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Breast Imaging

E2352. How to Recognize Different Types of Breast Reconstruction Surgery: Multimodality Approach

Braga F,  Tufik S,  Endo E,  Shimizu C,  de Barros N. Radiology Institute, University of São Paulo, São Paulo, Brazil

Address correspondence to E. Endo (quinhapop@gmail.com)

Background Information: Breast reconstruction is performed after skin and nipple-sparing mastectomy or for correction of congenital birth defects. Several imaging techniques are available for follow-up, such as mammogram, ultrasound, and MRI. Recognizing normal and abnormal findings can be challenging, and sometimes, subtle radiologic changes may be the only sign of a malignant lesion. In this context, the radiologist plays a fundamental role in interpreting findings from all imaging modalities together to improve the specificity of detection of suspicious lesions. The main objective of this study is to illustrate imaging findings expected in reconstructed breasts with autologous tissue and demonstrate how to recognize the reconstruction technique.

Educational Goals/Teaching Points: The goal of this study is to discuss different types of breast reconstruction with autologous tissue. Mammography, ultrasound, and MRI examinations from our service will be used to exemplify expected and specific findings in each surgery.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques: We recognize the following different types of breast reconstruction techniques with autologous tissue through mammogram, ultrasound and MRI: latissimus dorsi myocutaneous flap; transverse rectus abdominis myocutaneous; deep inferior epigastric perforator; and superficial inferior epigastric artery.

Conclusion: Understanding the different types of breast reconstruction techniques with autologous tissue and the recognition of their features from all imaging methods available is crucial for an accurate evaluation of normal and suspicious findings and for providing the best clinical care for the patient.