Limits...
MR imaging of the reconstructed breast: What the radiologist needs to know.

Dialani V, Lai KC, Slanetz PJ - Insights Imaging (2012)

Bottom Line: Surgical management of breast cancer often entails lumpectomy or mastectomy.In this article, we will review the more commonly encountered types of breast reconstruction, which include implants, tranversus rectus abdomnis flap, latissimus dorsi flap, deep inferior epigastric perforator flap, and gluteal flaps.Radiologists will better understand the different types of breast reconstruction after mastectomy and their normal imaging appearance on MRI.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Beth Israel Deaconess Medical Center, C/o Dr. Vandana Dialani, 330 Brookline Avenue, Boston, MA, 02215, USA, vdialani@bidmc.harvard.edu.

ABSTRACT

Objective: The objective is to review the different types of breast reconstruction following cancer surgery and describe expected imaging appearances and complications seen in the reconstructed breast.

Methods: Surgical management of breast cancer often entails lumpectomy or mastectomy. When mastectomy is performed, patients often opt for breast reconstruction. Most facilities do not routinely image the reconstructed breast with mammography.

Results: However, many of these women are imaged with screening breast MRI for evaluation of the contralateral breast, or they may develop a clinical problem that warrants a diagnostic evaluation with MRI. In this article, we will review the more commonly encountered types of breast reconstruction, which include implants, tranversus rectus abdomnis flap, latissimus dorsi flap, deep inferior epigastric perforator flap, and gluteal flaps. Each of these types of reconstruction has different appearances on MR. We will also discuss potential complications that can be seen in the reconstructed breasts, including fat necrosis and recurrence.

Conclusion: Radiologists will better understand the different types of breast reconstruction after mastectomy and their normal imaging appearance on MRI. Radiologists will be more aware of how to recognize complications related to surgery as well as how to determine whether recurrence is present.

Main messages: • The different surgical techniques used in breast reconstruction are discussed. • Describes the normal magnetic resonance imaging appearance of the breast after reconstruction. • Identify MR imaging features of benign sequelae and recurrence following breast reconstruction.

No MeSH data available.


Related in: MedlinePlus

a Schematic showing use of AlloDerm for implant reconstruction. The dotted lines represent the AlloDerm used for reconstruction, which contains the implant. b, c) Axial T1W fat-saturated contrast-enhanced images, showing AlloDerm used for breast reconstruction seen medially (arrows) and inferior image showing the saline implant in place with overlying skin thickening
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3369124&req=5

Fig1: a Schematic showing use of AlloDerm for implant reconstruction. The dotted lines represent the AlloDerm used for reconstruction, which contains the implant. b, c) Axial T1W fat-saturated contrast-enhanced images, showing AlloDerm used for breast reconstruction seen medially (arrows) and inferior image showing the saline implant in place with overlying skin thickening

Mentions: The use of an acellular dermal matrix such as AlloDerm allows the surgeon to place a higher volume of saline during the initial surgery, which decreases the number of expansions needed later, and the patient could have an immediate breast shape after the first operation (Fig. 1a). Often, the only available coverage for implant-based reconstruction is a thin layer of skin and subcutaneous tissue, which predisposes to the formation of capsular contracture, producing an unnaturally round breast mound. Breast implants covered with acellular dermal matrix (AlloDerm) (Fig. 1b, c) are less likely to develop a capsule in the area where the implant is in direct contact with the acellular matrix [1].Fig. 1


MR imaging of the reconstructed breast: What the radiologist needs to know.

Dialani V, Lai KC, Slanetz PJ - Insights Imaging (2012)

a Schematic showing use of AlloDerm for implant reconstruction. The dotted lines represent the AlloDerm used for reconstruction, which contains the implant. b, c) Axial T1W fat-saturated contrast-enhanced images, showing AlloDerm used for breast reconstruction seen medially (arrows) and inferior image showing the saline implant in place with overlying skin thickening
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3369124&req=5

Fig1: a Schematic showing use of AlloDerm for implant reconstruction. The dotted lines represent the AlloDerm used for reconstruction, which contains the implant. b, c) Axial T1W fat-saturated contrast-enhanced images, showing AlloDerm used for breast reconstruction seen medially (arrows) and inferior image showing the saline implant in place with overlying skin thickening
Mentions: The use of an acellular dermal matrix such as AlloDerm allows the surgeon to place a higher volume of saline during the initial surgery, which decreases the number of expansions needed later, and the patient could have an immediate breast shape after the first operation (Fig. 1a). Often, the only available coverage for implant-based reconstruction is a thin layer of skin and subcutaneous tissue, which predisposes to the formation of capsular contracture, producing an unnaturally round breast mound. Breast implants covered with acellular dermal matrix (AlloDerm) (Fig. 1b, c) are less likely to develop a capsule in the area where the implant is in direct contact with the acellular matrix [1].Fig. 1

Bottom Line: Surgical management of breast cancer often entails lumpectomy or mastectomy.In this article, we will review the more commonly encountered types of breast reconstruction, which include implants, tranversus rectus abdomnis flap, latissimus dorsi flap, deep inferior epigastric perforator flap, and gluteal flaps.Radiologists will better understand the different types of breast reconstruction after mastectomy and their normal imaging appearance on MRI.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Beth Israel Deaconess Medical Center, C/o Dr. Vandana Dialani, 330 Brookline Avenue, Boston, MA, 02215, USA, vdialani@bidmc.harvard.edu.

ABSTRACT

Objective: The objective is to review the different types of breast reconstruction following cancer surgery and describe expected imaging appearances and complications seen in the reconstructed breast.

Methods: Surgical management of breast cancer often entails lumpectomy or mastectomy. When mastectomy is performed, patients often opt for breast reconstruction. Most facilities do not routinely image the reconstructed breast with mammography.

Results: However, many of these women are imaged with screening breast MRI for evaluation of the contralateral breast, or they may develop a clinical problem that warrants a diagnostic evaluation with MRI. In this article, we will review the more commonly encountered types of breast reconstruction, which include implants, tranversus rectus abdomnis flap, latissimus dorsi flap, deep inferior epigastric perforator flap, and gluteal flaps. Each of these types of reconstruction has different appearances on MR. We will also discuss potential complications that can be seen in the reconstructed breasts, including fat necrosis and recurrence.

Conclusion: Radiologists will better understand the different types of breast reconstruction after mastectomy and their normal imaging appearance on MRI. Radiologists will be more aware of how to recognize complications related to surgery as well as how to determine whether recurrence is present.

Main messages: • The different surgical techniques used in breast reconstruction are discussed. • Describes the normal magnetic resonance imaging appearance of the breast after reconstruction. • Identify MR imaging features of benign sequelae and recurrence following breast reconstruction.

No MeSH data available.


Related in: MedlinePlus