Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy
Identifieur interne : 00B693 ( Main/Curation ); précédent : 00B692; suivant : 00B694Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy
Auteurs : P. Br Utigam [Allemagne] ; E. Födl [Allemagne] ; I. Schaiper [Allemagne] ; T. Krause [Allemagne] ; W. Vanscheidt [Allemagne] ; E. Moser [Allemagne]Source :
- Lymphology [ 0024-7766 ] ; 1998.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse de variance, Composés du technétium, Dosimétrie du corps entier, Fascia, Femelle, Humains, Jambe (imagerie diagnostique), Lymphoedème (imagerie diagnostique), Lymphoscintigraphie, Mâle, Noeuds lymphatiques (imagerie diagnostique), Obésité (), Oedème (imagerie diagnostique), Oedème (étiologie), Sujet âgé, Syndrome post-phlébitique (), Syndrome post-phlébitique (imagerie diagnostique).
- MESH :
- imagerie diagnostique : Jambe, Lymphoedème, Noeuds lymphatiques, Oedème, Syndrome post-phlébitique.
- étiologie : Oedème.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Analyse de variance, Composés du technétium, Dosimétrie du corps entier, Fascia, Femelle, Humains, Lymphoedème, Lymphoscintigraphie, Mâle, Obésité, Oedème, Jambe, Postthrombose veine syndrome, Membre, Scintigraphie, Sujet âgé, Syndrome post-phlébitique, Système lymphatique, Exploration, Technique, Homme.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Analysis of Variance, Edema, Edema (diagnostic imaging), Edema (etiology), Exploration, Fascia, Female, Human, Humans, Leg, Leg (diagnostic imaging), Limb, Lymph Nodes (diagnostic imaging), Lymphatic system, Lymphedema, Lymphedema (diagnostic imaging), Lymphoscintigraphy, Male, Middle Aged, Obesity (complications), Postphlebitic Syndrome (complications), Postphlebitic Syndrome (diagnostic imaging), Postphlebitic syndrome, Scintigraphy, Technetium Compounds, Technique, Whole-Body Counting.
- MESH :
- chemical : Technetium Compounds.
- complications : Obesity, Postphlebitic Syndrome.
- diagnostic imaging : Edema, Leg, Lymph Nodes, Lymphedema, Postphlebitic Syndrome.
- etiology : Edema.
- Adult, Aged, Analysis of Variance, Fascia, Female, Humans, Lymphoscintigraphy, Male, Middle Aged, Whole-Body Counting.
Abstract
The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo)edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome), subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.
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Pascal:98-0366277Le document en format XML
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Br Utigam</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author><author><name sortKey="Fodl, E" sort="Fodl, E" uniqKey="Fodl E" first="E." last="Födl">E. Födl</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Földiklinik, Fachklinik für lymphologische Erkrankungen</s1><s2>Hinterzarten</s2><s3>DEU</s3><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Hinterzarten</wicri:noRegion><wicri:noRegion>Fachklinik für lymphologische Erkrankungen</wicri:noRegion><wicri:noRegion>Hinterzarten</wicri:noRegion></affiliation></author><author><name sortKey="Schaiper, I" sort="Schaiper, I" uniqKey="Schaiper I" first="I." last="Schaiper">I. Schaiper</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Zentrum für Nuklearmedizin, Paracelsus-Klinik Osnabrück</s1><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Paracelsus-Klinik Osnabrück</wicri:noRegion><wicri:noRegion>Zentrum für Nuklearmedizin, Paracelsus-Klinik Osnabrück</wicri:noRegion></affiliation></author><author><name sortKey="Krause, T" sort="Krause, T" uniqKey="Krause T" first="T." last="Krause">T. Krause</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author><author><name sortKey="Vanscheidt, W" sort="Vanscheidt, W" uniqKey="Vanscheidt W" first="W." last="Vanscheidt">W. Vanscheidt</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Universitäts-Hautklinik</s1><s2>Freiburg</s2><s3>DEU</s3><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E." last="Moser">E. Moser</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="1998">1998</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Edema</term><term>Edema (diagnostic imaging)</term><term>Edema (etiology)</term><term>Exploration</term><term>Fascia</term><term>Female</term><term>Human</term><term>Humans</term><term>Leg</term><term>Leg (diagnostic imaging)</term><term>Limb</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymphatic system</term><term>Lymphedema</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Obesity (complications)</term><term>Postphlebitic Syndrome (complications)</term><term>Postphlebitic Syndrome (diagnostic imaging)</term><term>Postphlebitic syndrome</term><term>Scintigraphy</term><term>Technetium Compounds</term><term>Technique</term><term>Whole-Body Counting</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Composés du technétium</term><term>Dosimétrie du corps entier</term><term>Fascia</term><term>Femelle</term><term>Humains</term><term>Jambe (imagerie diagnostique)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Obésité ()</term><term>Oedème (imagerie diagnostique)</term><term>Oedème (étiologie)</term><term>Sujet âgé</term><term>Syndrome post-phlébitique ()</term><term>Syndrome post-phlébitique (imagerie diagnostique)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Technetium Compounds</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity</term><term>Postphlebitic Syndrome</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Edema</term><term>Leg</term><term>Lymph Nodes</term><term>Lymphedema</term><term>Postphlebitic Syndrome</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Edema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Jambe</term><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Oedème</term><term>Syndrome post-phlébitique</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Oedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Fascia</term><term>Female</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Whole-Body Counting</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Composés du technétium</term><term>Dosimétrie du corps entier</term><term>Fascia</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Obésité</term><term>Oedème</term><term>Jambe</term><term>Postthrombose veine syndrome</term><term>Membre</term><term>Scintigraphie</term><term>Sujet âgé</term><term>Syndrome post-phlébitique</term><term>Système lymphatique</term><term>Exploration</term><term>Technique</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo)edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome), subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.</div></front></TEI><double idat="0024-7766:1998:Br Utigam P:analysis:of:lymphatic"><INIST><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy</title><author><name sortKey="Br Utigam, P" sort="Br Utigam, P" uniqKey="Br Utigam P" first="P." last="Br Utigam">P. Br Utigam</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author><author><name sortKey="Fodl, E" sort="Fodl, E" uniqKey="Fodl E" first="E." last="Födl">E. Födl</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Földiklinik, Fachklinik für lymphologische Erkrankungen</s1><s2>Hinterzarten</s2><s3>DEU</s3><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Hinterzarten</wicri:noRegion><wicri:noRegion>Fachklinik für lymphologische Erkrankungen</wicri:noRegion><wicri:noRegion>Hinterzarten</wicri:noRegion></affiliation></author><author><name sortKey="Schaiper, I" sort="Schaiper, I" uniqKey="Schaiper I" first="I." last="Schaiper">I. Schaiper</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Zentrum für Nuklearmedizin, Paracelsus-Klinik Osnabrück</s1><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Paracelsus-Klinik Osnabrück</wicri:noRegion><wicri:noRegion>Zentrum für Nuklearmedizin, Paracelsus-Klinik Osnabrück</wicri:noRegion></affiliation></author><author><name sortKey="Krause, T" sort="Krause, T" uniqKey="Krause T" first="T." last="Krause">T. Krause</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author><author><name sortKey="Vanscheidt, W" sort="Vanscheidt, W" uniqKey="Vanscheidt W" first="W." last="Vanscheidt">W. Vanscheidt</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Universitäts-Hautklinik</s1><s2>Freiburg</s2><s3>DEU</s3><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E." last="Moser">E. Moser</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">98-0366277</idno><date when="1998">1998</date><idno type="stanalyst">PASCAL 98-0366277 INIST</idno><idno type="RBID">Pascal:98-0366277</idno><idno type="wicri:Area/PascalFrancis/Corpus">000A88</idno><idno type="wicri:Area/PascalFrancis/Curation">001020</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000B00</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000B00</idno><idno type="wicri:doubleKey">0024-7766:1998:Br Utigam P:analysis:of:lymphatic</idno><idno type="wicri:Area/Main/Merge">00BE24</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy</title><author><name sortKey="Br Utigam, P" sort="Br Utigam, P" uniqKey="Br Utigam P" first="P." last="Br Utigam">P. Br Utigam</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author><author><name sortKey="Fodl, E" sort="Fodl, E" uniqKey="Fodl E" first="E." last="Födl">E. Födl</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Földiklinik, Fachklinik für lymphologische Erkrankungen</s1><s2>Hinterzarten</s2><s3>DEU</s3><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Hinterzarten</wicri:noRegion><wicri:noRegion>Fachklinik für lymphologische Erkrankungen</wicri:noRegion><wicri:noRegion>Hinterzarten</wicri:noRegion></affiliation></author><author><name sortKey="Schaiper, I" sort="Schaiper, I" uniqKey="Schaiper I" first="I." last="Schaiper">I. Schaiper</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Zentrum für Nuklearmedizin, Paracelsus-Klinik Osnabrück</s1><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Paracelsus-Klinik Osnabrück</wicri:noRegion><wicri:noRegion>Zentrum für Nuklearmedizin, Paracelsus-Klinik Osnabrück</wicri:noRegion></affiliation></author><author><name sortKey="Krause, T" sort="Krause, T" uniqKey="Krause T" first="T." last="Krause">T. Krause</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author><author><name sortKey="Vanscheidt, W" sort="Vanscheidt, W" uniqKey="Vanscheidt W" first="W." last="Vanscheidt">W. Vanscheidt</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Universitäts-Hautklinik</s1><s2>Freiburg</s2><s3>DEU</s3><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E." last="Moser">E. Moser</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="1998">1998</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Edema</term><term>Exploration</term><term>Human</term><term>Leg</term><term>Limb</term><term>Lymphatic system</term><term>Lymphedema</term><term>Postphlebitic syndrome</term><term>Scintigraphy</term><term>Technique</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Oedème</term><term>Jambe</term><term>Postthrombose veine syndrome</term><term>Membre</term><term>Scintigraphie</term><term>Système lymphatique</term><term>Exploration</term><term>Technique</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo)edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome), subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.</div></front></TEI></INIST><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy.</title><author><name sortKey="Br Utigam, P" sort="Br Utigam, P" uniqKey="Br Utigam P" first="P" last="Br Utigam">P. Br Utigam</name><affiliation wicri:level="1"><nlm:affiliation>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:regionArea><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author><author><name sortKey="Foldi, E" sort="Foldi, E" uniqKey="Foldi E" first="E" last="Földi">E. Földi</name></author><author><name sortKey="Schaiper, I" sort="Schaiper, I" uniqKey="Schaiper I" first="I" last="Schaiper">I. Schaiper</name></author><author><name sortKey="Krause, T" sort="Krause, T" uniqKey="Krause T" first="T" last="Krause">T. Krause</name></author><author><name sortKey="Vanscheidt, W" sort="Vanscheidt, W" uniqKey="Vanscheidt W" first="W" last="Vanscheidt">W. Vanscheidt</name></author><author><name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E" last="Moser">E. Moser</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9664268</idno><idno type="pmid">9664268</idno><idno type="wicri:Area/PubMed/Corpus">004E65</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004E65</idno><idno type="wicri:Area/PubMed/Curation">004E65</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004E65</idno><idno type="wicri:Area/PubMed/Checkpoint">004E65</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">004E65</idno><idno type="wicri:Area/Ncbi/Merge">00BC32</idno><idno type="wicri:Area/Ncbi/Curation">00BC32</idno><idno type="wicri:Area/Ncbi/Checkpoint">00BC32</idno><idno type="wicri:doubleKey">0024-7766:1998:Br Utigam P:analysis:of:lymphatic</idno><idno type="wicri:Area/Main/Merge">00B857</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy.</title><author><name sortKey="Br Utigam, P" sort="Br Utigam, P" uniqKey="Br Utigam P" first="P" last="Br Utigam">P. Br Utigam</name><affiliation wicri:level="1"><nlm:affiliation>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg</wicri:regionArea><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion><wicri:noRegion>Radiol. University Klinik Freiburg</wicri:noRegion></affiliation></author><author><name sortKey="Foldi, E" sort="Foldi, E" uniqKey="Foldi E" first="E" last="Földi">E. Földi</name></author><author><name sortKey="Schaiper, I" sort="Schaiper, I" uniqKey="Schaiper I" first="I" last="Schaiper">I. Schaiper</name></author><author><name sortKey="Krause, T" sort="Krause, T" uniqKey="Krause T" first="T" last="Krause">T. Krause</name></author><author><name sortKey="Vanscheidt, W" sort="Vanscheidt, W" uniqKey="Vanscheidt W" first="W" last="Vanscheidt">W. Vanscheidt</name></author><author><name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E" last="Moser">E. Moser</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Edema (diagnostic imaging)</term><term>Edema (etiology)</term><term>Fascia</term><term>Female</term><term>Humans</term><term>Leg (diagnostic imaging)</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Obesity (complications)</term><term>Postphlebitic Syndrome (complications)</term><term>Postphlebitic Syndrome (diagnostic imaging)</term><term>Technetium Compounds</term><term>Whole-Body Counting</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Composés du technétium</term><term>Dosimétrie du corps entier</term><term>Fascia</term><term>Femelle</term><term>Humains</term><term>Jambe (imagerie diagnostique)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Obésité ()</term><term>Oedème (imagerie diagnostique)</term><term>Oedème (étiologie)</term><term>Sujet âgé</term><term>Syndrome post-phlébitique ()</term><term>Syndrome post-phlébitique (imagerie diagnostique)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Technetium Compounds</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity</term><term>Postphlebitic Syndrome</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Edema</term><term>Leg</term><term>Lymph Nodes</term><term>Lymphedema</term><term>Postphlebitic Syndrome</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Edema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Jambe</term><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Oedème</term><term>Syndrome post-phlébitique</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Oedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Analysis of Variance</term><term>Fascia</term><term>Female</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Whole-Body Counting</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Composés du technétium</term><term>Dosimétrie du corps entier</term><term>Fascia</term><term>Femelle</term><term>Humains</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Obésité</term><term>Sujet âgé</term><term>Syndrome post-phlébitique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo) edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome). subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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