The third circulation: Radionuclide lymphoscintigraphy in the evaluation of lymphedema
Identifieur interne : 009242 ( Main/Exploration ); précédent : 009241; suivant : 009243The third circulation: Radionuclide lymphoscintigraphy in the evaluation of lymphedema
Auteurs : Andrzej Szuba [États-Unis] ; William S. Shin [États-Unis] ; H. William Strauss [États-Unis] ; Stanley Rockson [États-Unis]Source :
- The Journal of nuclear medicine : (1978) [ 0161-5505 ] ; 2003.
Descripteurs français
- KwdFr :
- Bras (imagerie diagnostique), Bras (physiopathologie), Diagnostic différentiel, Humains, Jambe (imagerie diagnostique), Jambe (physiopathologie), Lymphe (imagerie diagnostique), Lymphoedème (imagerie diagnostique), Lymphoedème (physiopathologie), Lymphoscintigraphie, Noeuds lymphatiques (imagerie diagnostique), Noeuds lymphatiques (physiopathologie), Oedème (imagerie diagnostique), Système lymphatique (physiopathologie).
- MESH :
- imagerie diagnostique : Bras, Jambe, Lymphe, Lymphoedème, Noeuds lymphatiques, Oedème.
- physiopathologie : Bras, Jambe, Lymphoedème, Noeuds lymphatiques, Système lymphatique.
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Arm (diagnostic imaging), Arm (physiopathology), Decision aid, Diagnosis, Diagnosis, Differential, Edema (diagnostic imaging), Human, Humans, Leg (diagnostic imaging), Leg (physiopathology), Lower limb, Lymph (diagnostic imaging), Lymph Nodes (diagnostic imaging), Lymph Nodes (physiopathology), Lymphatic System (physiopathology), Lymphatic circulation, Lymphedema, Lymphedema (diagnostic imaging), Lymphedema (physiopathology), Lymphoscintigraphy, Medical application, Pathophysiology, Radiopharmaceuticals, Review, Scintigraphy, Semiology, Therapeutic protocol.
- MESH :
- diagnostic imaging : Arm, Edema, Leg, Lymph, Lymph Nodes, Lymphedema.
- physiopathology : Arm, Leg, Lymph Nodes, Lymphatic System, Lymphedema.
- Diagnosis, Differential, Humans, Lymphoscintigraphy.
Abstract
Lymphedema-edema that results from chronic lymphatic insufficiency-is a chronic debilitating disease that is frequently misdiagnosed, treated too late, or not treated at all. There are, however, effective therapies for lymphedema that can be implemented, particularly after the disorder is properly diagnosed and characterized with lymphoscintigraphy. On the basis of the lymphoscintigraphic image pattern, it is often possible to determine whether the limb swelling is due to lymphedema and, if so, whether compression garments, massage, or surgery is indicated. Effective use of lymphoscintigraphy to plan therapy requires an understanding of the pathophysiology of lymphedema and the influence of technical factors such as selection of the radiopharmaceutical, imaging times after injection, and patient activity after injection on the images. In addition to reviewing the anatomy and physiology of the lymphatic system, we review physiologic principles of lymphatic imaging with lymphoscintigraphy, discuss different qualitative and quantitative lymphoscintigraphic techniques and their clinical applications, and present clinical cases depicting typical lymphoscintigraphic findings.
Affiliations:
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Shin</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Division of Cardiovascular Medicine, Stanford University School of Medicine</s1><s2>Stanford, California</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Strauss, H William" sort="Strauss, H William" uniqKey="Strauss H" first="H. William" last="Strauss">H. William Strauss</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Division of Nuclear Medicine, Stanford University School of Medicine</s1><s2>Stanford, California</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Rockson, Stanley" sort="Rockson, Stanley" uniqKey="Rockson S" first="Stanley" last="Rockson">Stanley Rockson</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Division of Cardiovascular Medicine, Stanford University School of Medicine</s1><s2>Stanford, California</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j" type="main">The Journal of nuclear medicine : (1978)</title><title level="j" type="abbreviated">J. nucl. med. : (1978)</title><idno type="ISSN">0161-5505</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The Journal of nuclear medicine : (1978)</title><title level="j" type="abbreviated">J. nucl. med. : (1978)</title><idno type="ISSN">0161-5505</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm (diagnostic imaging)</term><term>Arm (physiopathology)</term><term>Decision aid</term><term>Diagnosis</term><term>Diagnosis, Differential</term><term>Edema (diagnostic imaging)</term><term>Human</term><term>Humans</term><term>Leg (diagnostic imaging)</term><term>Leg (physiopathology)</term><term>Lower limb</term><term>Lymph (diagnostic imaging)</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymph Nodes (physiopathology)</term><term>Lymphatic System (physiopathology)</term><term>Lymphatic circulation</term><term>Lymphedema</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (physiopathology)</term><term>Lymphoscintigraphy</term><term>Medical application</term><term>Pathophysiology</term><term>Radiopharmaceuticals</term><term>Review</term><term>Scintigraphy</term><term>Semiology</term><term>Therapeutic protocol</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Bras (imagerie diagnostique)</term><term>Bras (physiopathologie)</term><term>Diagnostic différentiel</term><term>Humains</term><term>Jambe (imagerie diagnostique)</term><term>Jambe (physiopathologie)</term><term>Lymphe (imagerie diagnostique)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoscintigraphie</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Noeuds lymphatiques (physiopathologie)</term><term>Oedème (imagerie diagnostique)</term><term>Système lymphatique (physiopathologie)</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Arm</term><term>Edema</term><term>Leg</term><term>Lymph</term><term>Lymph Nodes</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Bras</term><term>Jambe</term><term>Lymphe</term><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Oedème</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Bras</term><term>Jambe</term><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Système lymphatique</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arm</term><term>Leg</term><term>Lymph Nodes</term><term>Lymphatic System</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term><term>Humans</term><term>Lymphoscintigraphy</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Diagnostic différentiel</term><term>Humains</term><term>Lymphoedème</term><term>Homme</term><term>Diagnostic</term><term>Lymphoscintigraphie</term><term>Scintigraphie</term><term>Circulation lymphatique</term><term>Membre inférieur</term><term>Aide décision</term><term>Protocole thérapeutique</term><term>Physiopathologie</term><term>Produit radioisotopique</term><term>Application médicale</term><term>Sémiologie</term><term>Article synthèse</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema-edema that results from chronic lymphatic insufficiency-is a chronic debilitating disease that is frequently misdiagnosed, treated too late, or not treated at all. There are, however, effective therapies for lymphedema that can be implemented, particularly after the disorder is properly diagnosed and characterized with lymphoscintigraphy. On the basis of the lymphoscintigraphic image pattern, it is often possible to determine whether the limb swelling is due to lymphedema and, if so, whether compression garments, massage, or surgery is indicated. Effective use of lymphoscintigraphy to plan therapy requires an understanding of the pathophysiology of lymphedema and the influence of technical factors such as selection of the radiopharmaceutical, imaging times after injection, and patient activity after injection on the images. In addition to reviewing the anatomy and physiology of the lymphatic system, we review physiologic principles of lymphatic imaging with lymphoscintigraphy, discuss different qualitative and quantitative lymphoscintigraphic techniques and their clinical applications, and present clinical cases depicting typical lymphoscintigraphic findings.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Szuba, Andrzej" sort="Szuba, Andrzej" uniqKey="Szuba A" first="Andrzej" last="Szuba">Andrzej Szuba</name></region><name sortKey="Rockson, Stanley" sort="Rockson, Stanley" uniqKey="Rockson S" first="Stanley" last="Rockson">Stanley Rockson</name><name sortKey="Shin, William S" sort="Shin, William S" uniqKey="Shin W" first="William S." last="Shin">William S. Shin</name><name sortKey="Strauss, H William" sort="Strauss, H William" uniqKey="Strauss H" first="H. William" last="Strauss">H. William Strauss</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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