New Diagnostic Imaging Europe nu:view user interview!

This time, it’s with Prof. Andreas Boss, Senior Consultant responsible for breast imaging at the University Hospital Zurich and longest-standing nu:view user since 2018, who speaks about the way the system is used in an opportunistic screening setting in the Swiss canton of Zurich, and his findings on the examination of patients with implants in particular. Informative read (3 pages)!

Download the full interview here:
Breast CT in women with breast implants (Diagnostic Imaging Europe, June 2021) (PDF)

“In one patient extensive calcifications were found in the capsule fibrosis, and was best detected in breast-CT. In the surrounding glandular breast tissue, we were able to show that both microcalcifications and soft tissue lesions can be detected, which justifies the use of breast-CT in patients with breast implants not just for diagnostic and screening purposes, but also for follow-up examinations after breast cancer.”

„There are typically two complications associated with silicone implants, namely rupture and capsule fibrosis. Both show typical patterns in breast-CT. In case of rupture, the so-called “linguine signs” which are caused by the broken elastomeric casing of the implant can be clearly seen. […] Capsule fibrosis is the other common problem of silicone implants, and is caused by a foreign body reaction of the surrounding tissue. Often, capsule fibroses show calcifications, which can only be visualized using breast-CT. […]“

“We receive excellent feedback from those patients, with more than 90% expressing positive acceptance of the new technique. Because of this we have a growing number of women referred to us for breast-CT.”

“To summarize our experience with breast-CT in patients with silicone implants and its role in a regimen using supplemental ultrasound in patients with dense breasts we found that it is a breast imaging modality of high accuracy and with a radiation dose similar to mammography. With its many advantages over alternative imaging modalities, breast-CT has the potential to become the modality of choice for both breast cancer screening and diagnostic imaging.”