iPrevent: Personalising Breast Cancer Risk and Screening

While mammograms remain a crucial part of breast screening, ultrasound is the workhorse when it comes to monitoring implant health and detecting complications. At Breast Imaging Victoria, we routinely use high-resolution ultrasound in combination with mammography to give a clearer, more complete picture. Here’s what ultrasound can help with: ✅ Silent implant ruptures It can detect small tears or leaks -even if you don’t have symptoms. For example you can get ruptures within your implant shell (intracapsular ruptures) which might not be physical noticeable but can be seen under ultrasound. A common sign is the stepladder sign as seen in the image posted. ✅ Capsular contracture Ultrasound helps measure the thickness of scar tissue forming around your implant, indicating how severe the contracture may be. ✅ Implant positioning issues We can identify signs of bottoming out, rotation, displacement or herniation. ✅ Peri-implant complications From fluid (seroma), blood (hematoma), or infection (abscess), ultrasound helps us catch issues early -before symptoms worsen. ✅ Cancer screening In augmented or dense breasts, ultrasound is often more accurate in detecting small breast masses or suspicious lesions. ✅ Avoiding unnecessary MRIs Ultrasound provides a cost-effective, radiation-free alternative for ongoing implant surveillance in many cases. ✅ Procedure guidance Ultrasound also allows precise needle guidance if a biopsy or aspiration is needed near the implant. ✨ At BIV, we tailor imaging to each patient. For women with implants and remaining breast tissue, we usually recommend both mammogram + ultrasound (unless your referral says otherwise). If you’ve had reconstruction post-mastectomy, ultrasound alone is usually appropriate. 📣 Have breast implants? Talk to your GP about getting referred to a specialist breast imaging clinic. Early detection applies to everyone - and we’re here to help you stay one step ahead.

At Breast Imaging Victoria, we regularly perform specialised mammograms for women with breast implants using implant displacement views (the Eklund technique), to ensure we capture as much breast tissue as possible — especially what’s hidden behind the implant. This allows us to see up to 85% of the breast tissue, regardless of implant type or size. 👉This specialised technique gently pushes the implant back towards the chest wall while the breast tissue is pulled forward and imaged separately. This ensures clearer, more accurate results. It may sound uncomfortable, but don’t worry — we apply soft, controlled compression to keep things as comfortable as possible while ensuring diagnostic quality. Many patients tell us they feel very little during the displaced views because the implant buffers the pressure. 🩻 Our radiographers are trained in this technique and perform it daily. These extra views are important because standard mammograms may not always see around or through the implant — especially when looking for subtle changes or early signs of cancer. 👩⚕️ Whether you have saline or silicone implants, both are handled the same during mammography — neither is better or worse in terms of compression or image clarity. ✨At BIV, we tailor every scan to the individual. For those with implants and breast tissue (not post-mastectomy), we usually combine mammogram and ultrasound to give the clearest picture possible. 🗓 The current recommendation is for women aged 45–70 to have a mammogram every 2 years - and that includes women with implants. If you have risk factors, screening may begin earlier or happen more frequently. Talk to your GP. Have questions? We’re here to help you understand your options and feel confident in your care.