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Women with Silicone Breast Implants May Not Require Follow-Up MRI Scans
By MedImaging International staff writers Posted on 12 Apr 2011
A recent review questions the diagnostic value of screening magnetic resonance imaging (MRI) scans in women with silicone implants.
The US Food and Drug Administration (FDA) currently recommends regular follow-up MRI scans for women with silicone breast implants. But a new review revealed significant flaws in the evidence supporting this recommendation, according to new findings.
The study's results were reported the March 2011 issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons (ASPS). Because of these scientific limitations, the available data may overestimate the ability of MRI to detect ruptured breast implants--particularly when scans are performed for screening reasons in symptom-free women. The study was led by Dr. Jae W. Song of the University of Michigan (Ann Arbor, USA).
The researchers reviewed 21 studies evaluating MRI and/or ultrasound to identify rupture of silicone breast implants. Although the FDA recommends MRI scanning, some physicians prefer ultrasound for screening purposes. The combined data suggested that MRI was fairly accurate in detecting implant-related problems. However, it was much more likely to detect problems in women with implant-related symptoms: 14 times more likely than in women without symptoms. Even in a mixed "screening sample”--consisting of some women with and some without symptoms--the detection rate was twice as high as in asymptomatic women.
Because most of the women studied had symptoms, the true accuracy of MRI for detecting implant-related problems in asymptomatic women was probably much lower. For ultrasound, reported accuracy rates varied widely.
Silicone breasts implants have been extensively evaluated because to concerns about possible adverse health effects. Based on reports tying ruptured implants to autoimmune diseases, the FDA banned silicone implants in 1992. The ban was lifted in 2006, when repeated studies could not validate the association with autoimmune diseases. However, the FDA recommended that women undergo regular MRI scans in the years after surgery to screen for implant rupture. Given that more than 1.25 million women in the United States have received silicone implants, it is important to evaluate the evidence that MRI is an effective screening test.
The study raises important questions about the accuracy of MRI scanning, particularly in women without symptoms. Beyond the issue of accuracy, the investigators noted that screening tests are typically performed to detect diseases with serious consequences--whereas the health risks associated with ruptured silicone implants, if any, are still unknown.
The researchers also noted that in reported cases of implant rupture, the average age of the implants is over 10 years. Dr. Song and coauthors wrote in their article, "[T]he benefits of screening within the first 10 years are unclear, and the effectiveness of such a screening program warrants further investigation.”
More studies are also needed, according to the researchers, to evaluate the long-term health effects of ruptured silicone breast implants, the effectiveness of MRI or other screening tests, and the costs of and patient preferences for screening.
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AND (type='deeppockets_item' OR type='deeppockets_item_link')
AND published='1'
LIMIT 188
(41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734480 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 189
(45.061111450195): SELECT id,name,title
FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1
AND id != 294743300
AND id != 294743301
AND id != 294743302
AND id != 294743303
AND id != 294743304
AND id != 294743305
AND id != 294743306
AND id != 294743307
AND id != 294743308
AND id != 294743309
AND id != 294743310
AND metakey != 'aacc'
ORDER BY `ordering`90
(56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 191
(41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 192
(45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 193
(35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 194
(40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 195
(36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 196
(42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 197
(28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 198
(27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 199
(36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1100
(37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1101
(35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1102
(42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1103
(36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1104
(438.92860412598): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1105
(88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1106
(81.062316894531): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp
LEFT JOIN jos_experts as exp
ON exp.id = dp.author
LEFT JOIN jos_deeppockets as ch
ON dp.fid = ch.id
WHERE 1=1
AND dp.cat=10
AND dp.id=294734480
AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
AND dp.published='1' LIMIT 1107
(!!!!! 3339.0522003174): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp
LEFT JOIN jos_experts as exp
ON exp.id = dp.author
LEFT JOIN jos_deeppockets as ch
ON dp.fid = ch.id
WHERE 1=1
AND dp.cat=10
AND dp.id=294734480
AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
AND dp.published='1' LIMIT 1108
(216.96090698242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1109
(108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1110
(57.93571472168): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp
LEFT JOIN jos_experts as exp
ON exp.id = dp.author
LEFT JOIN jos_deeppockets as ch
ON dp.fid = ch.id
WHERE 1=1
AND dp.id=294734480
AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
AND dp.published='1' LIMIT 1111
(505.92422485352): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp
LEFT JOIN jos_experts as exp
ON exp.id = dp.author
LEFT JOIN jos_deeppockets as ch
ON dp.fid = ch.id
WHERE 1=1
AND dp.id=294734480
AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
AND dp.published='1' LIMIT 1112
(!!!!! 2896.0704803467): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp
LEFT JOIN jos_experts as ex
ON ex.id = dp.author
LEFT JOIN jos_deeppockets as dp2
ON dp2.id = dp.fid
WHERE dp.author != 0
AND dp.cat = 10
AND dp.published = 1
AND (
(dp.fid = 294743300)
OR (dp.fid = 294743301)
OR (dp.fid = 294743302)
OR (dp.fid = 294743303)
OR (dp.fid = 294743304)
OR (dp.fid = 294743305)
OR (dp.fid = 294743306)
OR (dp.fid = 294743307)
OR (dp.fid = 294743308)
OR (dp.fid = 294743309)
OR (dp.fid = 294743310)
)
ORDER BY RAND()
LIMIT 1113
(503.0632019043): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp
LEFT JOIN jos_experts as ex
ON ex.id = dp.author
LEFT JOIN jos_deeppockets as dp2
ON dp2.id = dp.fid
WHERE dp.author != 0
AND dp.cat = 10
AND dp.published = 1
AND (
(dp.fid = 294743300)
OR (dp.fid = 294743301)
OR (dp.fid = 294743302)
OR (dp.fid = 294743303)
OR (dp.fid = 294743304)
OR (dp.fid = 294743305)
OR (dp.fid = 294743306)
OR (dp.fid = 294743307)
OR (dp.fid = 294743308)
OR (dp.fid = 294743309)
OR (dp.fid = 294743310)
)
ORDER BY RAND()
LIMIT 1114
(411.03363037109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1115
(102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1116
(247.00164794922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1117
(66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1118
(435.11390686035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1119
(98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1120
(61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1121
(38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1122
(765.08522033691): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`123
(!!!!! 87388.99230957): SELECT
*
FROM
jos_deeppockets
WHERE
jos_deeppockets.cat = 10
AND
jos_deeppockets.type = 'deeppockets_item'
AND
jos_deeppockets.published = 1
AND
jos_deeppockets.created + INTERVAL 14 DAY >= NOW()
ORDER BY
jos_deeppockets.hits DESC
LIMIT
7124
(!!!!! 1396.1791992188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734480 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734480 AND type='deeppockets_item' AND published='1' LIMIT 1125
(229.83551025391): (
SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.video != ''
AND
dp.video_source != ''
AND
dp.cat = 10
AND
dp.published = 1
AND
dp.type != 'deeppockets_item_link'
ORDER BY
created DESC
LIMIT
3
)
UNION
(
SELECT
dpa.id,
dpa.name,
dpa.title,
dpa.video,
dpa.video_source,
dpa.created
FROM
jos_deeppockets_archive AS dpa
WHERE
dpa.video != ''
AND
dpa.video_source != ''
AND
dpa.cat = 10
AND
dpa.published = 1
AND
dpa.type != 'deeppockets_item_link'
ORDER BY
created DESC
LIMIT
3
)
ORDER BY
created DESC
LIMIT
3126
(189.78118896484): (
SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.video != ''
AND
dp.video_source != ''
AND
dp.cat = 10
AND
dp.published = 1
AND
dp.type != 'deeppockets_item_link'
ORDER BY
created DESC
LIMIT
3
)
UNION
(
SELECT
dpa.id,
dpa.name,
dpa.title,
dpa.video,
dpa.video_source,
dpa.created
FROM
jos_deeppockets_archive AS dpa
WHERE
dpa.video != ''
AND
dpa.video_source != ''
AND
dpa.cat = 10
AND
dpa.published = 1
AND
dpa.type != 'deeppockets_item_link'
ORDER BY
created DESC
LIMIT
3
)
ORDER BY
created DESC
LIMIT
3127
(243.18695068359): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803337
LIMIT 1128
(195.98007202148): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803337
LIMIT 1129
(249.86267089844): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803276
LIMIT 1130
(205.03997802734): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803276
LIMIT 1131
(211.95411682129): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets_archive AS dp
WHERE
dp.id = 294803276
LIMIT 1132
(185.96649169922): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets_archive AS dp
WHERE
dp.id = 294803276
LIMIT 1133
(50.067901611328): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294802958
LIMIT 1134
(66.041946411133): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294802958
LIMIT 1135
(!!!!! 2668.1423187256): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND id=294734480
AND (type='deeppockets_item' OR type='deeppockets_item_link')
AND published='1'
LIMIT 1136
(!!!!! 3798.0079650879): SELECT *
FROM jos_deeppockets_archive
WHERE 1=1
AND id=294734480
AND (type='deeppockets_item' OR type='deeppockets_item_link')
AND published='1'
LIMIT 1137
(80.108642578125): SELECT name FROM jos_deeppockets WHERE id=212138
(38.14697265625): SELECT name FROM jos_deeppockets WHERE id=212139
(853.06167602539): SELECT *,
DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up,
DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down
FROM jos_events
WHERE state=1
AND publish_up > NOW()
and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110)
ORDER BY publish_up ASC LIMIT 3140
(720.97778320312): SELECT *,
DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up,
DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down
FROM jos_events
WHERE state=1
AND publish_up > NOW()
and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110)
ORDER BY publish_up ASC LIMIT 3141
(108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1142
(68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1143
(!!!!! 16123.056411743): TRUNCATE TABLE jos_trademed_module144
(931.97822570801): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp
LEFT JOIN jos_experts as exp
ON exp.id = dp.author
LEFT JOIN jos_deeppockets as ch
ON dp.fid = ch.id
WHERE 1=1
AND dp.cat=10
AND dp.id=294734480
AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
AND dp.published='1' LIMIT 1145
(488.9965057373): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp
LEFT JOIN jos_experts as exp
ON exp.id = dp.author
LEFT JOIN jos_deeppockets as ch
ON dp.fid = ch.id
WHERE 1=1
AND dp.cat=10
AND dp.id=294734480
AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
AND dp.published='1' LIMIT 1146
(!!!!! 1057.8632354736): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND id=294734480
AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1147
(526.90505981445): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND id=294734480
AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1148
(344.03800964355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1149
(381.9465637207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1150
(!!!!! 2373.218536377): SELECT jos_item.*
FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id
WHERE 1=1
AND (jos_item.imgMini<>'')
AND jos_item.type='L'
AND jos_item.numberID= (
SELECT jos_number.id
FROM jos_number
WHERE jos_number.journalID IN (10)
and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P')
ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC
LIMIT 0,1
)
ORDER BY RAND() DESC LIMIT 6151
(!!!!! 4404.0679931641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1152
(79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1153
(117.06352233887): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734480 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734480 AND type='deeppockets_item' AND published='1' LIMIT 1154
(42.915344238281): select distinct links.*
from jos_textlinks links
join jos_textlinks_placement placement on links.id=placement.link_id
where journal_id=(10) and (channel_id=212 or channel_id is null)155
(39.100646972656): select distinct links.*
from jos_textlinks links
join jos_textlinks_placement placement on links.id=placement.link_id
where journal_id=(10) and (channel_id=212 or channel_id is null)156
(56.028366088867): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1157
(108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1158
(69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734480 AND published='1'
union
SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734480 AND published='1'
LIMIT 1159
(61.988830566406): select jos_twitters.link from jos_twitters where cat=10160
(41.961669921875): select jos_facebook.link from jos_facebook where cat=10161
(41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10162
(36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10163
(361.91940307617): update jos_bannersmanager_banner
set impmade=impmade+1
where id in(14615,14202,14203)164
(!!!!! 1075.0293731689): insert into jos_banners_delta values (14615,'2025-09-22 20:27:24','216.73.216.167','view'),(14202,'2025-09-22 20:27:24','216.73.216.167','view'),(14203,'2025-09-22 20:27:24','216.73.216.167','view')
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