Glazebrook KN, et al. - In this investigation, researchers compared the performance of dual-energy CT (DECT) with that of breast MRI for detection of silicone gel breast implant rupture and nodal spread of silicone. They enrolled consecutive patients with current or prior silicone gel implants and clinical suspicion of implant rupture or extra-capsular silicone. The results obtained from this prospective study indicate that DECT is similar to MRI in the detection of silicone gel implant rupture and the presence of silicone in regional lymph nodes and might be an alternative for patients who are unable or unwilling to undergo MRI.