Abstract
The objective was to evaluate the usefulness of clinical examination in the evaluation of breast-implant integrity, using the diagnosis at magnetic resonance imaging (MRI) as the "gold standard." Fifty-five women with 109 implants underwent a breast examination either just before or shortly after an MRI examination. Twenty-four of 109 implants were clinically diagnosed with possible rupture or rupture. Eighteen of the 24 implants were ruptured according to the MRI examination (75%). Eighty-five implants were clinically classified as intact, and 43 of these were actually ruptured at MRI (51%). The sensitivity of the clinical examination for diagnosing rupture was thus 30% and the specificity 88%. The positive predictive value of a clinical diagnosis of rupture was 75%, and the negative predictive value was 49%. In this study, we found that when a clinical examination is used as the sole diagnostic tool to identify implant rupture, neither the sensitivity nor the specificity is acceptable.
Original language | English |
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Journal | Annals of Plastic Surgery |
Volume | 54 |
Issue number | 6 |
Pages (from-to) | 583-9 |
Number of pages | 7 |
ISSN | 0148-7043 |
Publication status | Published - 1 Jun 2005 |
Keywords
- Adult
- Biocompatible Materials
- Breast Implantation
- Breast Implants
- Female
- Humans
- Magnetic Resonance Imaging
- Middle Aged
- Physical Examination
- Postoperative Complications
- Prosthesis Failure
- Sensitivity and Specificity
- Silicone Gels
- Single-Blind Method