The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study.
Identifieur interne : 002399 ( Main/Exploration ); précédent : 002398; suivant : 002400The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study.
Auteurs : Joseph H. Dayan [États-Unis] ; Erez Dayan [États-Unis] ; Alexander Kagen [États-Unis] ; Ming-Huei Cheng [Taïwan] ; Mark Sultan [États-Unis] ; William Samson [États-Unis] ; Mark L. Smith [États-Unis]Source :
- Journal of reconstructive microsurgery [ 1098-8947 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- anatomie et histologie : Aine.
- Adulte d'âge moyen, Angiographie par résonance magnétique, Femelle, Humains, Lambeaux chirurgicaux, Lymphoedème, Noeuds lymphatiques, Tatouage.
English descriptors
- KwdEn :
- MESH :
- anatomy & histology : Groin.
- blood supply : Surgical Flaps.
- surgery : Lymphedema.
- transplantation : Lymph Nodes.
- Female, Humans, Magnetic Resonance Angiography, Middle Aged, Tattooing.
Abstract
Vascularized groin lymph node transfer (VGLNT) has been successfully used to treat lymphedema. However, lack of familiarity with the inguinal node anatomy and concerns regarding donor site morbidity have limited its widespread use. The purpose of this study was to use magnetic resonance angiography (MRA) to clarify the inguinal anatomy and provide a reliable method for identifying the location of the superficial transverse inguinal lymph nodes. In this study MRA was used to evaluate the superficial inguinal lymph nodes in 117 patients. Coordinates of lymph nodes were plotted relative to an axis from the anterior superior iliac spine (ASIS) to the pubic tubercle (PT). The nodes were also plotted relative to the superficial circumflex iliac vein (SCIV) and superficial inferior epigastric vein (SIEV). A total of 1,938 lymph nodes were identified. These lymph nodes were concentrated on one-third the distance from the PT toward the ASIS and 3 cm perpendicularly below this line. About 67% of the superficial inguinal nodes were located within the bifurcation of the SIEV and SCIV. The results from this study provide useful guidelines for locating lymph nodes targeted for VGLNT.
DOI: 10.1055/s-0033-1351668
PubMed: 24019175
Affiliations:
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Dayan</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Dayan, Erez" sort="Dayan, Erez" uniqKey="Dayan E" first="Erez" last="Dayan">Erez Dayan</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Kagen, Alexander" sort="Kagen, Alexander" uniqKey="Kagen A" first="Alexander" last="Kagen">Alexander Kagen</name><affiliation wicri:level="2"><nlm:affiliation>Department of Radiology, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Radiology, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name><affiliation wicri:level="1"><nlm:affiliation>Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan</wicri:regionArea><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Sultan, Mark" sort="Sultan, Mark" uniqKey="Sultan M" first="Mark" last="Sultan">Mark Sultan</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Samson, William" sort="Samson, William" uniqKey="Samson W" first="William" last="Samson">William Samson</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Smith, Mark L" sort="Smith, Mark L" uniqKey="Smith M" first="Mark L" last="Smith">Mark L. 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Dayan</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Dayan, Erez" sort="Dayan, Erez" uniqKey="Dayan E" first="Erez" last="Dayan">Erez Dayan</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Kagen, Alexander" sort="Kagen, Alexander" uniqKey="Kagen A" first="Alexander" last="Kagen">Alexander Kagen</name><affiliation wicri:level="2"><nlm:affiliation>Department of Radiology, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Radiology, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name><affiliation wicri:level="1"><nlm:affiliation>Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan</wicri:regionArea><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Sultan, Mark" sort="Sultan, Mark" uniqKey="Sultan M" first="Mark" last="Sultan">Mark Sultan</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Samson, William" sort="Samson, William" uniqKey="Samson W" first="William" last="Samson">William Samson</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Smith, Mark L" sort="Smith, Mark L" uniqKey="Smith M" first="Mark L" last="Smith">Mark L. Smith</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Beth Israel Medical Center, New York</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of reconstructive microsurgery</title><idno type="eISSN">1098-8947</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female</term><term>Groin (anatomy & histology)</term><term>Humans</term><term>Lymph Nodes (transplantation)</term><term>Lymphedema (surgery)</term><term>Magnetic Resonance Angiography</term><term>Middle Aged</term><term>Surgical Flaps (blood supply)</term><term>Tattooing</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aine (anatomie et histologie)</term><term>Angiographie par résonance magnétique</term><term>Femelle</term><term>Humains</term><term>Lambeaux chirurgicaux ()</term><term>Lymphoedème ()</term><term>Noeuds lymphatiques (transplantation)</term><term>Tatouage</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Aine</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Groin</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Magnetic Resonance Angiography</term><term>Middle Aged</term><term>Tattooing</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Angiographie par résonance magnétique</term><term>Femelle</term><term>Humains</term><term>Lambeaux chirurgicaux</term><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Tatouage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vascularized groin lymph node transfer (VGLNT) has been successfully used to treat lymphedema. However, lack of familiarity with the inguinal node anatomy and concerns regarding donor site morbidity have limited its widespread use. The purpose of this study was to use magnetic resonance angiography (MRA) to clarify the inguinal anatomy and provide a reliable method for identifying the location of the superficial transverse inguinal lymph nodes. In this study MRA was used to evaluate the superficial inguinal lymph nodes in 117 patients. Coordinates of lymph nodes were plotted relative to an axis from the anterior superior iliac spine (ASIS) to the pubic tubercle (PT). The nodes were also plotted relative to the superficial circumflex iliac vein (SCIV) and superficial inferior epigastric vein (SIEV). A total of 1,938 lymph nodes were identified. These lymph nodes were concentrated on one-third the distance from the PT toward the ASIS and 3 cm perpendicularly below this line. About 67% of the superficial inguinal nodes were located within the bifurcation of the SIEV and SCIV. The results from this study provide useful guidelines for locating lymph nodes targeted for VGLNT.</div></front></TEI><affiliations><list><country><li>Taïwan</li><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Dayan, Joseph H" sort="Dayan, Joseph H" uniqKey="Dayan J" first="Joseph H" last="Dayan">Joseph H. Dayan</name></region><name sortKey="Dayan, Erez" sort="Dayan, Erez" uniqKey="Dayan E" first="Erez" last="Dayan">Erez Dayan</name><name sortKey="Kagen, Alexander" sort="Kagen, Alexander" uniqKey="Kagen A" first="Alexander" last="Kagen">Alexander Kagen</name><name sortKey="Samson, William" sort="Samson, William" uniqKey="Samson W" first="William" last="Samson">William Samson</name><name sortKey="Smith, Mark L" sort="Smith, Mark L" uniqKey="Smith M" first="Mark L" last="Smith">Mark L. Smith</name><name sortKey="Sultan, Mark" sort="Sultan, Mark" uniqKey="Sultan M" first="Mark" last="Sultan">Mark Sultan</name></country><country name="Taïwan"><noRegion><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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