Comparison of characteristic CT findings of lymphedema, cellulitis, and generalized edema in lower leg swelling.
Identifieur interne : 006020 ( Ncbi/Merge ); précédent : 006019; suivant : 006021Comparison of characteristic CT findings of lymphedema, cellulitis, and generalized edema in lower leg swelling.
Auteurs : Sung Ui Shin [Corée du Sud] ; Whal Lee ; Eun-Ah Park ; Cheong-Il Shin ; Jin Wook Chung ; Jae Hyung ParkSource :
- The international journal of cardiovascular imaging [ 1875-8312 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Cellulite sous-cutanée (imagerie diagnostique), Diagnostic différentiel, Femelle, Humains, Jeune adulte, Lymphoedème (imagerie diagnostique), Membre inférieur (imagerie diagnostique), Mâle, Oedème (imagerie diagnostique), Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie multidétecteurs, Valeur prédictive des tests, Études rétrospectives.
- MESH :
- imagerie diagnostique : Cellulite sous-cutanée, Lymphoedème, Membre inférieur, Oedème.
- Adolescent, Adulte, Adulte d'âge moyen, Diagnostic différentiel, Femelle, Humains, Jeune adulte, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie multidétecteurs, Valeur prédictive des tests, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Cellulitis (diagnostic imaging), Diagnosis, Differential, Edema (diagnostic imaging), Female, Humans, Lower Extremity (diagnostic imaging), Lymphedema (diagnostic imaging), Male, Middle Aged, Multidetector Computed Tomography, Predictive Value of Tests, Retrospective Studies, Young Adult.
- MESH :
- diagnostic imaging : Cellulitis, Edema, Lower Extremity, Lymphedema.
- Adolescent, Adult, Aged, Aged, 80 and over, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Multidetector Computed Tomography, Predictive Value of Tests, Retrospective Studies, Young Adult.
Abstract
To determine the different computed tomography (CT) findings of lymphedema, cellulitis, and generalized edema in the lower leg. CT images of 44 patients with confirmed lymphedema (n = 19), cellulitis (n = 11), or generalized edema (n = 14) were retrospectively reviewed. The following characteristics were evaluated: extent of edema, laterality, skin thickening, honeycombing, taller than wide appearance, muscle edema, conglomeration of septum of fat lobule, fluid collection, fascial enhancement, inguinal lymph node (LN) enlargement, medullary fat obliteration of inguinal LN, trunk subcutaneous edema, and bone marrow edema. Fisher's exact test with Bonferroni correction was used for multiple comparisons. Honeycombing and taller than wide appearance of fat lobules were more common in lymphedema (P < 0.01). Fat obliteration of inguinal LN and inguinal LN enlargement at the affected side were more common in cellulitis (P < 0.01). Bone marrow and subcutaneous edema of the trunk were more common in generalized edema (P < 0.01). Honeycombing is commonly seen in lymphedema, but is not a specific finding. Inguinal LN enlargement is a specific sign of cellulitis. Truncal edema and bone marrow edema were specific findings of generalized edema.
DOI: 10.1007/s10554-013-0332-5
PubMed: 24293042
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pubmed:24293042Le document en format XML
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<term>Edema (diagnostic imaging)</term>
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<term>Humans</term>
<term>Lower Extremity (diagnostic imaging)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multidetector Computed Tomography</term>
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<term>Cellulite sous-cutanée (imagerie diagnostique)</term>
<term>Diagnostic différentiel</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Lymphoedème (imagerie diagnostique)</term>
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<term>Tomodensitométrie multidétecteurs</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Cellulitis</term>
<term>Edema</term>
<term>Lower Extremity</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Cellulite sous-cutanée</term>
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<term>Adult</term>
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<term>Female</term>
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<term>Multidetector Computed Tomography</term>
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<front><div type="abstract" xml:lang="en">To determine the different computed tomography (CT) findings of lymphedema, cellulitis, and generalized edema in the lower leg. CT images of 44 patients with confirmed lymphedema (n = 19), cellulitis (n = 11), or generalized edema (n = 14) were retrospectively reviewed. The following characteristics were evaluated: extent of edema, laterality, skin thickening, honeycombing, taller than wide appearance, muscle edema, conglomeration of septum of fat lobule, fluid collection, fascial enhancement, inguinal lymph node (LN) enlargement, medullary fat obliteration of inguinal LN, trunk subcutaneous edema, and bone marrow edema. Fisher's exact test with Bonferroni correction was used for multiple comparisons. Honeycombing and taller than wide appearance of fat lobules were more common in lymphedema (P < 0.01). Fat obliteration of inguinal LN and inguinal LN enlargement at the affected side were more common in cellulitis (P < 0.01). Bone marrow and subcutaneous edema of the trunk were more common in generalized edema (P < 0.01). Honeycombing is commonly seen in lymphedema, but is not a specific finding. Inguinal LN enlargement is a specific sign of cellulitis. Truncal edema and bone marrow edema were specific findings of generalized edema.</div>
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<Abstract><AbstractText>To determine the different computed tomography (CT) findings of lymphedema, cellulitis, and generalized edema in the lower leg. CT images of 44 patients with confirmed lymphedema (n = 19), cellulitis (n = 11), or generalized edema (n = 14) were retrospectively reviewed. The following characteristics were evaluated: extent of edema, laterality, skin thickening, honeycombing, taller than wide appearance, muscle edema, conglomeration of septum of fat lobule, fluid collection, fascial enhancement, inguinal lymph node (LN) enlargement, medullary fat obliteration of inguinal LN, trunk subcutaneous edema, and bone marrow edema. Fisher's exact test with Bonferroni correction was used for multiple comparisons. Honeycombing and taller than wide appearance of fat lobules were more common in lymphedema (P < 0.01). Fat obliteration of inguinal LN and inguinal LN enlargement at the affected side were more common in cellulitis (P < 0.01). Bone marrow and subcutaneous edema of the trunk were more common in generalized edema (P < 0.01). Honeycombing is commonly seen in lymphedema, but is not a specific finding. Inguinal LN enlargement is a specific sign of cellulitis. Truncal edema and bone marrow edema were specific findings of generalized edema.</AbstractText>
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