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While MRI is the current technique of choice for evaluation of intra-and extracapsular silicone breast implant ruptures, DECT however shows promise in more specifically evaluating the extent of extracapsular rupture and nodal involvement in a single, noncontrast, breathhold scan.
5) Extracapsular rupture is breakdown of both the implant shell and the fibrous capsule, with macroscopic extrusion of silicone gel beyond the fibrous capsule into the surrounding breast tissue.
An extracapsular rupture is defined by free silicone extending beyond the fibrous capsule and into the soft tissues of the breast.