Assessment of Lymphatic Contractile Function After Manual Lymphatic Drainage Using Near-Infrared Fluorescence Imaging
Identifieur interne : 005469 ( Main/Exploration ); précédent : 005468; suivant : 005470Assessment of Lymphatic Contractile Function After Manual Lymphatic Drainage Using Near-Infrared Fluorescence Imaging
Auteurs : I-Chih Tan [États-Unis] ; Erik A. Maus [États-Unis] ; John C. Rasmussen [États-Unis] ; Milton V. Marshall [États-Unis] ; Kristen E. Adams [États-Unis] ; Caroline E. Fife [États-Unis] ; Latisha A. Smith [États-Unis] ; Wenyaw Chan [États-Unis] ; Eva M. Sevick-Muraca [États-Unis]Source :
- Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Agents colorants, Bras, Drainage (), Femelle, Humains, Jambe, Jeune adulte, Lymphoedème (), Lymphoedème (physiopathologie), Mâle, Noeuds lymphatiques (physiopathologie), Projets pilotes, Radioscopie, Sujet âgé, Système lymphatique (physiopathologie), Vert indocyanine.
- MESH :
- physiopathologie : Lymphoedème, Noeuds lymphatiques, Système lymphatique.
- Pascal (Inist)
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Arm, Bypass, Coloring Agents, Drainage (methods), Female, Fluorescence, Fluoroscopy, Humans, Indocyanine Green, Leg, Lymph Nodes (physiopathology), Lymphatic System (physiopathology), Lymphatic system, Lymphedema, Lymphedema (physiopathology), Lymphedema (therapy), Male, Manuals, Middle Aged, Orthopedics, Pilot Projects, Reeducation, Treatment, Young Adult.
- MESH :
- chemical : Coloring Agents, Indocyanine Green.
- methods : Drainage.
- physiopathology : Lymph Nodes, Lymphatic System, Lymphedema.
- therapy : Lymphedema.
- Adolescent, Adult, Aged, Arm, Female, Fluoroscopy, Humans, Leg, Male, Middle Aged, Pilot Projects, Young Adult.
Abstract
Objective: To investigate the feasibility of assessing the efficacy of manual lymphatic drainage (MLD), a method for lymphedema (LE) management, by using near-infrared (NIR) fluorescence imaging. Design: Exploratory pilot study. Setting: Primary care unit. Participants: Subjects (N=10; age, 18-68y) with a diagnosis of grade I or II LE and 12 healthy control subjects (age, 22-59y). Intervention: Indocyanine green (25 μg in 0.1 mL each) was injected intradermally in bilateral arms or legs of subjects. Diffused excitation light illuminated the limbs, and NIR fluorescence images were collected by using custom-built imaging systems. Subjects received MLD therapy, and imaging was performed pre- and posttherapy. Main Outcome Measures: Apparent lymph velocities and periods between lymphatic propulsion events were computed from fluorescence images. Data collected pre- and post-MLD were compared and evaluated for differences. Results: By comparing pre-MLD lymphatic contractile function against post-MLD lymphatic function, results showed that average apparent lymph velocity increased in both the symptomatic (+23%) and asymptomatic (+25%) limbs of subjects with LE and control limbs (+28%) of healthy subjects. The average lymphatic propulsion period decreased in symptomatic (-9%) and asymptomatic (-20%) limbs of subjects with LE, as well as in control limbs (-23%). Conclusions: We showed that NIR fluorescence imaging could be used to quantify immediate improvement of lymphatic contractile function after MLD.
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Maus</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Division of Cardiology and Hyperbaric Medicine, Department of Internal Medicine, The University of Texas Health Science Center</s1><s2>Houston</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Houston</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Memorial Hermann Center for Lymphedema Management</s1><s2>Houston</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Memorial Hermann Center for Lymphedema Management</wicri:noRegion></affiliation></author><author><name sortKey="Rasmussen, John C" sort="Rasmussen, John C" uniqKey="Rasmussen J" first="John C." last="Rasmussen">John C. Rasmussen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Center for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center</s1><s2>Houston</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Houston</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Radiology, Baylor College of Medicine</s1><s2>Houston</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><orgName type="university">Baylor College of Medicine</orgName></affiliation></author><author><name sortKey="Marshall, Milton V" sort="Marshall, Milton V" uniqKey="Marshall M" first="Milton V." last="Marshall">Milton V. Marshall</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Center for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center</s1><s2>Houston</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Houston</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Radiology, Baylor College of Medicine</s1><s2>Houston</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><orgName type="university">Baylor College of Medicine</orgName></affiliation></author><author><name sortKey="Adams, Kristen E" sort="Adams, Kristen E" uniqKey="Adams K" first="Kristen E." last="Adams">Kristen E. Adams</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Center for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center</s1><s2>Houston</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Houston</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Radiology, Baylor College of Medicine</s1><s2>Houston</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><orgName type="university">Baylor College of Medicine</orgName></affiliation></author><author><name sortKey="Fife, Caroline E" sort="Fife, Caroline E" uniqKey="Fife C" first="Caroline E." last="Fife">Caroline E. Fife</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Division of Cardiology and Hyperbaric Medicine, Department of Internal Medicine, The University of Texas Health Science Center</s1><s2>Houston</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Houston</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Memorial Hermann Center for Lymphedema Management</s1><s2>Houston</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Memorial Hermann Center for Lymphedema Management</wicri:noRegion></affiliation></author><author><name sortKey="Smith, Latisha A" sort="Smith, Latisha A" uniqKey="Smith L" first="Latisha A." last="Smith">Latisha A. Smith</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Division of Cardiology and Hyperbaric Medicine, Department of Internal Medicine, The University of Texas Health Science Center</s1><s2>Houston</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Houston</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Memorial Hermann Center for Lymphedema Management</s1><s2>Houston</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Memorial Hermann Center for Lymphedema Management</wicri:noRegion></affiliation></author><author><name sortKey="Chan, Wenyaw" sort="Chan, Wenyaw" uniqKey="Chan W" first="Wenyaw" last="Chan">Wenyaw Chan</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Division of Biostatistics, University of Texas School of Public Health</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Sevick Muraca, Eva M" sort="Sevick Muraca, Eva M" uniqKey="Sevick Muraca E" first="Eva M." last="Sevick-Muraca">Eva M. Sevick-Muraca</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Center for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center</s1><s2>Houston</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Houston</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Radiology, Baylor College of Medicine</s1><s2>Houston</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><orgName type="university">Baylor College of Medicine</orgName></affiliation></author></analytic><series><title level="j" type="main">Archives of physical medicine and rehabilitation</title><title level="j" type="abbreviated">Arch. phys. med. rehabil.</title><idno type="ISSN">0003-9993</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Archives of physical medicine and rehabilitation</title><title level="j" type="abbreviated">Arch. phys. med. rehabil.</title><idno type="ISSN">0003-9993</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Arm</term><term>Bypass</term><term>Coloring Agents</term><term>Drainage (methods)</term><term>Female</term><term>Fluorescence</term><term>Fluoroscopy</term><term>Humans</term><term>Indocyanine Green</term><term>Leg</term><term>Lymph Nodes (physiopathology)</term><term>Lymphatic System (physiopathology)</term><term>Lymphatic system</term><term>Lymphedema</term><term>Lymphedema (physiopathology)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Manuals</term><term>Middle Aged</term><term>Orthopedics</term><term>Pilot Projects</term><term>Reeducation</term><term>Treatment</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Agents colorants</term><term>Bras</term><term>Drainage ()</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Jeune adulte</term><term>Lymphoedème ()</term><term>Lymphoedème (physiopathologie)</term><term>Mâle</term><term>Noeuds lymphatiques (physiopathologie)</term><term>Projets pilotes</term><term>Radioscopie</term><term>Sujet âgé</term><term>Système lymphatique (physiopathologie)</term><term>Vert indocyanine</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Coloring Agents</term><term>Indocyanine Green</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Drainage</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Système lymphatique</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymph Nodes</term><term>Lymphatic System</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Arm</term><term>Female</term><term>Fluoroscopy</term><term>Humans</term><term>Leg</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Young Adult</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Agents colorants</term><term>Bras</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Jeune adulte</term><term>Lymphoedème</term><term>Mâle</term><term>Projets pilotes</term><term>Radioscopie</term><term>Sujet âgé</term><term>Système lymphatique</term><term>Manuel</term><term>Dérivation</term><term>Fluorescence</term><term>Lymphoedème</term><term>Rééducation</term><term>Orthopédie</term><term>Traitement</term><term>Vert indocyanine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To investigate the feasibility of assessing the efficacy of manual lymphatic drainage (MLD), a method for lymphedema (LE) management, by using near-infrared (NIR) fluorescence imaging. Design: Exploratory pilot study. Setting: Primary care unit. Participants: Subjects (N=10; age, 18-68y) with a diagnosis of grade I or II LE and 12 healthy control subjects (age, 22-59y). Intervention: Indocyanine green (25 μg in 0.1 mL each) was injected intradermally in bilateral arms or legs of subjects. Diffused excitation light illuminated the limbs, and NIR fluorescence images were collected by using custom-built imaging systems. Subjects received MLD therapy, and imaging was performed pre- and posttherapy. Main Outcome Measures: Apparent lymph velocities and periods between lymphatic propulsion events were computed from fluorescence images. Data collected pre- and post-MLD were compared and evaluated for differences. Results: By comparing pre-MLD lymphatic contractile function against post-MLD lymphatic function, results showed that average apparent lymph velocity increased in both the symptomatic (+23%) and asymptomatic (+25%) limbs of subjects with LE and control limbs (+28%) of healthy subjects. The average lymphatic propulsion period decreased in symptomatic (-9%) and asymptomatic (-20%) limbs of subjects with LE, as well as in control limbs (-23%). Conclusions: We showed that NIR fluorescence imaging could be used to quantify immediate improvement of lymphatic contractile function after MLD.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region><settlement><li>Houston</li></settlement><orgName><li>Baylor College of Medicine</li></orgName></list><tree><country name="États-Unis"><noRegion><name sortKey="Tan, I Chih" sort="Tan, I Chih" uniqKey="Tan I" first="I-Chih" last="Tan">I-Chih Tan</name></noRegion><name sortKey="Adams, Kristen E" sort="Adams, Kristen E" uniqKey="Adams K" first="Kristen E." last="Adams">Kristen E. Adams</name><name sortKey="Adams, Kristen E" sort="Adams, Kristen E" uniqKey="Adams K" first="Kristen E." last="Adams">Kristen E. Adams</name><name sortKey="Chan, Wenyaw" sort="Chan, Wenyaw" uniqKey="Chan W" first="Wenyaw" last="Chan">Wenyaw Chan</name><name sortKey="Fife, Caroline E" sort="Fife, Caroline E" uniqKey="Fife C" first="Caroline E." last="Fife">Caroline E. Fife</name><name sortKey="Fife, Caroline E" sort="Fife, Caroline E" uniqKey="Fife C" first="Caroline E." last="Fife">Caroline E. Fife</name><name sortKey="Marshall, Milton V" sort="Marshall, Milton V" uniqKey="Marshall M" first="Milton V." last="Marshall">Milton V. Marshall</name><name sortKey="Marshall, Milton V" sort="Marshall, Milton V" uniqKey="Marshall M" first="Milton V." last="Marshall">Milton V. Marshall</name><name sortKey="Maus, Erik A" sort="Maus, Erik A" uniqKey="Maus E" first="Erik A." last="Maus">Erik A. Maus</name><name sortKey="Maus, Erik A" sort="Maus, Erik A" uniqKey="Maus E" first="Erik A." last="Maus">Erik A. Maus</name><name sortKey="Rasmussen, John C" sort="Rasmussen, John C" uniqKey="Rasmussen J" first="John C." last="Rasmussen">John C. Rasmussen</name><name sortKey="Rasmussen, John C" sort="Rasmussen, John C" uniqKey="Rasmussen J" first="John C." last="Rasmussen">John C. Rasmussen</name><name sortKey="Sevick Muraca, Eva M" sort="Sevick Muraca, Eva M" uniqKey="Sevick Muraca E" first="Eva M." last="Sevick-Muraca">Eva M. Sevick-Muraca</name><name sortKey="Sevick Muraca, Eva M" sort="Sevick Muraca, Eva M" uniqKey="Sevick Muraca E" first="Eva M." last="Sevick-Muraca">Eva M. Sevick-Muraca</name><name sortKey="Smith, Latisha A" sort="Smith, Latisha A" uniqKey="Smith L" first="Latisha A." last="Smith">Latisha A. Smith</name><name sortKey="Smith, Latisha A" sort="Smith, Latisha A" uniqKey="Smith L" first="Latisha A." last="Smith">Latisha A. 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