Health
Radiology Challenges in Breast Cancer Screening for Women with Breast Implants
In 2021, 365,000 people reportedly had breast implants in the United States.1 A recent study comparing the use of digital breast tomosynthesis (DBT) in women with and without breast implants found a 22 percent lower rate of cancer detection in women with breast implants. However, at present, there are no imaging guidelines specifically for breast cancer screening in patients with breast implants.
recently Breast Imaging Society (SBI) ConferenceStephen Rose, M.D., noted that breast implants can obscure 9 to 44 percent of glandular tissue on imaging. In a recent video interview, Dr. Rose discusses how everything from implant age and fibrosis to implant size, implant-related scarring, and breast size can affect the interpretation of breast images in patients with breast implants. He said there are many factors.
In a retrospective study presented at the SBI conference, Dr. Rose et al. found 350,845 DBT exams performed in 49 community-based ambulatory imaging centers in 2019 (compared to 20,929 DBT exams for women with breast implants). ) data were examined. When examining detection rates in women who received implants, Dr. Rose and colleagues found a nearly 5.5 percent increase in ductal carcinoma in situ (DCIS) among women who received breast implants, and a higher proportion of node-positive cancers detected. found a 4.8 percent higher incidence.
(Editor’s Note: For related content, seeBreast reconstruction: current principles and emerging concepts in image processing” and “Study highlights use of contrast-enhanced mammography in women with breast implants. ”)
Is it time to create imaging guidelines specifically for the nuanced and complementary imaging needs of women with breast implants?
“Specific recommendations to do more[for women with breast implants]than the same guidelines we use for women without breast implants. No standard guidelines really exist from our society,” said Dr. Rose, Founder and President of Rose. Imaging specialist. “These are all highly anecdotal recommendations, not that this is insignificant in terms of patient numbers. In a portion of our population, 10 to 15 percent have implants.”
For more insight from Dr. Rose, watch the video below.
reference
1. Aesthetic Society. National Databank Statistics for Cosmetic Surgery 2020-2021. Available at https://cdn.theaestheticsociety.org/media/statistics/2021-TheAestheticSocietyStatistics.pdf. Accessed June 14, 2023.
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Sources 2/ https://www.diagnosticimaging.com/view/radiology-challenges-breast-cancer-screening-breast-implants The mention sources can contact us to remove/changing this article |
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