MR Lymphography of Lymphatic Vessels in Lower Extremity with Gynecologic Oncology-Related Lymphedema
Identifieur interne : 004153 ( Main/Exploration ); précédent : 004152; suivant : 004154MR Lymphography of Lymphatic Vessels in Lower Extremity with Gynecologic Oncology-Related Lymphedema
Auteurs : Qing Lu [République populaire de Chine] ; Zachary Delproposto [États-Unis] ; Alice Hu [États-Unis] ; Christine Tran [États-Unis] ; Ningfei Liu [République populaire de Chine] ; Yulai Li [République populaire de Chine] ; Jianrong Xu [République populaire de Chine] ; Duy Bui [États-Unis] ; Jiani Hu [États-Unis]Source :
- PLoS ONE [ 1932-6203 ] ; 2012.
Descripteurs français
- KwdFr :
- Acide gadopentétique (pharmacologie), Adulte, Adulte d'âge moyen, Carcinomes (), Carcinomes (anatomopathologie), Femelle, Humains, Lymphoedème (anatomopathologie), Lymphoedème (diagnostic), Lymphographie (), Membre inférieur (anatomopathologie), Produits de contraste (pharmacologie), Reproductibilité des résultats, Spectroscopie par résonance magnétique (), Sujet âgé, Traitement d'image par ordinateur, Tumeurs de l'appareil génital féminin (), Tumeurs de l'appareil génital féminin (anatomopathologie), Vaisseaux lymphatiques (anatomopathologie).
- MESH :
- anatomopathologie : Carcinomes, Lymphoedème, Membre inférieur, Tumeurs de l'appareil génital féminin, Vaisseaux lymphatiques.
- diagnostic : Lymphoedème.
- pharmacologie : Acide gadopentétique, Produits de contraste.
- Adulte, Adulte d'âge moyen, Carcinomes, Femelle, Humains, Lymphographie, Reproductibilité des résultats, Spectroscopie par résonance magnétique, Sujet âgé, Traitement d'image par ordinateur, Tumeurs de l'appareil génital féminin.
English descriptors
- KwdEn :
- Adult, Aged, Carcinoma (complications), Carcinoma (pathology), Contrast Media (pharmacology), Female, Gadolinium DTPA (pharmacology), Genital Neoplasms, Female (complications), Genital Neoplasms, Female (pathology), Humans, Image Processing, Computer-Assisted, Lower Extremity (pathology), Lymphatic Vessels (pathology), Lymphedema (diagnosis), Lymphedema (pathology), Lymphography (methods), Magnetic Resonance Spectroscopy (methods), Middle Aged, Reproducibility of Results.
- MESH :
- chemical , pharmacology : Contrast Media, Gadolinium DTPA.
- complications : Carcinoma, Genital Neoplasms, Female.
- diagnosis : Lymphedema.
- methods : Lymphography, Magnetic Resonance Spectroscopy.
- pathology : Carcinoma, Genital Neoplasms, Female, Lower Extremity, Lymphatic Vessels, Lymphedema.
- Adult, Aged, Female, Humans, Image Processing, Computer-Assisted, Middle Aged, Reproducibility of Results.
Abstract
To characterize lymphatic vessel morphology in lower extremity lymphedema using MR lymphography at 3T.
Forty females with lower extremity lymphedema secondary to gynecologic carcinoma treatment underwent MR lymphography (MRL) at 3T. Lymphatic vessel morphology in normal and affected limbs was compared.
The median diameter of the lymphatic vessels in swollen calf and thigh were significantly larger than that in the contralateral calf and thigh, respectively (p<0.05). The median number of lymphatic vessels visualized in normal calf was less than that in the lymphedematous calf (p<0.01), while no significant difference was found between the normal thigh and swollen thigh. Lymphatic vessel number in the affected calf was significantly greater than that in affected thigh and the mean diameter of affected calf was also significantly wider than that of affected thigh (p<0.01). Mean diameter of lymphatic vessels in the affected calf was significantly different between stage I and stage III (p<0.05), but not significantly different between stages I and II, and between stages II and III (p>0.05). The median number of lymphatic vessels for affected calf showed significant difference between stage I and stage III, and between stage II and stage III (p<0.05), but no significant difference between stage I and stage II (p>0.05). There was no significant difference in mean diameter or median number of lymphatic vessels in the affected thigh found between different stages (p>0.05).
There are significant differences in the number or diameter of lymphatic vessels between normal and affected limbs and there are significant differences for affected calf between early and late stages of lymphedema; therefore, MR lymphography can be helpful in diagnosis or clinical staging for lower extremity with gynecologic oncology-related lymphedema.
Url:
DOI: 10.1371/journal.pone.0050319
PubMed: 23209708
PubMed Central: 3509000
Affiliations:
- République populaire de Chine, États-Unis
- Michigan, New Jersey
- East Lansing
- Université d'État du Michigan
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Le document en format XML
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type="main">MR Lymphography of Lymphatic Vessels in Lower Extremity with Gynecologic Oncology-Related Lymphedema</title><author><name sortKey="Lu, Qing" sort="Lu, Qing" uniqKey="Lu Q" first="Qing" last="Lu">Qing Lu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Radiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Delproposto, Zachary" sort="Delproposto, Zachary" uniqKey="Delproposto Z" first="Zachary" last="Delproposto">Zachary Delproposto</name><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Department of Radiology, Henry Ford Hospital, Detroit, Michigan, United States of 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Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Li, Yulai" sort="Li, Yulai" uniqKey="Li Y" first="Yulai" last="Li">Yulai Li</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Radiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Jianrong" sort="Xu, Jianrong" uniqKey="Xu J" first="Jianrong" last="Xu">Jianrong Xu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Radiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Bui, Duy" sort="Bui, Duy" uniqKey="Bui D" first="Duy" last="Bui">Duy Bui</name><affiliation wicri:level="2"><nlm:aff id="aff6"><addr-line>Department of Radiology, Wayne State University, Detroit, Michigan, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Wayne State University, Detroit, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Hu, Jiani" sort="Hu, Jiani" uniqKey="Hu J" first="Jiani" last="Hu">Jiani Hu</name><affiliation wicri:level="2"><nlm:aff id="aff6"><addr-line>Department of Radiology, Wayne State University, Detroit, Michigan, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Wayne State University, Detroit, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Carcinoma (complications)</term><term>Carcinoma (pathology)</term><term>Contrast Media (pharmacology)</term><term>Female</term><term>Gadolinium DTPA (pharmacology)</term><term>Genital Neoplasms, Female (complications)</term><term>Genital Neoplasms, Female (pathology)</term><term>Humans</term><term>Image Processing, Computer-Assisted</term><term>Lower Extremity (pathology)</term><term>Lymphatic Vessels (pathology)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (pathology)</term><term>Lymphography (methods)</term><term>Magnetic Resonance Spectroscopy (methods)</term><term>Middle Aged</term><term>Reproducibility of Results</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acide gadopentétique (pharmacologie)</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Carcinomes ()</term><term>Carcinomes (anatomopathologie)</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (diagnostic)</term><term>Lymphographie ()</term><term>Membre inférieur (anatomopathologie)</term><term>Produits de contraste (pharmacologie)</term><term>Reproductibilité des résultats</term><term>Spectroscopie par résonance magnétique ()</term><term>Sujet âgé</term><term>Traitement d'image par ordinateur</term><term>Tumeurs de l'appareil génital féminin ()</term><term>Tumeurs de l'appareil génital féminin (anatomopathologie)</term><term>Vaisseaux lymphatiques (anatomopathologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Contrast Media</term><term>Gadolinium DTPA</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Carcinomes</term><term>Lymphoedème</term><term>Membre inférieur</term><term>Tumeurs de l'appareil génital féminin</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Carcinoma</term><term>Genital Neoplasms, Female</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymphography</term><term>Magnetic Resonance Spectroscopy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Carcinoma</term><term>Genital Neoplasms, Female</term><term>Lower Extremity</term><term>Lymphatic Vessels</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pharmacologie" xml:lang="fr"><term>Acide gadopentétique</term><term>Produits de contraste</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Image Processing, Computer-Assisted</term><term>Middle Aged</term><term>Reproducibility of Results</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Carcinomes</term><term>Femelle</term><term>Humains</term><term>Lymphographie</term><term>Reproductibilité des résultats</term><term>Spectroscopie par résonance magnétique</term><term>Sujet âgé</term><term>Traitement d'image par ordinateur</term><term>Tumeurs de l'appareil génital féminin</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To characterize lymphatic vessel morphology in lower extremity lymphedema using MR lymphography at 3T.</p></sec><sec><title>Study Design</title><p>Forty females with lower extremity lymphedema secondary to gynecologic carcinoma treatment underwent MR lymphography (MRL) at 3T. Lymphatic vessel morphology in normal and affected limbs was compared.</p></sec><sec><title>Results</title><p>The median diameter of the lymphatic vessels in swollen calf and thigh were significantly larger than that in the contralateral calf and thigh, respectively (p<0.05). The median number of lymphatic vessels visualized in normal calf was less than that in the lymphedematous calf (p<0.01), while no significant difference was found between the normal thigh and swollen thigh. Lymphatic vessel number in the affected calf was significantly greater than that in affected thigh and the mean diameter of affected calf was also significantly wider than that of affected thigh (p<0.01). Mean diameter of lymphatic vessels in the affected calf was significantly different between stage I and stage III (p<0.05), but not significantly different between stages I and II, and between stages II and III (p>0.05). The median number of lymphatic vessels for affected calf showed significant difference between stage I and stage III, and between stage II and stage III (p<0.05), but no significant difference between stage I and stage II (p>0.05). There was no significant difference in mean diameter or median number of lymphatic vessels in the affected thigh found between different stages (p>0.05).</p></sec><sec><title>Conclusion</title><p>There are significant differences in the number or diameter of lymphatic vessels between normal and affected limbs and there are significant differences for affected calf between early and late stages of lymphedema; therefore, MR lymphography can be helpful in diagnosis or clinical staging for lower extremity with gynecologic oncology-related lymphedema.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lockwood Rayermann, S" uniqKey="Lockwood Rayermann S">S Lockwood-Rayermann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kashima, K" uniqKey="Kashima K">K Kashima</name></author><author><name sortKey="Yahata, T" uniqKey="Yahata T">T Yahata</name></author><author><name sortKey="Fujita, K" 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uniqKey="Li Y" first="Yulai" last="Li">Yulai Li</name><name sortKey="Liu, Ningfei" sort="Liu, Ningfei" uniqKey="Liu N" first="Ningfei" last="Liu">Ningfei Liu</name><name sortKey="Xu, Jianrong" sort="Xu, Jianrong" uniqKey="Xu J" first="Jianrong" last="Xu">Jianrong Xu</name></country><country name="États-Unis"><region name="Michigan"><name sortKey="Delproposto, Zachary" sort="Delproposto, Zachary" uniqKey="Delproposto Z" first="Zachary" last="Delproposto">Zachary Delproposto</name></region><name sortKey="Bui, Duy" sort="Bui, Duy" uniqKey="Bui D" first="Duy" last="Bui">Duy Bui</name><name sortKey="Hu, Alice" sort="Hu, Alice" uniqKey="Hu A" first="Alice" last="Hu">Alice Hu</name><name sortKey="Hu, Jiani" sort="Hu, Jiani" uniqKey="Hu J" first="Jiani" last="Hu">Jiani Hu</name><name sortKey="Tran, Christine" sort="Tran, Christine" uniqKey="Tran C" first="Christine" last="Tran">Christine Tran</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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