Retrospective study on the strength of magnetic resonance signs for predicting breast implant rupture: assessing the impact of radiologist expertise at a breast cancer referral center.

IF 9.7 1区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiologia Medica Pub Date : 2024-11-08 DOI:10.1007/s11547-024-01926-4

Filippo Pesapane, Anna Rotili, Giulia Signorelli, Valeria Dominelli, Luca Mazzocconi, Adriana Sorce, Ottavia Battaglia, Giovanni Cugliari, Sara Gandini, Luca Nicosia, Silvia Penco, Maria Pizzamiglio, Francesca De Lorenzi, Enrico Cassano

{"title":"Retrospective study on the strength of magnetic resonance signs for predicting breast implant rupture: assessing the impact of radiologist expertise at a breast cancer referral center.","authors":"Filippo Pesapane, Anna Rotili, Giulia Signorelli, Valeria Dominelli, Luca Mazzocconi, Adriana Sorce, Ottavia Battaglia, Giovanni Cugliari, Sara Gandini, Luca Nicosia, Silvia Penco, Maria Pizzamiglio, Francesca De Lorenzi, Enrico Cassano","doi":"10.1007/s11547-024-01926-4","DOIUrl":null,"url":null,"abstract":"Objective: This study evaluates the diagnostic criteria of MRI for breast implant rupture and examines the influence of radiologist experience on the accuracy of rupture detection.Methods: A retrospective study was conducted in a single center, involving patients who underwent implant replacement surgery between March 2019 and October 2022. MRI evaluations by four radiologists of varying experience levels were compared with surgical outcomes.Results: The study included 118 explanted prostheses, with 25 identified as ruptured. Expert radiologists demonstrated near-perfect agreement (κ = 0.94) in identifying rupture signs, with high PPV and NPV, whereas non-experts showed only moderate agreement (κ = 0.44). Indicators such as the linguine sign, subcapsular line, and keyhole sign were identified with high accuracy by experts, contrasting with non-experts' lower detection rates.Conclusions: Expertise in radiology significantly impacts the accurate diagnosis of breast implant ruptures. This study supports updating radiological guidelines and underscores the importance of specialized training and experience in improving diagnostic outcomes in breast implant assessments.","PeriodicalId":20817,"journal":{"name":"Radiologia Medica","volume":" ","pages":""},"PeriodicalIF":9.7000,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiologia Medica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11547-024-01926-4","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study evaluates the diagnostic criteria of MRI for breast implant rupture and examines the influence of radiologist experience on the accuracy of rupture detection.

Methods: A retrospective study was conducted in a single center, involving patients who underwent implant replacement surgery between March 2019 and October 2022. MRI evaluations by four radiologists of varying experience levels were compared with surgical outcomes.

Results: The study included 118 explanted prostheses, with 25 identified as ruptured. Expert radiologists demonstrated near-perfect agreement (κ = 0.94) in identifying rupture signs, with high PPV and NPV, whereas non-experts showed only moderate agreement (κ = 0.44). Indicators such as the linguine sign, subcapsular line, and keyhole sign were identified with high accuracy by experts, contrasting with non-experts' lower detection rates.

Conclusions: Expertise in radiology significantly impacts the accurate diagnosis of breast implant ruptures. This study supports updating radiological guidelines and underscores the importance of specialized training and experience in improving diagnostic outcomes in breast implant assessments.

查看原文本刊更多论文

磁共振征象预测乳房植入物破裂强度的回顾性研究：评估乳腺癌转诊中心放射科医生专业知识的影响。

目的本研究评估了核磁共振成像对乳房假体破裂的诊断标准，并探讨了放射科医生经验对破裂检测准确性的影响：在一个中心开展了一项回顾性研究，涉及在 2019 年 3 月至 2022 年 10 月期间接受假体置换手术的患者。将四位不同经验水平的放射科医生的 MRI 评估结果与手术结果进行比较：研究包括 118 个取出的假体，其中 25 个被确定为破裂。放射科专家在识别破裂征象方面几乎完全一致（κ = 0.94），具有较高的PPV和NPV，而非专家仅表现出中等程度的一致（κ = 0.44）。专家对舌状征、囊下线和锁孔征等指标的识别准确率较高，而非专家的检出率较低：结论：放射学专家对乳房假体破裂的准确诊断有很大影响。这项研究支持更新放射学指南，并强调了专业培训和经验对提高乳房植入物评估诊断结果的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Radiologia Medica 医学-核医学

CiteScore

14.10

自引率

7.90%

发文量

133

审稿时长

4-8 weeks

期刊介绍： Felice Perussia founded La radiologia medica in 1914. It is a peer-reviewed journal and serves as the official journal of the Italian Society of Medical and Interventional Radiology (SIRM). The primary purpose of the journal is to disseminate information related to Radiology, especially advancements in diagnostic imaging and related disciplines. La radiologia medica welcomes original research on both fundamental and clinical aspects of modern radiology, with a particular focus on diagnostic and interventional imaging techniques. It also covers topics such as radiotherapy, nuclear medicine, radiobiology, health physics, and artificial intelligence in the context of clinical implications. The journal includes various types of contributions such as original articles, review articles, editorials, short reports, and letters to the editor. With an esteemed Editorial Board and a selection of insightful reports, the journal is an indispensable resource for radiologists and professionals in related fields. Ultimately, La radiologia medica aims to serve as a platform for international collaboration and knowledge sharing within the radiological community.