Relationship between lymphoscintigraphy and clinical findings in lower limb lymphedema (LO): toward a comprehensive staging.
Identifieur interne : 000417 ( France/Analysis ); précédent : 000416; suivant : 000418Relationship between lymphoscintigraphy and clinical findings in lower limb lymphedema (LO): toward a comprehensive staging.
Auteurs : A P Pecking [France] ; J L Albérini ; M. Wartski ; V. Edeline ; R V CluzanSource :
- Lymphology [ 0024-7766 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Noeuds lymphatiques.
- imagerie diagnostique : Lymphoedème, Noeuds lymphatiques.
- Adulte, Adulte d'âge moyen, Humains, Membre inférieur, Pronostic, Scintigraphie, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Lymph Nodes, Lymphedema.
- pathology : Lymph Nodes.
- Adult, Aged, Humans, Lower Extremity, Middle Aged, Prognosis, Radionuclide Imaging.
Abstract
Although radionuclide lymphoscintigraphy (RNL) is widely used diagnostically for patients with lymphedema (LE), it has not been utilized for LE staging, which is still based upon clinical findings. The aim of this work is to establish whether the results of both conventional RNL and fusion imaging obtained from hybrid detectors may be used for a comprehensive clinicoimaging staging in LE. Radiolabeled nanocolloids (0.2 ml) were subcutaneously injected in 4,328 patients (23-78 years) with clinical lower limb LE and without venous disease. Patients were classified according to the ISL classification and had a minimal follow-up of 2 years. Images were taken 60 minutes after the injection as a whole body scanning and fusion images of functional SPET and anatomical CT. Clinical and RNL results were not in accordance, and a specific RNL staging was established. The association of clinical and functional staging yields a new method to grade LE patients, and this staging correlated with treatment efficacy. RNL is an important tool in lymphology, and its association with the clinical evaluation offers a new grading system which may be able to delineate patients with good prognosis, patients at risk for a complex decongestive physiotherapy (CDP) failure, and patients who may benefit from other therapeutic protocols.
PubMed: 18581953
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 003225
- to stream PubMed, to step Curation: 003225
- to stream PubMed, to step Checkpoint: 003225
- to stream Ncbi, to step Merge: 002D97
- to stream Ncbi, to step Curation: 002D97
- to stream Ncbi, to step Checkpoint: 002D97
- to stream Main, to step Merge: 006A49
- to stream Main, to step Curation: 006956
- to stream Main, to step Exploration: 006956
- to stream France, to step Extraction: 000417
Links to Exploration step
pubmed:18581953Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Relationship between lymphoscintigraphy and clinical findings in lower limb lymphedema (LO): toward a comprehensive staging.</title><author><name sortKey="Pecking, A P" sort="Pecking, A P" uniqKey="Pecking A" first="A P" last="Pecking">A P Pecking</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nuclear Medicine, Centre René Huguenin, Saint-Cloud, France. pecking_ap@yahoo.com</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Nuclear Medicine, Centre René Huguenin, Saint-Cloud</wicri:regionArea><wicri:noRegion>Saint-Cloud</wicri:noRegion><wicri:noRegion>Saint-Cloud</wicri:noRegion></affiliation></author><author><name sortKey="Alberini, J L" sort="Alberini, J L" uniqKey="Alberini J" first="J L" last="Albérini">J L Albérini</name></author><author><name sortKey="Wartski, M" sort="Wartski, M" uniqKey="Wartski M" first="M" last="Wartski">M. Wartski</name></author><author><name sortKey="Edeline, V" sort="Edeline, V" uniqKey="Edeline V" first="V" last="Edeline">V. Edeline</name></author><author><name sortKey="Cluzan, R V" sort="Cluzan, R V" uniqKey="Cluzan R" first="R V" last="Cluzan">R V Cluzan</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:18581953</idno><idno type="pmid">18581953</idno><idno type="wicri:Area/PubMed/Corpus">003225</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003225</idno><idno type="wicri:Area/PubMed/Curation">003225</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003225</idno><idno type="wicri:Area/PubMed/Checkpoint">003225</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003225</idno><idno type="wicri:Area/Ncbi/Merge">002D97</idno><idno type="wicri:Area/Ncbi/Curation">002D97</idno><idno type="wicri:Area/Ncbi/Checkpoint">002D97</idno><idno type="wicri:doubleKey">0024-7766:2008:Pecking A:relationship:between:lymphoscintigraphy</idno><idno type="wicri:Area/Main/Merge">006A49</idno><idno type="wicri:Area/Main/Curation">006956</idno><idno type="wicri:Area/Main/Exploration">006956</idno><idno type="wicri:Area/France/Extraction">000417</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Relationship between lymphoscintigraphy and clinical findings in lower limb lymphedema (LO): toward a comprehensive staging.</title><author><name sortKey="Pecking, A P" sort="Pecking, A P" uniqKey="Pecking A" first="A P" last="Pecking">A P Pecking</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nuclear Medicine, Centre René Huguenin, Saint-Cloud, France. pecking_ap@yahoo.com</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Nuclear Medicine, Centre René Huguenin, Saint-Cloud</wicri:regionArea><wicri:noRegion>Saint-Cloud</wicri:noRegion><wicri:noRegion>Saint-Cloud</wicri:noRegion></affiliation></author><author><name sortKey="Alberini, J L" sort="Alberini, J L" uniqKey="Alberini J" first="J L" last="Albérini">J L Albérini</name></author><author><name sortKey="Wartski, M" sort="Wartski, M" uniqKey="Wartski M" first="M" last="Wartski">M. Wartski</name></author><author><name sortKey="Edeline, V" sort="Edeline, V" uniqKey="Edeline V" first="V" last="Edeline">V. Edeline</name></author><author><name sortKey="Cluzan, R V" sort="Cluzan, R V" uniqKey="Cluzan R" first="R V" last="Cluzan">R V Cluzan</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Humans</term><term>Lower Extremity</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymph Nodes (pathology)</term><term>Lymphedema (diagnostic imaging)</term><term>Middle Aged</term><term>Prognosis</term><term>Radionuclide Imaging</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Humains</term><term>Lymphoedème (imagerie diagnostique)</term><term>Membre inférieur</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Pronostic</term><term>Scintigraphie</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymph Nodes</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Humans</term><term>Lower Extremity</term><term>Middle Aged</term><term>Prognosis</term><term>Radionuclide Imaging</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Humains</term><term>Membre inférieur</term><term>Pronostic</term><term>Scintigraphie</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although radionuclide lymphoscintigraphy (RNL) is widely used diagnostically for patients with lymphedema (LE), it has not been utilized for LE staging, which is still based upon clinical findings. The aim of this work is to establish whether the results of both conventional RNL and fusion imaging obtained from hybrid detectors may be used for a comprehensive clinicoimaging staging in LE. Radiolabeled nanocolloids (0.2 ml) were subcutaneously injected in 4,328 patients (23-78 years) with clinical lower limb LE and without venous disease. Patients were classified according to the ISL classification and had a minimal follow-up of 2 years. Images were taken 60 minutes after the injection as a whole body scanning and fusion images of functional SPET and anatomical CT. Clinical and RNL results were not in accordance, and a specific RNL staging was established. The association of clinical and functional staging yields a new method to grade LE patients, and this staging correlated with treatment efficacy. RNL is an important tool in lymphology, and its association with the clinical evaluation offers a new grading system which may be able to delineate patients with good prognosis, patients at risk for a complex decongestive physiotherapy (CDP) failure, and patients who may benefit from other therapeutic protocols.</div></front></TEI><affiliations><list><country><li>France</li></country></list><tree><noCountry><name sortKey="Alberini, J L" sort="Alberini, J L" uniqKey="Alberini J" first="J L" last="Albérini">J L Albérini</name><name sortKey="Cluzan, R V" sort="Cluzan, R V" uniqKey="Cluzan R" first="R V" last="Cluzan">R V Cluzan</name><name sortKey="Edeline, V" sort="Edeline, V" uniqKey="Edeline V" first="V" last="Edeline">V. Edeline</name><name sortKey="Wartski, M" sort="Wartski, M" uniqKey="Wartski M" first="M" last="Wartski">M. Wartski</name></noCountry><country name="France"><noRegion><name sortKey="Pecking, A P" sort="Pecking, A P" uniqKey="Pecking A" first="A P" last="Pecking">A P Pecking</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/France/Analysis
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000417 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/France/Analysis/biblio.hfd -nk 000417 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= France
|étape= Analysis
|type= RBID
|clé= pubmed:18581953
|texte= Relationship between lymphoscintigraphy and clinical findings in lower limb lymphedema (LO): toward a comprehensive staging.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/France/Analysis/RBID.i -Sk "pubmed:18581953" \
| HfdSelect -Kh $EXPLOR_AREA/Data/France/Analysis/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |