from this guide without taking the official test.

Keywords

breast augmentation

MRI

SA-CME

breast implant

FDA

linguine sign

extracapsular rupture

desmoid tumor

radiology

diagnostic skills