Diagnostic accuracy of fluorescence microlymphography for detecting limb lymphedema.
Identifieur interne : 007058 ( Ncbi/Merge ); précédent : 007057; suivant : 007059Diagnostic accuracy of fluorescence microlymphography for detecting limb lymphedema.
Auteurs : H H Keo [Suisse] ; M. Husmann [Suisse] ; E. Groechenig [Suisse] ; T. Willenberg [Suisse] ; S B Gretener [Suisse]Source :
- European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [ 1532-2165 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Dextrane, Femelle, Fluorescéine-5-isothiocyanate (analogues et dérivés), Humains, Jambe (), Lymphoedème (anatomopathologie), Lymphoedème (diagnostic), Lymphographie (), Mâle, Précision de la mesure dimensionnelle, Sujet âgé, Vaisseaux lymphatiques (anatomopathologie), Études transversales.
- MESH :
- analogues et dérivés : Fluorescéine-5-isothiocyanate.
- anatomopathologie : Lymphoedème, Vaisseaux lymphatiques.
- diagnostic : Lymphoedème.
- Adulte, Adulte d'âge moyen, Dextrane, Femelle, Humains, Jambe, Lymphographie, Mâle, Précision de la mesure dimensionnelle, Sujet âgé, Études transversales.
English descriptors
- KwdEn :
- MESH :
- chemical , analogs & derivatives : Fluorescein-5-isothiocyanate.
- chemical : Dextrans.
- blood supply : Leg.
- diagnosis : Lymphedema.
- methods : Lymphography.
- pathology : Lymphatic Vessels, Lymphedema.
- Adult, Aged, Cross-Sectional Studies, Dimensional Measurement Accuracy, Female, Humans, Male, Middle Aged.
Abstract
Fluorescence microlymphography (FML) is a minimally invasive technique for visualization of the cutaneous lymphatic network. The aim of the study was to assess the accuracy and safety of FML in patients with unilateral lymphedema.
DOI: 10.1016/j.ejvs.2014.12.033
PubMed: 25702840
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Husmann</name><affiliation wicri:level="1"><nlm:affiliation>Clinic for Angiology, University Hospital and University of Zurich, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Clinic for Angiology, University Hospital and University of Zurich</wicri:regionArea><wicri:noRegion>University Hospital and University of Zurich</wicri:noRegion></affiliation></author><author><name sortKey="Groechenig, E" sort="Groechenig, E" uniqKey="Groechenig E" first="E" last="Groechenig">E. Groechenig</name><affiliation wicri:level="1"><nlm:affiliation>Division of Angiology, Kantonsspital Aarau AG, Aarau, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Angiology, Kantonsspital Aarau AG, Aarau</wicri:regionArea><wicri:noRegion>Aarau</wicri:noRegion></affiliation></author><author><name sortKey="Willenberg, T" sort="Willenberg, T" uniqKey="Willenberg T" first="T" last="Willenberg">T. Willenberg</name><affiliation wicri:level="1"><nlm:affiliation>Berner VenenZentrum, Bern, Switzerland and Swiss Cardiovascular Center, Division of Angiology, Inselspital, University Hospital and University of Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Berner VenenZentrum, Bern, Switzerland and Swiss Cardiovascular Center, Division of Angiology, Inselspital, University Hospital and University of Bern</wicri:regionArea><wicri:noRegion>University Hospital and University of Bern</wicri:noRegion></affiliation></author><author><name sortKey="Gretener, S B" sort="Gretener, S B" uniqKey="Gretener S" first="S B" last="Gretener">S B Gretener</name><affiliation wicri:level="1"><nlm:affiliation>Angiologie Oberaargau, Langenthal, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Angiologie Oberaargau, Langenthal</wicri:regionArea><wicri:noRegion>Langenthal</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25702840</idno><idno type="pmid">25702840</idno><idno type="doi">10.1016/j.ejvs.2014.12.033</idno><idno type="wicri:Area/PubMed/Corpus">001034</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001034</idno><idno type="wicri:Area/PubMed/Curation">001034</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001034</idno><idno type="wicri:Area/PubMed/Checkpoint">001034</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001034</idno><idno type="wicri:Area/Ncbi/Merge">007058</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Diagnostic accuracy of fluorescence microlymphography for detecting limb lymphedema.</title><author><name sortKey="Keo, H H" sort="Keo, H H" uniqKey="Keo H" first="H H" last="Keo">H H Keo</name><affiliation wicri:level="1"><nlm:affiliation>Division of Angiology, Kantonsspital Aarau AG, Aarau, Switzerland. Electronic address: keoxx006@umn.edu.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Angiology, Kantonsspital Aarau AG, Aarau</wicri:regionArea><wicri:noRegion>Aarau</wicri:noRegion></affiliation></author><author><name sortKey="Husmann, M" sort="Husmann, M" uniqKey="Husmann M" first="M" last="Husmann">M. Husmann</name><affiliation wicri:level="1"><nlm:affiliation>Clinic for Angiology, University Hospital and University of Zurich, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Clinic for Angiology, University Hospital and University of Zurich</wicri:regionArea><wicri:noRegion>University Hospital and University of Zurich</wicri:noRegion></affiliation></author><author><name sortKey="Groechenig, E" sort="Groechenig, E" uniqKey="Groechenig E" first="E" last="Groechenig">E. Groechenig</name><affiliation wicri:level="1"><nlm:affiliation>Division of Angiology, Kantonsspital Aarau AG, Aarau, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Angiology, Kantonsspital Aarau AG, Aarau</wicri:regionArea><wicri:noRegion>Aarau</wicri:noRegion></affiliation></author><author><name sortKey="Willenberg, T" sort="Willenberg, T" uniqKey="Willenberg T" first="T" last="Willenberg">T. Willenberg</name><affiliation wicri:level="1"><nlm:affiliation>Berner VenenZentrum, Bern, Switzerland and Swiss Cardiovascular Center, Division of Angiology, Inselspital, University Hospital and University of Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Berner VenenZentrum, Bern, Switzerland and Swiss Cardiovascular Center, Division of Angiology, Inselspital, University Hospital and University of Bern</wicri:regionArea><wicri:noRegion>University Hospital and University of Bern</wicri:noRegion></affiliation></author><author><name sortKey="Gretener, S B" sort="Gretener, S B" uniqKey="Gretener S" first="S B" last="Gretener">S B Gretener</name><affiliation wicri:level="1"><nlm:affiliation>Angiologie Oberaargau, Langenthal, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Angiologie Oberaargau, Langenthal</wicri:regionArea><wicri:noRegion>Langenthal</wicri:noRegion></affiliation></author></analytic><series><title level="j">European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery</title><idno type="eISSN">1532-2165</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Dextrans</term><term>Dimensional Measurement Accuracy</term><term>Female</term><term>Fluorescein-5-isothiocyanate (analogs & derivatives)</term><term>Humans</term><term>Leg (blood supply)</term><term>Lymphatic Vessels (pathology)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (pathology)</term><term>Lymphography (methods)</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dextrane</term><term>Femelle</term><term>Fluorescéine-5-isothiocyanate (analogues et dérivés)</term><term>Humains</term><term>Jambe ()</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (diagnostic)</term><term>Lymphographie ()</term><term>Mâle</term><term>Précision de la mesure dimensionnelle</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques (anatomopathologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en"><term>Fluorescein-5-isothiocyanate</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dextrans</term></keywords><keywords scheme="MESH" qualifier="analogues et dérivés" xml:lang="fr"><term>Fluorescéine-5-isothiocyanate</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Leg</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymphography</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Dimensional Measurement Accuracy</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dextrane</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphographie</term><term>Mâle</term><term>Précision de la mesure dimensionnelle</term><term>Sujet âgé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Fluorescence microlymphography (FML) is a minimally invasive technique for visualization of the cutaneous lymphatic network. The aim of the study was to assess the accuracy and safety of FML in patients with unilateral lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25702840</PMID><DateCreated><Year>2015</Year><Month>03</Month><Day>27</Day></DateCreated><DateCompleted><Year>2015</Year><Month>06</Month><Day>04</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2165</ISSN><JournalIssue CitedMedium="Internet"><Volume>49</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Apr</Month></PubDate></JournalIssue><Title>European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery</Title><ISOAbbreviation>Eur J Vasc Endovasc Surg</ISOAbbreviation></Journal><ArticleTitle>Diagnostic accuracy of fluorescence microlymphography for detecting limb lymphedema.</ArticleTitle><Pagination><MedlinePgn>474-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejvs.2014.12.033</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1078-5884(15)00031-3</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Fluorescence microlymphography (FML) is a minimally invasive technique for visualization of the cutaneous lymphatic network. The aim of the study was to assess the accuracy and safety of FML in patients with unilateral lymphedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a cross sectional study. Patients with unilateral leg swelling were assessed and compared with the unaffected contralateral limb. FML was performed in all index legs and the contralateral leg by injecting 0.1 mL of fluorescein isothiocyanate (FITC)-labeled dextran intradermally in both limbs at the same level. The most prominent swelling of the affected limb was the anatomical reference. The spread of the dye in the lymphatic capillaries of the skin was measured in all dimensions by epiluminator intravital microscopy and the maximum dye spread value 10 min after injection was used for statistical analysis. The contralateral leg served as control. Test accuracy and receiver operator characteristic (ROC) analysis was performed to assess threshold values that best predict lymphedema.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Between March 2008 and February 2014 seventy patients with unilateral chronic leg swelling were clinically diagnosed with lymphedema. The median age was 45 (IQR 27-56) years. Of those, 46 (65.7%) were female and 71.4% had primary and 28.6% secondary lymphedema. Sensitivity, specificity, positive and negative likelihood ratio, and positive and negative predictive value were 94.3%, 78.6%, 4.40, 0.07, 81.5%, and 93.2% for the 12 mm cut off level and 91.4%, 85.7%, 6.40, 0.10, 86.5%, and 90.9% for the 14 mm cut off level, respectively. The area under the ROC curve was 0.89 (95% CI: 0.83-0.95). No major adverse events were observed.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">FML is an almost atraumatic and safe technique for detecting lymphedema in patients with leg swelling. In this series the greatest accuracy was observed at a cut off level of ≥14 mm maximum spread.</AbstractText><CopyrightInformation>Copyright © 2015 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Keo</LastName><ForeName>H H</ForeName><Initials>HH</Initials><AffiliationInfo><Affiliation>Division of Angiology, Kantonsspital Aarau AG, Aarau, Switzerland. Electronic address: keoxx006@umn.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Husmann</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Clinic for Angiology, University Hospital and University of Zurich, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Groechenig</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Division of Angiology, Kantonsspital Aarau AG, Aarau, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Willenberg</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Berner VenenZentrum, Bern, Switzerland and Swiss Cardiovascular Center, Division of Angiology, Inselspital, University Hospital and University of Bern, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gretener</LastName><ForeName>S B</ForeName><Initials>SB</Initials><AffiliationInfo><Affiliation>Angiologie Oberaargau, Langenthal, Switzerland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>02</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Vasc Endovasc Surg</MedlineTA><NlmUniqueID>9512728</NlmUniqueID><ISSNLinking>1078-5884</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D003911">Dextrans</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="C015219">fluorescein isothiocyanate dextran</NameOfSubstance></Chemical><Chemical><RegistryNumber>I223NX31W9</RegistryNumber><NameOfSubstance UI="D016650">Fluorescein-5-isothiocyanate</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003911" MajorTopicYN="Y">Dextrans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D061827" MajorTopicYN="N">Dimensional Measurement Accuracy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016650" MajorTopicYN="N">Fluorescein-5-isothiocyanate</DescriptorName><QualifierName UI="Q000031" MajorTopicYN="Y">analogs & derivatives</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008220" MajorTopicYN="Y">Lymphography</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Fluorescence</Keyword><Keyword MajorTopicYN="N">Leg swelling</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Microscopy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>09</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>12</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>2</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>2</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>6</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25702840</ArticleId><ArticleId IdType="pii">S1078-5884(15)00031-3</ArticleId><ArticleId IdType="doi">10.1016/j.ejvs.2014.12.033</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Suisse</li></country></list><tree><country name="Suisse"><noRegion><name sortKey="Keo, H H" sort="Keo, H H" uniqKey="Keo H" first="H H" last="Keo">H H Keo</name></noRegion><name sortKey="Gretener, S B" sort="Gretener, S B" uniqKey="Gretener S" first="S B" last="Gretener">S B Gretener</name><name sortKey="Groechenig, E" sort="Groechenig, E" uniqKey="Groechenig E" first="E" last="Groechenig">E. Groechenig</name><name sortKey="Husmann, M" sort="Husmann, M" uniqKey="Husmann M" first="M" last="Husmann">M. Husmann</name><name sortKey="Willenberg, T" sort="Willenberg, T" uniqKey="Willenberg T" first="T" last="Willenberg">T. Willenberg</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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