Evidence map›Paper›PMID 39514154›Full record

ArticleLa Radiologia medica2024

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.

Filippo Pesapane, Anna Rotili, Giulia Signorelli, Valeria Dominelli, Luca Mazzocconi, Adriana Sorce, Ottavia Battaglia, Giovanni Cugliari, Sara Gandini, Luca Nicosia and 4 more

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Article in La Radiologia medica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Filippo PesapaneBreast Imaging Division, IEO European Institute of Oncology IRCCS, Milan, Italy. filippo.pesapane@ieo.it.ORCID http://orcid.org/0000-0002-0374-5054
Anna RotiliBreast Imaging Division, IEO European Institute of Oncology IRCCS, Milan, Italy.
Giulia SignorelliBreast Imaging Division, IEO European Institute of Oncology IRCCS, Milan, Italy.
Valeria DominelliBreast Imaging Division, IEO European Institute of Oncology IRCCS, Milan, Italy.
Luca MazzocconiDepartment of Plastic Surgery, University of Milan, Via Festa del Perdono 7, 20122, Milan, Italy.
Adriana SorcePostgraduation School of Diagnostic and Interventional Radiology, University of Milan, Milan, Italy.
Ottavia BattagliaPostgraduation School of Diagnostic and Interventional Radiology, University of Milan, Milan, Italy.
Giovanni CugliariMolecular and Pharmaco-Epidemiology Unit, Department of Experimental Oncology, European Institute of Oncology, IRCCS, Milan, Italy.
Sara GandiniMolecular and Pharmaco-Epidemiology Unit, Department of Experimental Oncology, European Institute of Oncology, IRCCS, Milan, Italy.
Luca NicosiaBreast Imaging Division, IEO European Institute of Oncology IRCCS, Milan, Italy.
Silvia PencoBreast Imaging Division, IEO European Institute of Oncology IRCCS, Milan, Italy.
Maria PizzamiglioBreast Imaging Division, IEO European Institute of Oncology IRCCS, Milan, Italy.
Francesca De LorenziDivision of Reconstructive Surgery, IEO European Institute of Oncology IRCCS, Milan, Italy.
Enrico CassanoBreast Imaging Division, IEO European Institute of Oncology IRCCS, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

methodsA 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.

resultsThe 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.

conclusionsExpertise 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.

Indexed as

Breast ImplantsClinical CompetenceMagnetic Resonance ImagingProsthesis FailureAdultAgedBreast NeoplasmsFemaleHumansMiddle AgedPredictive Value of TestsRadiologistsRetrospective StudiesBreast implantsClinical competenceEducationMagnetic resonance imagingObserver variationPlasticRadiologySurgery

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.