Serveur d'exploration sur le lymphœdème

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Reproducibility of lymphoscintigraphic evaluation of the upper limb.

Identifieur interne : 006A15 ( Ncbi/Merge ); précédent : 006A14; suivant : 006A16

Reproducibility of lymphoscintigraphic evaluation of the upper limb.

Auteurs : Nele Devoogdt [Belgique] ; Tim Van Den Wyngaert ; Pierre Bourgeois ; Michel Lambrechts ; Marijke Van Kampen ; An De Groef ; Inge Geraerts ; Patrick Neven ; Ignace Vergote ; Wiebren Tjalma ; Marie-Rose Christiaens ; Sigrid Stroobants

Source :

RBID : pubmed:25144836

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English descriptors

Abstract

Although reproducibility studies are missing, a lymphoscintigraphic evaluation of the upper limb is often used in routine practice to diagnose lymphedema and in clinical research, for example, to investigate the effect of a physical treatment. Therefore, the aim of the present study was to investigate the reproducibility of the lymphoscintigraphic evaluation of the upper limb.

DOI: 10.1089/lrb.2013.0034
PubMed: 25144836

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pubmed:25144836

Le document en format XML

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<term>Lymph Node Excision</term>
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<term>Humains</term>
<term>Lymphadénectomie</term>
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<div type="abstract" xml:lang="en">Although reproducibility studies are missing, a lymphoscintigraphic evaluation of the upper limb is often used in routine practice to diagnose lymphedema and in clinical research, for example, to investigate the effect of a physical treatment. Therefore, the aim of the present study was to investigate the reproducibility of the lymphoscintigraphic evaluation of the upper limb.</div>
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<Year>2014</Year>
<Month>09</Month>
<Day>18</Day>
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<DateCompleted>
<Year>2015</Year>
<Month>05</Month>
<Day>25</Day>
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<Month>11</Month>
<Day>25</Day>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Although reproducibility studies are missing, a lymphoscintigraphic evaluation of the upper limb is often used in routine practice to diagnose lymphedema and in clinical research, for example, to investigate the effect of a physical treatment. Therefore, the aim of the present study was to investigate the reproducibility of the lymphoscintigraphic evaluation of the upper limb.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">In breast cancer patients, 20 lymphoscintigraphic evaluations of the upper limb were performed on two test occasions with an interval of 1 week. (99m)Tc nanocol was injected subcutaneously in the hand. A standardized protocol was applied. In the early phase, two static images of the injection places were taken and in between dynamic images of both axilla during 40 min (15 min rest, 15 min squeezing a ball, and 15 min rest). After a break of 70 min, a static image of the injection places and of the axilla was made. At the end, a partial whole body image was acquired. A strong reproducibility was found for the following quantitative variables (ICC 0.75 to 0.85): change of uptake in axilla during the break; change of extraction from hands during the break; and extraction and uptake in the late phase. The other quantitative variables (i.e., extraction form the hands in the early phase, time of arrival, accumulation rate, and uptake in axilla in the early phase) had weak to moderatie reproducibility (ICC 0.07 to 0.70). All qualitative variables (i.e., number of lymph nodes in the axilla, upper arm and elbow/lower arm, gradation of lymph collectors in upper or lower arm and of dermal backflow, and presence of lymph collaterals) had strong to very strong reproducibility (ICC 0.76 to 1.00).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A lymphoscintigraphy of the upper limb is a reproducible imaging tool to assess lymph transport quantitatively and qualitatively.</AbstractText>
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<RefSource>Lymphat Res Biol. 2015 Sep;13(3):227</RefSource>
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