Lymphscintigraphy predicts response to complex physical therapy in patients with early stage extremity lymphedema.
Identifieur interne : 007204 ( Main/Exploration ); précédent : 007203; suivant : 007205Lymphscintigraphy predicts response to complex physical therapy in patients with early stage extremity lymphedema.
Auteurs : J H Hwang [Corée du Sud] ; J Y Choi ; J Y Lee ; S H Hyun ; Y. Choi ; Y S Choe ; K H Lee ; B T KimSource :
- Lymphology [ 0024-7766 ] ; 2007.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Lymphoedème.
- Adulte, Adulte d'âge moyen, Antimoine, Composés du technétium, Femelle, Humains, Lymphoedème, Lymphoscintigraphie, Membres, Mâle, Sensibilité et spécificité, Techniques de physiothérapie.
English descriptors
- KwdEn :
- MESH :
- chemical : Antimony, Technetium Compounds.
- diagnostic imaging : Lymphedema.
- therapy : Lymphedema.
- Adult, Extremities, Female, Humans, Lymphoscintigraphy, Male, Middle Aged, Physical Therapy Modalities, Sensitivity and Specificity.
Abstract
We investigated whether baseline lymphscintigraphic findings can predict long-term response to complex physical therapy (CPT) in patients with early stage extremity lymphedema. Twenty patients with unilateral extremity lymphedema of clinical stage I or II underwent CPT after baseline lymphscintigraphy. Therapeutic responses (good vs. poor) were evaluated at 1 year post-CPT based on changes in skin status and subjective symptoms, and percent volume reductions and compared with clinical factors and lymphscintigraphic findings. Eleven patients showed good response to CPT with significant volume reduction of edematous extremities, and no significant volume reduction was observed in the remaining 9. Patients with good or poor responses to CPT showed no significant differences in terms of clinical variables. However, significant differences were observed between the lymphscintigraphic findings of these patients. More specifically, a lymphscintigraphic finding of main lymphatic vessels without collateral lymphatic vessels was the best predictor for a good response to CPT; the sensitivity, specificity and accuracy of this lymphscintigraphic finding is 91% (10/11), 100% (9/9) and 95% (19/20), respectively. In patients with unilateral extremity lymphedema of early stage, baseline lymphscintigraphy may usefully predict long-term response to CPT.
PubMed: 18365531
Affiliations:
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Choi</name></author><author><name sortKey="Choe, Y S" sort="Choe, Y S" uniqKey="Choe Y" first="Y S" last="Choe">Y S Choe</name></author><author><name sortKey="Lee, K H" sort="Lee, K H" uniqKey="Lee K" first="K H" last="Lee">K H Lee</name></author><author><name sortKey="Kim, B T" sort="Kim, B T" uniqKey="Kim B" first="B T" last="Kim">B T Kim</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="RBID">pubmed:18365531</idno><idno type="pmid">18365531</idno><idno type="wicri:Area/PubMed/Corpus">003328</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003328</idno><idno type="wicri:Area/PubMed/Curation">003328</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003328</idno><idno type="wicri:Area/PubMed/Checkpoint">003328</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003328</idno><idno type="wicri:Area/Ncbi/Merge">002C33</idno><idno type="wicri:Area/Ncbi/Curation">002C33</idno><idno type="wicri:Area/Ncbi/Checkpoint">002C33</idno><idno type="wicri:doubleKey">0024-7766:2007:Hwang J:lymphscintigraphy:predicts:response</idno><idno type="wicri:Area/Main/Merge">007334</idno><idno type="wicri:Area/Main/Curation">007204</idno><idno type="wicri:Area/Main/Exploration">007204</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymphscintigraphy predicts response to complex physical therapy in patients with early stage extremity lymphedema.</title><author><name sortKey="Hwang, J H" sort="Hwang, J H" uniqKey="Hwang J" first="J H" last="Hwang">J H Hwang</name><affiliation wicri:level="3"><nlm:affiliation>Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Choi, J Y" sort="Choi, J Y" uniqKey="Choi J" first="J Y" last="Choi">J Y Choi</name></author><author><name sortKey="Lee, J Y" sort="Lee, J Y" uniqKey="Lee J" first="J Y" last="Lee">J Y Lee</name></author><author><name sortKey="Hyun, S H" sort="Hyun, S H" uniqKey="Hyun S" first="S H" last="Hyun">S H Hyun</name></author><author><name sortKey="Choi, Y" sort="Choi, Y" uniqKey="Choi Y" first="Y" last="Choi">Y. Choi</name></author><author><name sortKey="Choe, Y S" sort="Choe, Y S" uniqKey="Choe Y" first="Y S" last="Choe">Y S Choe</name></author><author><name sortKey="Lee, K H" sort="Lee, K H" uniqKey="Lee K" first="K H" last="Lee">K H Lee</name></author><author><name sortKey="Kim, B T" sort="Kim, B T" uniqKey="Kim B" first="B T" last="Kim">B T Kim</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Antimony</term><term>Extremities</term><term>Female</term><term>Humans</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (therapy)</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Physical Therapy Modalities</term><term>Sensitivity and Specificity</term><term>Technetium Compounds</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Antimoine</term><term>Composés du technétium</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoscintigraphie</term><term>Membres</term><term>Mâle</term><term>Sensibilité et spécificité</term><term>Techniques de physiothérapie</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Antimony</term><term>Technetium Compounds</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Extremities</term><term>Female</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Physical Therapy Modalities</term><term>Sensitivity and Specificity</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Antimoine</term><term>Composés du technétium</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Membres</term><term>Mâle</term><term>Sensibilité et spécificité</term><term>Techniques de physiothérapie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We investigated whether baseline lymphscintigraphic findings can predict long-term response to complex physical therapy (CPT) in patients with early stage extremity lymphedema. Twenty patients with unilateral extremity lymphedema of clinical stage I or II underwent CPT after baseline lymphscintigraphy. Therapeutic responses (good vs. poor) were evaluated at 1 year post-CPT based on changes in skin status and subjective symptoms, and percent volume reductions and compared with clinical factors and lymphscintigraphic findings. Eleven patients showed good response to CPT with significant volume reduction of edematous extremities, and no significant volume reduction was observed in the remaining 9. Patients with good or poor responses to CPT showed no significant differences in terms of clinical variables. However, significant differences were observed between the lymphscintigraphic findings of these patients. More specifically, a lymphscintigraphic finding of main lymphatic vessels without collateral lymphatic vessels was the best predictor for a good response to CPT; the sensitivity, specificity and accuracy of this lymphscintigraphic finding is 91% (10/11), 100% (9/9) and 95% (19/20), respectively. In patients with unilateral extremity lymphedema of early stage, baseline lymphscintigraphy may usefully predict long-term response to CPT.</div></front></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><noCountry><name sortKey="Choe, Y S" sort="Choe, Y S" uniqKey="Choe Y" first="Y S" last="Choe">Y S Choe</name><name sortKey="Choi, J Y" sort="Choi, J Y" uniqKey="Choi J" first="J Y" last="Choi">J Y Choi</name><name sortKey="Choi, Y" sort="Choi, Y" uniqKey="Choi Y" first="Y" last="Choi">Y. Choi</name><name sortKey="Hyun, S H" sort="Hyun, S H" uniqKey="Hyun S" first="S H" last="Hyun">S H Hyun</name><name sortKey="Kim, B T" sort="Kim, B T" uniqKey="Kim B" first="B T" last="Kim">B T Kim</name><name sortKey="Lee, J Y" sort="Lee, J Y" uniqKey="Lee J" first="J Y" last="Lee">J Y Lee</name><name sortKey="Lee, K H" sort="Lee, K H" uniqKey="Lee K" first="K H" last="Lee">K H Lee</name></noCountry><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Hwang, J H" sort="Hwang, J H" uniqKey="Hwang J" first="J H" last="Hwang">J H Hwang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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