ACR Appropriateness Criteria® Breast Implant Evaluation: 2023 Update.
| Autor: | Chetlen A; Penn State Health Hershey Medical Center, Hershey, Pennsylvania. Electronic address: achetlen@pennstatehealth.psu.edu., Niell BL; Panel Chair, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida., Brown A; Panel Vice-Chair, University of Cincinnati, Cincinnati, Ohio., Baskies AM; Virtua Willingboro Hospital, Willingboro, New Jersey; American College of Surgeons., Battaglia T; Boston University Schools of Medicine and Public Health, Boston, Massachusetts, Primary care physician., Chen A; University of Connecticut School of Medicine, Farmington, Connecticut; American Society of Plastic Surgeons., Jochelson MS; Memorial Sloan Kettering Cancer Center, New York, New York., Klein KA; University of Michigan, Ann Arbor, Michigan., Malak SF; St. Bernards Healthcare, Jonesboro, Arkansas., Mehta TS; UMass Memorial Medical Center/UMass Chan Medical School, Worcester, Massachusetts., Sinha I; Harvard Medical School, Boston, Massachusetts; American Geriatrics Society., Tuscano DS; Central Oregon Radiology Associates, Bend, Oregon., Ulaner GA; Hoag Family Cancer Institute, Newport Beach, California, and University of Southern California, Los Angeles, California; Commission on Nuclear Medicine and Molecular Imaging., Slanetz PJ; Specialty Chair, Boston University School of Medicine, Boston, Massachusetts. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2023 Nov; Vol. 20 (11S), pp. S329-S350. |
| DOI: | 10.1016/j.jacr.2023.08.019 |
| Abstrakt: | This document discusses the appropriate initial imaging in both asymptomatic and symptomatic patients with breast implants. For asymptomatic patients with saline implants, no imaging is recommended. If concern for rupture exists, ultrasound is usually appropriate though saline rupture is often clinically evident. The FDA recently recommended patients have an initial ultrasound or MRI examination 5 to 6 years after initial silicone implant surgery and then every 2 to 3 years thereafter. In a patient with unexplained axillary adenopathy with current or prior silicone breast implants, ultrasound and/or mammography are usually appropriate, depending on age. In a patient with concern for silicone implant rupture, ultrasound or MRI without contrast is usually appropriate. In the setting of a patient with breast implants and possible implant-associated anaplastic large cell lymphoma, ultrasound is usually appropriate as the initial imaging. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation. (Copyright © 2023 American College of Radiology. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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