Evaluation of transport kinetics in lymphoscintigraphy: Follow-up study in patients with transplanted lymphatic vessels
Identifieur interne : 00EF70 ( Main/Exploration ); précédent : 00EF69; suivant : 00EF71Evaluation of transport kinetics in lymphoscintigraphy: Follow-up study in patients with transplanted lymphatic vessels
Auteurs : Eduard Kleinhans [Allemagne] ; Rüdiger G. H. Baumeister [Allemagne] ; Dietbert Hahn [Allemagne] ; Sigismund Siuda [Allemagne] ; Udalrich Büll [Allemagne] ; Ernst Moser [Allemagne]Source :
- European Journal of Nuclear Medicine [ 0340-6997 ] ; 1985-04-01.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Lymphoedème.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Appareil circulatoire pathologie, Chirurgie, Exploration radioisotopique, Femelle, Homme, Humains, Lymphatique, Lymphatique pathologie, Lymphoedème, Lymphographie, Lymphoscintigraphie, Membre, Membres, Mâle, Radioisotope, Scintigraphie, Système lymphatique, Transplantation.
- Wicri :
English descriptors
- KwdEn :
- Adult, Cardiovascular disease, Extremities, Female, Human, Humans, Limb, Lymphatic, Lymphatic System (surgery), Lymphatic vessel disease, Lymphedema, Lymphedema (diagnostic imaging), Lymphedema (surgery), Lymphography, Lymphoscintigraphy, Male, Middle Aged, Radioisotope, Radionuclide study, Scintigraphy, Surgery, Transplantation.
- MESH :
- diagnostic imaging : Lymphedema.
- surgery : Lymphatic System, Lymphedema.
- Adult, Extremities, Female, Humans, Lymphoscintigraphy, Male, Middle Aged.
Abstract
Abstract: To quantitate visual findings in lymphoscintigraphy with 99mTc-labeled stannous sulfur colloids, a numeric index of transport kinetics was designed by combining visual assessment of five criteria: temporal and spatial distribution of the radionuclide, appearance time of lymph nodes, and graded visualization of lymph nodes and vessels. For assessment, scores were used ranging from 0 to 9. Thus, the resulting transport index (TI) ranged from 0 (normal) to 45 (pathological). TI in healthy extremities was less than 10. Lymphoscintigraphy was performed routinely in healthy lower extremities to ensure normal drainage before transplantation. In 122 investigations of upper and lower extremities, TI was found to be very sensitive (97.4%). Specificity was 90.3%. An interobserver study in 179 investigations revealed a high correlation (r=0.96). A total of 23 patients underwent autologous lymphatic transplantation. The average decrease of TI was 5.9: 31.1 before and 25.2 after transplantation. This decrease of TI was correlated with a marked decrease of the volumes of the extremities (from 3423 ml to 2580 ml). Changes in TI and volume were significant (p0.05). This method of evaluation has proved to be very sensitive, reproducible, and able to measure the transport capacity of only two or three transplanted lymph collectors.
Url:
DOI: 10.1007/BF00251310
Affiliations:
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level="j">European Journal of Nuclear Medicine</title><title level="j" type="abbrev">Eur J Nucl Med</title><idno type="ISSN">0340-6997</idno><idno type="eISSN">1619-7089</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><date type="published" when="1985-04-01">1985-04-01</date><biblScope unit="volume">10</biblScope><biblScope unit="issue">7-8</biblScope><biblScope unit="page" from="349">349</biblScope><biblScope unit="page" to="352">352</biblScope></imprint><idno type="ISSN">0340-6997</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0340-6997</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Cardiovascular disease</term><term>Extremities</term><term>Female</term><term>Human</term><term>Humans</term><term>Limb</term><term>Lymphatic</term><term>Lymphatic System (surgery)</term><term>Lymphatic vessel disease</term><term>Lymphedema</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (surgery)</term><term>Lymphography</term><term>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term><term>Radioisotope</term><term>Radionuclide study</term><term>Scintigraphy</term><term>Surgery</term><term>Transplantation</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</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>Système lymphatique ()</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="surgery" xml:lang="en"><term>Lymphatic System</term><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></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Appareil circulatoire pathologie</term><term>Chirurgie</term><term>Exploration radioisotopique</term><term>Femelle</term><term>Homme</term><term>Humains</term><term>Lymphatique</term><term>Lymphatique pathologie</term><term>Lymphoedème</term><term>Lymphographie</term><term>Lymphoscintigraphie</term><term>Membre</term><term>Membres</term><term>Mâle</term><term>Radioisotope</term><term>Scintigraphie</term><term>Système lymphatique</term><term>Transplantation</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: To quantitate visual findings in lymphoscintigraphy with 99mTc-labeled stannous sulfur colloids, a numeric index of transport kinetics was designed by combining visual assessment of five criteria: temporal and spatial distribution of the radionuclide, appearance time of lymph nodes, and graded visualization of lymph nodes and vessels. For assessment, scores were used ranging from 0 to 9. Thus, the resulting transport index (TI) ranged from 0 (normal) to 45 (pathological). TI in healthy extremities was less than 10. Lymphoscintigraphy was performed routinely in healthy lower extremities to ensure normal drainage before transplantation. In 122 investigations of upper and lower extremities, TI was found to be very sensitive (97.4%). Specificity was 90.3%. An interobserver study in 179 investigations revealed a high correlation (r=0.96). A total of 23 patients underwent autologous lymphatic transplantation. The average decrease of TI was 5.9: 31.1 before and 25.2 after transplantation. This decrease of TI was correlated with a marked decrease of the volumes of the extremities (from 3423 ml to 2580 ml). Changes in TI and volume were significant (p0.05). This method of evaluation has proved to be very sensitive, reproducible, and able to measure the transport capacity of only two or three transplanted lymph collectors.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement><orgName><li>Université Louis-et-Maximilien de Munich</li></orgName></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Kleinhans, Eduard" sort="Kleinhans, Eduard" uniqKey="Kleinhans E" first="Eduard" last="Kleinhans">Eduard Kleinhans</name></region><name sortKey="Baumeister, Rudiger G H" sort="Baumeister, Rudiger G H" uniqKey="Baumeister R" first="Rüdiger G. H." last="Baumeister">Rüdiger G. H. Baumeister</name><name sortKey="Bull, Udalrich" sort="Bull, Udalrich" uniqKey="Bull U" first="Udalrich" last="Büll">Udalrich Büll</name><name sortKey="Hahn, Dietbert" sort="Hahn, Dietbert" uniqKey="Hahn D" first="Dietbert" last="Hahn">Dietbert Hahn</name><name sortKey="Moser, Ernst" sort="Moser, Ernst" uniqKey="Moser E" first="Ernst" last="Moser">Ernst Moser</name><name sortKey="Siuda, Sigismund" sort="Siuda, Sigismund" uniqKey="Siuda S" first="Sigismund" last="Siuda">Sigismund Siuda</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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