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Dec 6, 2020 05:44PM
peggysmom, I'm just a patient, as are most of us here. We are sharing our personal experiences and learning. That's what this discussion board is all about. It is understood that we are not doctors or experts, just patients who are trying to help and support other patients. Because we've lived through this and are basing our opinions on our experiences, in some cases our positions on things and our attitudes might be different than that of a doctor. That's doesn't make us wrong - we are just approaching these situations from a different perspective. Personally I think I'm reasonably good at digging through research (I do have a professional research background) but I know that I might be wrong, which I why I try to include links to my sources whenever I can.
So, some links:
From the FDA:
Breast Implants - Certain Labeling Recommendations to Improve Patient Communication Guidance for Industry and Food and Drug Administration Staff Document issued on September 29, 2020. https://www.fda.gov/media/131885/download
A. Rupture Screening Recommendations Update
We recommend that the physician and patient labeling for silicone gel-filled breast implants include the specific, updated rupture screening recommendations as shown below:
For asymptomatic patients, the first ultrasound or magnetic resonance imaging (MRI) should be performed at 5-6 years postoperatively, then every 2-3 years thereafter.
For symptomatic patients or patients with equivocal ultrasound results for rupture at any time postoperatively, an MRI is recommended.
It is recommended that you have periodic imaging (e.g., MRI, ultrasound) of your silicone gel- filled breast implants to screen for implant rupture regardless of whether your implants are for cosmetic augmentation or reconstruction. These recommendations do not replace other additional imaging that may be required depending on your medical history or circumstances (i.e., screening mammography for breast cancer).
Even if you have no symptoms, you should have your first ultrasound or MRI at 5-6 years after your initial implant surgery and then every 2-3 years thereafter. If you have symptoms at any time or uncertain ultrasound results for breast implant rupture, an MRI is recommended.
It appears that the ACR does not agree with the FDA, if I am interpreting the following documents correctly (perhaps I'm not). This might explain the real life experience of many of us who have been living with implant reconstruction for years and have not been getting MRIs every 2-3 years.
American College of Radiology ACR Appropriateness Criteria® Imaging after Mastectomy and Breast Reconstruction https://acsearch.acr.org/docs/3155410/Narrative/
American College of Radiology ACR Appropriateness Criteria® Breast Implant Evaluation https://acsearch.acr.org/docs/3100728/Narrative/
Okay, I will exit stage left now, and promise that I won't post in any of your threads again. My sincere apologies for raising a topic in your thread that I honestly thought was relevant to your decision. I wish you well and hope you get the support here that you are looking for. This really is a great site.
“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke