Magnetic resonance imaging (MRI) evaluation of residual breast tissue following mastectomy and reconstruction with silicone implants

Clin Imaging. 2015 May-Jun;39(3):408-11. doi: 10.1016/j.clinimag.2014.12.014. Epub 2014 Dec 20.

Abstract

Purpose: We present our use of magnetic resonance (MR) measurement to determine the amount of residual breast tissue (RBT) following total mastectomy with reconstruction.

Methods: Breast MR images of 45 women who underwent surgery between January and November 2011 were reviewed. The cohort included therapeutic and prophylactic mastectomies. RBT was evaluated at four points with a digital caliper assessing T2-weighted and T1-weighted images.

Results: Patients undergoing mastectomy for carcinoma tended to have less RBT than in prophylactic surgery. Greater age and recent surgery both correlated with larger RBT.

Conclusions: Variable thickness of RBT is demonstrable following mastectomy and implant reconstruction using MR imaging.

Keywords: Breast cancer; Breast reconstruction; Magnetic resonance imaging; Residual breast tissue.

MeSH terms

  • Adult
  • Age Factors
  • Breast / anatomy & histology*
  • Breast Implants*
  • Contrast Media
  • Female
  • Humans
  • Image Enhancement
  • Magnetic Resonance Imaging*
  • Mastectomy*
  • Middle Aged
  • Organometallic Compounds
  • Plastic Surgery Procedures*
  • Postoperative Period
  • Silicones
  • Time Factors

Substances

  • Contrast Media
  • Organometallic Compounds
  • Silicones
  • gadobutrol