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Arch Plast Surg > Epub ahead of print
DOI: https://doi.org/10.5999/aps.2018.01431    [Epub ahead of print]
Published online April 9, 2019.
Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature review
Rami Dibbs1  , Bozena Culo2  , Ravi Tandon3  , Hugo St. Hilaire3  , Frank G. Shellock4  , Frank H. Lau3 
1School of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USA
2Loyola Marymount University, Los Angeles, CA, USA
3Division of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA
4Keck School of Medicine, University of Southern California, Playa Del Rey, CA, USA
Correspondence:  Frank G. Shellock, Tel: +1-310-291-6890, 
Email: frank.shellock@mrisafety.com
Received: 2 December 2018   • Revised: 10 January 2019   • Accepted: 19 February 2019
Abstract
Breast tissue expanders (TEs) with magnetic infusion ports are labeled “MR Unsafe.” Therefore, patients with these implants are typically prevented from undergoing magnetic resonance imaging (MRI). We report a patient with a total submuscular breast TE who inadvertently underwent an MRI exam. She subsequently developed expander exposure, requiring explantation and autologous reconstruction. The safety profile of TEs with magnetic ports and the use of MRI in patients with these implants is surprisingly controversial. Therefore, we present our case report, a systematic literature review, and propose procedural guidelines to help ensure the safety of patients with TEs with magnetic ports that need to undergo MRI exams.
Keywords: Breast tissue expander / Breast reconstruction / Magnetic resonance imaging / Safety
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