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Popliteal node visualization during standard pedal lymphoscintigraphy for a swollen limb indicates impaired lymph drainage.

Identifieur interne : 004851 ( Ncbi/Merge ); précédent : 004850; suivant : 004852

Popliteal node visualization during standard pedal lymphoscintigraphy for a swollen limb indicates impaired lymph drainage.

Auteurs : Katherine M. Burnand [Royaume-Uni] ; Daphne M. Glass ; Sumati Sundaraiya ; Peter S. Mortimer ; A Michael Peters

Source :

RBID : pubmed:22109301

Descripteurs français

English descriptors

Abstract

The objective of our study was to examine the frequency and significance of visualization of popliteal nodes during lymphoscintigraphy for the investigation of lower extremity swelling.

DOI: 10.2214/AJR.11.6631
PubMed: 22109301

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pubmed:22109301

Le document en format XML

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<title xml:lang="en">Popliteal node visualization during standard pedal lymphoscintigraphy for a swollen limb indicates impaired lymph drainage.</title>
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<name sortKey="Burnand, Katherine M" sort="Burnand, Katherine M" uniqKey="Burnand K" first="Katherine M" last="Burnand">Katherine M. Burnand</name>
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<nlm:affiliation>Department of Nuclear Medicine, Royal Sussex County Hospital, Brighton, Sussex Medical School, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Nuclear Medicine, Royal Sussex County Hospital, Brighton, Sussex Medical School</wicri:regionArea>
<wicri:noRegion>Sussex Medical School</wicri:noRegion>
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<name sortKey="Glass, Daphne M" sort="Glass, Daphne M" uniqKey="Glass D" first="Daphne M" last="Glass">Daphne M. Glass</name>
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<name sortKey="Sundaraiya, Sumati" sort="Sundaraiya, Sumati" uniqKey="Sundaraiya S" first="Sumati" last="Sundaraiya">Sumati Sundaraiya</name>
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<name sortKey="Mortimer, Peter S" sort="Mortimer, Peter S" uniqKey="Mortimer P" first="Peter S" last="Mortimer">Peter S. Mortimer</name>
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<name sortKey="Peters, A Michael" sort="Peters, A Michael" uniqKey="Peters A" first="A Michael" last="Peters">A Michael Peters</name>
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<name sortKey="Glass, Daphne M" sort="Glass, Daphne M" uniqKey="Glass D" first="Daphne M" last="Glass">Daphne M. Glass</name>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Chi-Square Distribution</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
<term>Leg</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphoscintigraphy (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiopharmaceuticals</term>
<term>Technetium Tc 99m Aggregated Albumin</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Agrégat d'albumine marquée au technétium (99mTc)</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Loi du khi-deux</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoscintigraphie ()</term>
<term>Mâle</term>
<term>Radiopharmaceutiques</term>
<term>Sujet âgé</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Radiopharmaceuticals</term>
<term>Technetium Tc 99m Aggregated Albumin</term>
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<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>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lymphoscintigraphy</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Chi-Square Distribution</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
<term>Leg</term>
<term>Male</term>
<term>Middle Aged</term>
</keywords>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Agrégat d'albumine marquée au technétium (99mTc)</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Loi du khi-deux</term>
<term>Lymphoscintigraphie</term>
<term>Mâle</term>
<term>Radiopharmaceutiques</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">The objective of our study was to examine the frequency and significance of visualization of popliteal nodes during lymphoscintigraphy for the investigation of lower extremity swelling.</div>
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<DateCreated>
<Year>2011</Year>
<Month>11</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted>
<Year>2012</Year>
<Month>01</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1546-3141</ISSN>
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<Volume>197</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2011</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>AJR. American journal of roentgenology</Title>
<ISOAbbreviation>AJR Am J Roentgenol</ISOAbbreviation>
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<ArticleTitle>Popliteal node visualization during standard pedal lymphoscintigraphy for a swollen limb indicates impaired lymph drainage.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The objective of our study was to examine the frequency and significance of visualization of popliteal nodes during lymphoscintigraphy for the investigation of lower extremity swelling.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Technetium-99m-labeled nanocolloid was injected subcutaneously in the first web spaces of both feet of 204 consecutive patients (69 males, 135 females; age range, 11-79 years) undergoing routine, clinically indicated lymphoscintigraphy; imaging was performed 5, 45, and 150 minutes after injection. The patients were asked not to undertake any vigorous exercise between the injection and completion of imaging.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">No popliteal nodes were visualized in 29 patients in whom there was no evidence of lymphedema on clinical or lymphoscintigraphic examination (group 1). Unilateral or bilateral popliteal nodes were visualized in 10 of 39 patients (25.6%) with clinical evidence of lymphedema but normal lymphoscintigraphy findings (group 2) (p < 0.005 vs group 1). In 136 patients with clinical evidence of lymphedema and abnormal lymphoscintigraphy findings (group 3), unilateral or bilateral popliteal nodes were visualized in 59 (43.4%) (p < 0.0001 vs group 1). Popliteal nodes were visualized in 40 of 73 limbs with "dermal backflow" (54.8%) and 42 of 335 limbs without dermal backflow (12.5%) (p < 0.0001).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Popliteal node visualization after subcutaneous foot web space injection is an important sign of abnormal lymphatic function in patients with clinical lymphedema of the lower extremities.</AbstractText>
</Abstract>
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<LastName>Burnand</LastName>
<ForeName>Katherine M</ForeName>
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<Affiliation>Department of Nuclear Medicine, Royal Sussex County Hospital, Brighton, Sussex Medical School, United Kingdom.</Affiliation>
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