- Black drop sign; 2. Mass with hypersignal in the T2 sequence; and 3. Delayed contrast enhancement. When together, they achieved great specificity. The three findings are original and described by our group.
2020-04-29 16:53:48 - 11
Radiology in the spotlight: Member of the CBR could be the Grand Winner of the Euro Innovation in Health Award
We interviewed Dr. Eduardo Fleury, radiologist associated with the College, Full Professor of Radiology at the undergraduate course in Medicine at Centro Universitário São Camilo, coordinator of breast imaging at IBCC Oncologia and physician responsible for one of the 100 best initiatives of the Euro Innovation in Health Award, selected in among 1,650 other innovation initiatives by a highly qualified bank. The new phase of the award consists of open voting for physicians on the Euro Award website (premiumeuro.com.br), where the 11 finalist initiatives will be chosen. The criterion for classification is by the highest number of votes. “I would be very happy to be able to represent my specialty in this final stage, and that's why I count the votes to qualify”, he emphasizes. Also check out this short video prepared by Dr. Edward: https://www.youtube.com/watch?v=Yn6NpLltnRI&t=112s Tell us a little about your initiative and how it came about. I have been working at IBCC – Oncology for four years. I was invited to coordinate the breast imaging service at the hospital. Since the beginning, we have implemented six lines of research in our field registered on Plataforma Brasil, all of them original. As a result of these researches, we had a master's degree, a doctorate and a postdoctoral degree from physicians in our service. There were 21 articles published in international journals and three awards in international congresses. One of these works is the one competing for the Euro 2020 Prize. We describe a new disease related to breast implants, the Silicone-Induced Granuloma in the Fibrous Capsule of the Breast Implant, in English Silicone Induced Granuloma of Breast Implant Capsule - SIGBIC. We had a case of Anaplastic Large Cell Lymphoma (Breast Implant-associated Anaplastic Large Cell Lymphoma - BIA-ALCL) in 2017. Three months later we had the second suspected case: the patient showed all the signs of Magnetic Resonance and clinical manifestations that led to the BIA-ALCL diagnosis. However, the biopsy result was negative, closing the diagnosis as capsular contracture. However, the patient had very relevant imaging alterations, which were not compatible with the histological diagnosis alone. A revision of the slides was requested, where silicone corpuscles were observed in the fibrous capsule associated with an inflammatory process and granulation tissue. Interestingly, the implant appeared intact. Since then, we decided to implement a protocol in our service to evaluate changes in breast implants by Magnetic Resonance Imaging (MRI), correlate with ultrasound, clinical data and histological results. We found common MRI findings in many patients, which had not yet been described in the literature. We describe three MRI findings that were specific for the diagnosis: