Direct evidence of lymphatic function improvement after advanced pneumatic compression device treatment of lymphedema
Identifieur interne : 005948 ( Main/Exploration ); précédent : 005947; suivant : 005949Direct evidence of lymphatic function improvement after advanced pneumatic compression device treatment of lymphedema
Auteurs : Kristen E. Adams [États-Unis] ; John C. Rasmussen [États-Unis] ; Chinmay Darne [États-Unis] ; I-Chih Tan [États-Unis] ; Melissa B. Aldrich [États-Unis] ; Milton V. Marshall [États-Unis] ; Caroline E. Fife [États-Unis] ; Erik A. Maus [États-Unis] ; Latisha A. Smith [États-Unis] ; Renie Guilloid [États-Unis] ; Sunday Hoy [États-Unis] ; Eva M. Sevick-Muraca [États-Unis]Source :
- Biomedical Optics Express [ 2156-7085 ] ; 2010.
Abstract
Lymphedema affects up to 50% of all breast cancer survivors. Management with pneumatic compression devices (PCDs) is controversial, owing to the lack of methods to directly assess benefit. This pilot study employed an investigational, near-infrared (NIR) fluorescence imaging technique to evaluate lymphatic response to PCD therapy in normal control and breast cancer-related lymphedema (BCRL) subjects. Lymphatic propulsion rate, apparent lymph velocity, and lymphatic vessel recruitment were measured before, during, and after advanced PCD therapy. Lymphatic function improved in all control subjects and all asymptomatic arms of BCRL subjects. Lymphatic function improved in 4 of 6 BCRL affected arms, improvement defined as proximal movement of dye after therapy. NIR fluorescence lymphatic imaging may be useful to directly evaluate lymphatic response to therapy. These results suggest that PCDs can stimulate lymphatic function and may be an effective method to manage BCRL, warranting future clinical trials.
Url:
DOI: 10.1364/BOE.1.000114
PubMed: 21258451
PubMed Central: 3005162
Affiliations:
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Aldrich</name><affiliation wicri:level="1"><nlm:aff id="aff1">Center for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></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"><nlm:aff id="aff1">Center for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></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"><nlm:aff id="aff2">Division of Cardiology and Hyperbaric Medicine, Department of Internal Medicine, The University of Texas Health Science Center, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Memorial Hermann Hospital Center for Lymphedema Management and Wound Care, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Maus, Erik A" sort="Maus, Erik A" uniqKey="Maus E" first="Erik A." last="Maus">Erik A. Maus</name><affiliation wicri:level="1"><nlm:aff id="aff2">Division of Cardiology and Hyperbaric Medicine, Department of Internal Medicine, The University of Texas Health Science Center, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Memorial Hermann Hospital Center for Lymphedema Management and Wound Care, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></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"><nlm:aff id="aff2">Division of Cardiology and Hyperbaric Medicine, Department of Internal Medicine, The University of Texas Health Science Center, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Memorial Hermann Hospital Center for Lymphedema Management and Wound Care, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Guilloid, Renie" sort="Guilloid, Renie" uniqKey="Guilloid R" first="Renie" last="Guilloid">Renie Guilloid</name><affiliation wicri:level="1"><nlm:aff id="aff2">Division of Cardiology and Hyperbaric Medicine, Department of Internal Medicine, The University of Texas Health Science Center, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Memorial Hermann Hospital Center for Lymphedema Management and Wound Care, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hoy, Sunday" sort="Hoy, Sunday" uniqKey="Hoy S" first="Sunday" last="Hoy">Sunday Hoy</name><affiliation wicri:level="1"><nlm:aff id="aff4">Tactile Systems Technology, Inc., Minneapolis, MN,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></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"><nlm:aff id="aff1">Center for Molecular Imaging, The Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center, Houston, TX,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Biomedical Optics Express</title><idno type="eISSN">2156-7085</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Lymphedema affects up to 50% of all breast cancer survivors. Management with pneumatic compression devices (PCDs) is controversial, owing to the lack of methods to directly assess benefit. This pilot study employed an investigational, near-infrared (NIR) fluorescence imaging technique to evaluate lymphatic response to PCD therapy in normal control and breast cancer-related lymphedema (BCRL) subjects. Lymphatic propulsion rate, apparent lymph velocity, and lymphatic vessel recruitment were measured before, during, and after advanced PCD therapy. Lymphatic function improved in all control subjects and all asymptomatic arms of BCRL subjects. Lymphatic function improved in 4 of 6 BCRL affected arms, improvement defined as proximal movement of dye after therapy. NIR fluorescence lymphatic imaging may be useful to directly evaluate lymphatic response to therapy. These results suggest that PCDs can stimulate lymphatic function and may be an effective method to manage BCRL, warranting future clinical trials.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Armer, J M" uniqKey="Armer J">J. M. 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Fife</name><name sortKey="Guilloid, Renie" sort="Guilloid, Renie" uniqKey="Guilloid R" first="Renie" last="Guilloid">Renie Guilloid</name><name sortKey="Guilloid, Renie" sort="Guilloid, Renie" uniqKey="Guilloid R" first="Renie" last="Guilloid">Renie Guilloid</name><name sortKey="Hoy, Sunday" sort="Hoy, Sunday" uniqKey="Hoy S" first="Sunday" last="Hoy">Sunday Hoy</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="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. Smith</name><name sortKey="Tan, I Chih" sort="Tan, I Chih" uniqKey="Tan I" first="I-Chih" last="Tan">I-Chih Tan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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