{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:04:15Z","timestamp":1777496655075,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T00:00:00Z","timestamp":1599523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clinical Hemorheology and Microcirculation"],"published-print":{"date-parts":[[2020,10,30]]},"abstract":"<jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>In recent years, follow-up after breast reconstruction with silicone implants and the detection of complications have been relieved by the possibility of improved diagnostic methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Between January 2015 and December 2019 a total of 40 patients (29\u201384 years) with silicone implants were included in this retrospective study. The implants were examined clinically and with modern imaging: general ultrasound imaging (US), magnetic resonance imaging (MRI), high resolution computed tomography (CT) and positron emission tomography \u2013computed tomography (PET-CT). If necessary, a histological\/cytological sample was taken. The breast implants were assessed by three radiologists specialized in breast imaging. The grade of capsular contracture was classified according to the Baker classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      All 40 women obtained a clinical examination and an US diagnostic to identify early and more common complications such as implant folding and capsular fibrosis. Depending on the clinical examination and ultrasound findings additional MRI (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u200a=\u200a10), CT (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u200a=\u200a9) and\/or PET-CT (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u200a=\u200a2) were performed. 16 patients had implants folding proven with US (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u200a=\u200a16), MRI (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u200a=\u200a6) and CT (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u200a=\u200a1). The grade of capsular fibrosis was determined according to the Baker classification. The following results were obtained in our study: 25 breast implants with Baker grade I and eleven breast implants with Baker grade II, both proven with US; one breast implants with Baker grade III and one breast implant with Baker grade IV, proven with US (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u200a=\u200a2), MRI (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u200a=\u200a1) and CT (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u200a=\u200a1). One patient had intracapsular rupture and one patient had extracapsular rupture, both detected on CT and surgically proven. No patient had a silicone accumulation in the lymph nodes. One patient had pathologically enlarged axillary lymph nodes, which were evaluated as inflammatory changes in PET-CT. Long-term complications such as the development of malignant breast tumors could not be observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>To detect early complications after breast implant surgery, a regular clinical examination is indispensable. Imaging methods complement each other and if they are used multimodal, it is easier to identify early complications. Modern diagnostic modalities like ultrasound and magnetic resonance imaging expand the spectrum and improve diagnostic safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/ch-209218","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T10:00:20Z","timestamp":1599559220000},"page":"221-231","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Imaging of breast implant and implant-associated complications: Capsular contracture and intra- or extracapsular rupture"],"prefix":"10.1177","volume":"76","author":[{"given":"M.","family":"Georgieva","sequence":"first","affiliation":[{"name":"University Hospital Regensburg","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Kammerer","sequence":"additional","affiliation":[{"name":"University Hospital Regensburg","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Prantl","sequence":"additional","affiliation":[{"name":"University Medical Center Regensburg","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Jung","sequence":"additional","affiliation":[{"name":"Brandenburg University of Technology","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Stroszczynski","sequence":"additional","affiliation":[{"name":"University Hospital Regensburg","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.M.","family":"Jung","sequence":"additional","affiliation":[{"name":"University Hospital Regensburg","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,8]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"crossref","unstructured":"LauraB AliceC SilviaG CristianaB GiuseppeDT AntonioA GiuseppinaOM: Postsurgical Ultrasound Evaluation of Patients with Prosthesis in Acellular Dermal Matrix: Results from Monocentric Experience. 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