Lymphscintigraphic evaluation of manual lymphatic drainage for lower extremity lymphedema
Identifieur interne : 007D83 ( Main/Exploration ); précédent : 007D82; suivant : 007D84Lymphscintigraphic evaluation of manual lymphatic drainage for lower extremity lymphedema
Auteurs : A. P. Kafejian-Haddad [Brésil] ; M. C. Janeiro Perez [Brésil] ; M. L. V. Castiglioni [Brésil] ; F. Jr Miranda [Brésil] ; L. F. Poli De Figueiredo [Brésil]Source :
- Lymphology [ 0024-7766 ] ; 2006.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Composés organiques du technétium, Dextrane, Drainage, Femelle, Humains, Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphoscintigraphie, Membre inférieur (anatomopathologie), Radiopharmaceutiques, Sujet âgé, Sujet âgé de 80 ans ou plus, Valeur prédictive des tests.
- MESH :
- anatomopathologie : Membre inférieur.
- imagerie diagnostique : Lymphoedème.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Appareil circulatoire pathologie, Composés organiques du technétium, Dextrane, Drainage, Femelle, Humains, Lymphatique pathologie, Lymphoedème, Lymphoscintigraphie, Manuel, Radiopharmaceutiques, Sujet âgé, Sujet âgé de 80 ans ou plus, Système lymphatique, Drainage, Dérivation, Valeur prédictive des tests.
- Wicri :
- topic : Drainage.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Bypass, Cardiovascular disease, Dextrans, Drainage, Female, Humans, Lower Extremity (pathology), Lymphatic system, Lymphatic vessel disease, Lymphedema, Lymphedema (diagnostic imaging), Lymphedema (therapy), Lymphoscintigraphy, Manuals, Middle Aged, Organotechnetium Compounds, Predictive Value of Tests, Radiopharmaceuticals.
- MESH :
- chemical : Dextrans, Organotechnetium Compounds, Radiopharmaceuticals.
- diagnostic imaging : Lymphedema.
- pathology : Lower Extremity.
- therapy : Lymphedema.
- Adult, Aged, Aged, 80 and over, Drainage, Female, Humans, Lymphoscintigraphy, Middle Aged, Predictive Value of Tests.
Abstract
To evaluate the effect of manual lymphatic drainage on technetium-99m-labeled dextran (99mTcDx) transport, 16 patients with lymphedema of lower extremities underwent two lymphscintigraphy exams by injecting 99mTcDx intradermally into the first interdigital space of the affected extremity. The first was a control examination at rest followed by an examination which included a manual lymphatic drainage session after the injection of the 99mTcDx. Images were obtained 45 minutes and three hours after the injection of the radioisotope. Extremity volumes were also measured before and after the drainage session. The findings from the examinations were assessed in a quantitative, semiquantitative and qualitative manner and compared without and with drainage. The analyses of the extremities' circumference before and after the drainage by paired t-test revealed a significant decrease. The analyses of the quantitative, semi-quantitative and qualitative evaluations evidenced no significant difference, without or with drainage, within the 45-minute and three-hour periods. Thus, manual lymphatic drainage caused an effective reduction in the circumference of the extremities but did not have a significant effect in the transport of 99mTcDx.
Affiliations:
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P." last="Kafejian-Haddad">A. P. Kafejian-Haddad</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Vascular Surgery Department. "ABC" Medical School, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>1 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Janeiro Perez, M C" sort="Janeiro Perez, M C" uniqKey="Janeiro Perez M" first="M. C." last="Janeiro Perez">M. C. Janeiro Perez</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Vascular Surgery Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Castiglioni, M L V" sort="Castiglioni, M L V" uniqKey="Castiglioni M" first="M. L. V." last="Castiglioni">M. L. V. Castiglioni</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Nuclear Medicine Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>3 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Miranda, F Jr" sort="Miranda, F Jr" uniqKey="Miranda F" first="F. Jr" last="Miranda">F. Jr Miranda</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Vascular Surgery Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Poli De Figueiredo, L F" sort="Poli De Figueiredo, L F" uniqKey="Poli De Figueiredo L" first="L. F." last="Poli De Figueiredo">L. F. Poli De Figueiredo</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Experimental Surgery Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Bypass</term><term>Cardiovascular disease</term><term>Dextrans</term><term>Drainage</term><term>Female</term><term>Humans</term><term>Lower Extremity (pathology)</term><term>Lymphatic system</term><term>Lymphatic vessel disease</term><term>Lymphedema</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (therapy)</term><term>Lymphoscintigraphy</term><term>Manuals</term><term>Middle Aged</term><term>Organotechnetium Compounds</term><term>Predictive Value of Tests</term><term>Radiopharmaceuticals</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Composés organiques du technétium</term><term>Dextrane</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoscintigraphie</term><term>Membre inférieur (anatomopathologie)</term><term>Radiopharmaceutiques</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Valeur prédictive des tests</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dextrans</term><term>Organotechnetium Compounds</term><term>Radiopharmaceuticals</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Membre inférieur</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="pathology" xml:lang="en"><term>Lower Extremity</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Drainage</term><term>Female</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Middle Aged</term><term>Predictive Value of Tests</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Appareil circulatoire pathologie</term><term>Composés organiques du technétium</term><term>Dextrane</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Lymphatique pathologie</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Manuel</term><term>Radiopharmaceutiques</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Système lymphatique</term><term>Drainage</term><term>Dérivation</term><term>Valeur prédictive des tests</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Drainage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To evaluate the effect of manual lymphatic drainage on technetium-99m-labeled dextran (<sup>99m</sup>TcDx) transport, 16 patients with lymphedema of lower extremities underwent two lymphscintigraphy exams by injecting <sup>99m</sup>TcDx intradermally into the first interdigital space of the affected extremity. The first was a control examination at rest followed by an examination which included a manual lymphatic drainage session after the injection of the <sup>99m</sup>TcDx. Images were obtained 45 minutes and three hours after the injection of the radioisotope. Extremity volumes were also measured before and after the drainage session. The findings from the examinations were assessed in a quantitative, semiquantitative and qualitative manner and compared without and with drainage. The analyses of the extremities' circumference before and after the drainage by paired t-test revealed a significant decrease. The analyses of the quantitative, semi-quantitative and qualitative evaluations evidenced no significant difference, without or with drainage, within the 45-minute and three-hour periods. Thus, manual lymphatic drainage caused an effective reduction in the circumference of the extremities but did not have a significant effect in the transport of <sup>99m</sup>TcDx.</div></front></TEI><affiliations><list><country><li>Brésil</li></country></list><tree><country name="Brésil"><noRegion><name sortKey="Kafejian Haddad, A P" sort="Kafejian Haddad, A P" uniqKey="Kafejian Haddad A" first="A. P." last="Kafejian-Haddad">A. P. Kafejian-Haddad</name></noRegion><name sortKey="Castiglioni, M L V" sort="Castiglioni, M L V" uniqKey="Castiglioni M" first="M. L. V." last="Castiglioni">M. L. V. Castiglioni</name><name sortKey="Janeiro Perez, M C" sort="Janeiro Perez, M C" uniqKey="Janeiro Perez M" first="M. C." last="Janeiro Perez">M. C. Janeiro Perez</name><name sortKey="Miranda, F Jr" sort="Miranda, F Jr" uniqKey="Miranda F" first="F. Jr" last="Miranda">F. Jr Miranda</name><name sortKey="Poli De Figueiredo, L F" sort="Poli De Figueiredo, L F" uniqKey="Poli De Figueiredo L" first="L. F." last="Poli De Figueiredo">L. F. Poli De Figueiredo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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