Accuracy of Ultrasonography in Breast Implant Rupture Diagnosis: Systematic Review and Meta-Analysis

Breast augmentation is the most common aesthetic operation performed in the United States and worldwide; 1,862,506 breast augmentation procedures were performed in 2018, an increase of 27.6 percent compared to 2014 data. In the present study, the authors performed a systematic review to identify the...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 2021-11, Vol.148 (5), p.939-947
Hauptverfasser: Lacerda Macedo, Ana Cristina, Carvalho, George, Uggioni, Maria L. R., Bavaresco, Daniela V., Simon, Carla S., Cruz, Mateus, Silva, Fábio, Rosa, Maria I.
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container_end_page 947
container_issue 5
container_start_page 939
container_title Plastic and reconstructive surgery (1963)
container_volume 148
creator Lacerda Macedo, Ana Cristina
Carvalho, George
Uggioni, Maria L. R.
Bavaresco, Daniela V.
Simon, Carla S.
Cruz, Mateus
Silva, Fábio
Rosa, Maria I.
description Breast augmentation is the most common aesthetic operation performed in the United States and worldwide; 1,862,506 breast augmentation procedures were performed in 2018, an increase of 27.6 percent compared to 2014 data. In the present study, the authors performed a systematic review to identify the accuracy of ultrasonography for diagnosing breast prosthesis rupture. Studies in which the ultrasound diagnostic test was compared to a surgical finding as a reference standard were reviewed. As a result, 20 primary studies were included in the analyses, with a total of 1987 patients and 3297 prostheses. The use of ultrasound for diagnosis of breast prosthesis rupture presented the following results: pooled sensitivity, 73.7 percent (95 percent CI, 70.2 to 77.1 percent); pooled specificity, 87.8 percent (95 percent CI, 86.5 to 89.0); area under the receiver operating characteristic curve, 0.7762; diagnostic odds ratio, 11.04 (95 percent CI, 5.79 to 21.08). This study supports that ultrasound of breast prostheses is an adequate tool in the diagnosis of rupture.
doi_str_mv 10.1097/PRS.0000000000008408
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subjects Breast - diagnostic imaging
Breast Diseases - diagnosis
Breast Diseases - etiology
Breast Diseases - surgery
Breast Implantation - adverse effects
Breast Implantation - instrumentation
Breast Implants - adverse effects
Device Removal - statistics & numerical data
Female
Humans
Prosthesis Failure
ROC Curve
Ultrasonography - statistics & numerical data
title Accuracy of Ultrasonography in Breast Implant Rupture Diagnosis: Systematic Review and Meta-Analysis
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