Assessment of the interstitial fluid in the subcutaneous tissue of healthy adults using ultrasonography
Identifieur interne : 002117 ( Main/Merge ); précédent : 002116; suivant : 002118Assessment of the interstitial fluid in the subcutaneous tissue of healthy adults using ultrasonography
Auteurs : Terumi Ueda-Iuchi [Japon] ; Naoki Ohno [Japon] ; Tosiaki Miyati [Japon] ; Misako Dai [Japon] ; Mayumi Okuwa [Japon] ; Toshio Nakatani [Japon] ; Hiromi Sanada [Japon] ; Junko Sugama [Japon]Source :
- SAGE Open Medicine [ 2050-3121 ] ; 2015.
Abstract
Lymphoedema involves swelling, especially in the subcutaneous tissues. For lymphoedema management to be successful, it is necessary to remove the interstitial fluid. Subcutaneous echogenicity may be associated with interstitial fluid, but echogenicity is not an indicator for the evaluation of management because we do not directly compare echogenicity with the interstitial fluid. We aimed to identify an outcome indicator for the evaluation of interstitial fluid using ultrasonography. We assessed the correlation between echogenicity and transverse relaxation rate (R2) on magnetic resonance imaging.
This was an observational study. Healthy adults with leg swelling after activity for >8 h were recruited. The legs of 13 women were evaluated using ultrasonography, magnetic resonance imaging and measurements of the limb circumference before and after an intervention to reduce the swelling.
Echogenicity in the oedema group was greater than that of the controls. Echogenicity decreased with reductions in oedema. The range of the strongest correlations with the changes in R2 occurred at echogenicity values of 48–144 (Pearson’s correlation coefficient:
The outcome indicators for the evaluation of interstitial fluid using ultrasonography were echogenicities in the range of 48–144, and these values were valid for assessing the interstitial fluid in the subcutaneous tissue.
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DOI: 10.1177/2050312115613351
PubMed: 27092255
PubMed Central: 4821211
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in the subcutaneous tissue of healthy adults using ultrasonography</title><author><name sortKey="Ueda Iuchi, Terumi" sort="Ueda Iuchi, Terumi" uniqKey="Ueda Iuchi T" first="Terumi" last="Ueda-Iuchi">Terumi Ueda-Iuchi</name><affiliation wicri:level="1"><nlm:aff id="aff1-2050312115613351">Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation></author><author><name sortKey="Ohno, Naoki" sort="Ohno, Naoki" uniqKey="Ohno N" first="Naoki" last="Ohno">Naoki Ohno</name><affiliation wicri:level="1"><nlm:aff id="aff2-2050312115613351">Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3-2050312115613351">Wellness Promotion Science Center, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Wellness Promotion Science Center, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation></author><author><name sortKey="Miyati, Tosiaki" sort="Miyati, Tosiaki" uniqKey="Miyati T" first="Tosiaki" last="Miyati">Tosiaki Miyati</name><affiliation wicri:level="1"><nlm:aff id="aff2-2050312115613351">Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3-2050312115613351">Wellness Promotion Science Center, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Wellness Promotion Science Center, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation></author><author><name sortKey="Dai, Misako" sort="Dai, Misako" uniqKey="Dai M" first="Misako" last="Dai">Misako Dai</name><affiliation wicri:level="1"><nlm:aff id="aff2-2050312115613351">Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation></author><author><name sortKey="Okuwa, Mayumi" sort="Okuwa, Mayumi" uniqKey="Okuwa M" first="Mayumi" last="Okuwa">Mayumi Okuwa</name><affiliation wicri:level="1"><nlm:aff id="aff2-2050312115613351">Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation></author><author><name sortKey="Nakatani, Toshio" sort="Nakatani, Toshio" uniqKey="Nakatani T" first="Toshio" last="Nakatani">Toshio Nakatani</name><affiliation wicri:level="1"><nlm:aff id="aff2-2050312115613351">Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation></author><author><name sortKey="Sanada, Hiromi" sort="Sanada, Hiromi" uniqKey="Sanada H" first="Hiromi" last="Sanada">Hiromi Sanada</name><affiliation wicri:level="4"><nlm:aff id="aff4-2050312115613351">Department of Gerontological Nursing/Wound Care Management, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Gerontological Nursing/Wound Care Management, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Sugama, Junko" sort="Sugama, Junko" uniqKey="Sugama J" first="Junko" last="Sugama">Junko Sugama</name><affiliation wicri:level="1"><nlm:aff id="aff2-2050312115613351">Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3-2050312115613351">Wellness Promotion Science Center, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Wellness Promotion Science Center, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa</wicri:regionArea><wicri:noRegion>Kanazawa</wicri:noRegion></affiliation></author></analytic><series><title level="j">SAGE Open Medicine</title><idno type="eISSN">2050-3121</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="section1-2050312115613351"><title>Objective:</title><p>Lymphoedema involves swelling, especially in the subcutaneous tissues. For lymphoedema management to be successful, it is necessary to remove the interstitial fluid. Subcutaneous echogenicity may be associated with interstitial fluid, but echogenicity is not an indicator for the evaluation of management because we do not directly compare echogenicity with the interstitial fluid. We aimed to identify an outcome indicator for the evaluation of interstitial fluid using ultrasonography. We assessed the correlation between echogenicity and transverse relaxation rate (R<sub>2</sub>) on magnetic resonance imaging.</p></sec><sec id="section2-2050312115613351"><title>Methods:</title><p>This was an observational study. Healthy adults with leg swelling after activity for >8 h were recruited. The legs of 13 women were evaluated using ultrasonography, magnetic resonance imaging and measurements of the limb circumference before and after an intervention to reduce the swelling.</p></sec><sec id="section3-2050312115613351"><title>Results:</title><p>Echogenicity in the oedema group was greater than that of the controls. Echogenicity decreased with reductions in oedema. The range of the strongest correlations with the changes in R<sub>2</sub> occurred at echogenicity values of 48–144 (Pearson’s correlation coefficient: <italic>r </italic>= −0.63 and <italic>p</italic> < 0.01). Thus, it was possible to evaluate the interstitial fluid using echogenicity.</p></sec><sec id="section4-2050312115613351"><title>Conclusion:</title><p>The outcome indicators for the evaluation of interstitial fluid using ultrasonography were echogenicities in the range of 48–144, and these values were valid for assessing the interstitial fluid in the subcutaneous tissue.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kim, W" uniqKey="Kim W">W Kim</name></author><author><name sortKey="Chung, Sg" uniqKey="Chung S">SG Chung</name></author><author><name sortKey="Kim, Tw" uniqKey="Kim T">TW Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sitzia, J" uniqKey="Sitzia J">J Sitzia</name></author><author><name sortKey="Stanton, Aw" uniqKey="Stanton A">AW Stanton</name></author><author><name sortKey="Badger, C" uniqKey="Badger C">C 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