MR imaging of the lymphatic system in patients with lipedema and lipo-lymphedema.
Identifieur interne : 003327 ( Ncbi/Merge ); précédent : 003326; suivant : 003328MR imaging of the lymphatic system in patients with lipedema and lipo-lymphedema.
Auteurs : Christian Lohrmann [Allemagne] ; Etelka Foeldi ; Mathias LangerSource :
- Microvascular research [ 1095-9319 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Anesthésiques locaux, Angiographie par résonance magnétique (), Composés hétérocycliques (administration et posologie), Composés organométalliques (administration et posologie), Femelle, Gadolinium, Humains, Injections intradermiques, Jeune adulte, Lymphoedème (anatomopathologie), Lymphographie (), Membre inférieur, Mâle, Mépivacaïne, Oedème (anatomopathologie), Produits de contraste (administration et posologie), Sujet âgé, Système lymphatique (anatomopathologie), Tissu adipeux (anatomopathologie).
- MESH :
- administration et posologie : Composés hétérocycliques, Composés organométalliques, Produits de contraste.
- anatomopathologie : Lymphoedème, Oedème, Système lymphatique, Tissu adipeux.
- Adulte, Adulte d'âge moyen, Anesthésiques locaux, Angiographie par résonance magnétique, Femelle, Gadolinium, Humains, Injections intradermiques, Jeune adulte, Lymphographie, Membre inférieur, Mâle, Mépivacaïne, Sujet âgé.
English descriptors
- KwdEn :
- Adipose Tissue (pathology), Adult, Aged, Anesthetics, Local, Contrast Media (administration & dosage), Edema (pathology), Female, Gadolinium, Heterocyclic Compounds (administration & dosage), Humans, Injections, Intradermal, Lower Extremity, Lymphatic System (pathology), Lymphedema (pathology), Lymphography (methods), Magnetic Resonance Angiography (methods), Male, Mepivacaine, Middle Aged, Organometallic Compounds (administration & dosage), Young Adult.
- MESH :
- chemical , administration & dosage : Contrast Media, Heterocyclic Compounds, Organometallic Compounds.
- chemical : Anesthetics, Local, Gadolinium, Mepivacaine.
- methods : Lymphography, Magnetic Resonance Angiography.
- pathology : Adipose Tissue, Edema, Lymphatic System, Lymphedema.
- Adult, Aged, Female, Humans, Injections, Intradermal, Lower Extremity, Male, Middle Aged, Young Adult.
Abstract
To assess for the first time the morphology of the lymphatic system in patients with lipedema and lipo-lymphedema of the lower extremities by MR lymphangiography.
DOI: 10.1016/j.mvr.2009.01.005
PubMed: 19323976
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pubmed:19323976Le document en format XML
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Br., Germany. christian.lohrmann@uniklinik-freiburg.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, D-79106, Freiburg i. Br.</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Foeldi, Etelka" sort="Foeldi, Etelka" uniqKey="Foeldi E" first="Etelka" last="Foeldi">Etelka Foeldi</name></author><author><name sortKey="Langer, Mathias" sort="Langer, Mathias" uniqKey="Langer M" first="Mathias" last="Langer">Mathias Langer</name></author></analytic><series><title level="j">Microvascular research</title><idno type="eISSN">1095-9319</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adipose Tissue (pathology)</term><term>Adult</term><term>Aged</term><term>Anesthetics, Local</term><term>Contrast Media (administration & dosage)</term><term>Edema (pathology)</term><term>Female</term><term>Gadolinium</term><term>Heterocyclic Compounds (administration & dosage)</term><term>Humans</term><term>Injections, Intradermal</term><term>Lower Extremity</term><term>Lymphatic System (pathology)</term><term>Lymphedema (pathology)</term><term>Lymphography (methods)</term><term>Magnetic Resonance Angiography (methods)</term><term>Male</term><term>Mepivacaine</term><term>Middle Aged</term><term>Organometallic Compounds (administration & dosage)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anesthésiques locaux</term><term>Angiographie par résonance magnétique ()</term><term>Composés hétérocycliques (administration et posologie)</term><term>Composés organométalliques (administration et posologie)</term><term>Femelle</term><term>Gadolinium</term><term>Humains</term><term>Injections intradermiques</term><term>Jeune adulte</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphographie ()</term><term>Membre inférieur</term><term>Mâle</term><term>Mépivacaïne</term><term>Oedème (anatomopathologie)</term><term>Produits de contraste (administration et posologie)</term><term>Sujet âgé</term><term>Système lymphatique (anatomopathologie)</term><term>Tissu adipeux (anatomopathologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Contrast Media</term><term>Heterocyclic Compounds</term><term>Organometallic Compounds</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Anesthetics, Local</term><term>Gadolinium</term><term>Mepivacaine</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Composés hétérocycliques</term><term>Composés organométalliques</term><term>Produits de contraste</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Oedème</term><term>Système lymphatique</term><term>Tissu adipeux</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymphography</term><term>Magnetic Resonance Angiography</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Adipose Tissue</term><term>Edema</term><term>Lymphatic System</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Injections, Intradermal</term><term>Lower Extremity</term><term>Male</term><term>Middle Aged</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anesthésiques locaux</term><term>Angiographie par résonance magnétique</term><term>Femelle</term><term>Gadolinium</term><term>Humains</term><term>Injections intradermiques</term><term>Jeune adulte</term><term>Lymphographie</term><term>Membre inférieur</term><term>Mâle</term><term>Mépivacaïne</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To assess for the first time the morphology of the lymphatic system in patients with lipedema and lipo-lymphedema of the lower extremities by MR lymphangiography.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19323976</PMID><DateCreated><Year>2009</Year><Month>04</Month><Day>13</Day></DateCreated><DateCompleted><Year>2009</Year><Month>07</Month><Day>02</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-9319</ISSN><JournalIssue CitedMedium="Internet"><Volume>77</Volume><Issue>3</Issue><PubDate><Year>2009</Year><Month>May</Month></PubDate></JournalIssue><Title>Microvascular research</Title><ISOAbbreviation>Microvasc. Res.</ISOAbbreviation></Journal><ArticleTitle>MR imaging of the lymphatic system in patients with lipedema and lipo-lymphedema.</ArticleTitle><Pagination><MedlinePgn>335-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.mvr.2009.01.005</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess for the first time the morphology of the lymphatic system in patients with lipedema and lipo-lymphedema of the lower extremities by MR lymphangiography.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">26 lower extremities in 13 consecutive patients (5 lipedema, 8 lipo-lymphedema) were examined by MR lymphangiography. 18 mL of gadoteridol and 1 mL of mepivacainhydrochloride 1% were subdivided into 10 portions and injected intracutaneously in the forefoot. MR imaging was performed with a 1.5-T system equipped with high-performance gradients. For MR lymphangiography, a 3D-spoiled gradient-echo sequence was used. For evaluation of the lymphedema a heavily T2-weighted 3D-TSE sequence was performed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In all 16 lower extremities (100%) with lipo-lymphedema, high signal intensity areas in the epifascial region could be detected on the 3D-TSE sequence. In the 16 examined lower extremities with lipo-lymphedema, 8 lower legs and 3 upper legs demonstrated enlarged lymphatic vessels up to a diameter of 3 mm. In two lower legs with lipo-lymphedema, an area of dermal back-flow was seen, indicating lymphatic outflow obstruction. In the 10 examined lower extremities with clinically pure lipedema, 4 lower legs and 2 upper legs demonstrated enlarged lymphatic vessels up to a diameter of 2 mm, indicating a subclinical status of lymphedema. In all examined extremities, the inguinal lymph nodes demonstrated a contrast material enhancement in the first image acquisition 15 min after injection.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">MR lymphangiography is a safe and accurate minimal-invasive imaging modality for the evaluation of the lymphatic circulation in patients with lipedema and lipo-lymphedema of the lower extremities. If the extent of lymphatic involvement is unclear at the initial clinical examination or requires a better definition for optimal therapeutic planning, MR lymphangiography is able to identify the anatomic and physiological derangements and to establish an objective baseline.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lohrmann</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, D-79106, Freiburg i. Br., Germany. christian.lohrmann@uniklinik-freiburg.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Foeldi</LastName><ForeName>Etelka</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Langer</LastName><ForeName>Mathias</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2009</Year><Month>01</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Microvasc Res</MedlineTA><NlmUniqueID>0165035</NlmUniqueID><ISSNLinking>0026-2862</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000779">Anesthetics, Local</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D003287">Contrast Media</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D006571">Heterocyclic Compounds</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D009942">Organometallic Compounds</NameOfSubstance></Chemical><Chemical><RegistryNumber>0199MV609F</RegistryNumber><NameOfSubstance UI="C062402">gadoteridol</NameOfSubstance></Chemical><Chemical><RegistryNumber>AU0V1LM3JT</RegistryNumber><NameOfSubstance UI="D005682">Gadolinium</NameOfSubstance></Chemical><Chemical><RegistryNumber>B6E06QE59J</RegistryNumber><NameOfSubstance UI="D008619">Mepivacaine</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000273" MajorTopicYN="N">Adipose Tissue</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000779" MajorTopicYN="N">Anesthetics, Local</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003287" MajorTopicYN="N">Contrast Media</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004487" MajorTopicYN="N">Edema</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005682" MajorTopicYN="N">Gadolinium</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006571" MajorTopicYN="N">Heterocyclic Compounds</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007271" MajorTopicYN="N">Injections, Intradermal</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008208" MajorTopicYN="N">Lymphatic System</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008220" MajorTopicYN="N">Lymphography</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018810" MajorTopicYN="N">Magnetic Resonance Angiography</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008619" MajorTopicYN="N">Mepivacaine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009942" MajorTopicYN="N">Organometallic Compounds</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2008</Year><Month>10</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2009</Year><Month>01</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2009</Year><Month>01</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>3</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>3</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>7</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19323976</ArticleId><ArticleId IdType="pii">S0026-2862(09)00026-0</ArticleId><ArticleId IdType="doi">10.1016/j.mvr.2009.01.005</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Fribourg-en-Brisgau</li></region><settlement><li>Fribourg-en-Brisgau</li></settlement></list><tree><noCountry><name sortKey="Foeldi, Etelka" sort="Foeldi, Etelka" uniqKey="Foeldi E" first="Etelka" last="Foeldi">Etelka Foeldi</name><name sortKey="Langer, Mathias" sort="Langer, Mathias" uniqKey="Langer M" first="Mathias" last="Langer">Mathias Langer</name></noCountry><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Lohrmann, Christian" sort="Lohrmann, Christian" uniqKey="Lohrmann C" first="Christian" last="Lohrmann">Christian Lohrmann</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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