Whole-body lymphangioscintigraphy: preferred method for initial assessment of the peripheral lymphatic system.
Identifieur interne : 008652 ( Ncbi/Merge ); précédent : 008651; suivant : 008653Whole-body lymphangioscintigraphy: preferred method for initial assessment of the peripheral lymphatic system.
Auteurs : G C Mcneill ; M H Witte ; C L Witte ; W H Williams ; J N Hall ; D D Patton ; G D Pond ; J M WoolfendenSource :
- Radiology [ 0033-8419 ] ; 1989.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Lymphographie, Lymphoscintigraphie, Membres, Mâle, Méthodes, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Lymphedema.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Extremities, Female, Humans, Lymphography, Lymphoscintigraphy, Male, Methods, Middle Aged.
Abstract
In 20 patients with congenital and acquired lymphedema in either upper or lower extremities and in four patients without extremity edema, human serum albumin labeled with technetium-99m was injected intradermally into a digital web space of the hand or foot. With a digital gamma camera that permitted a "sweep" of the torso, serial extremity and whole-body lymphagioscintigraphy (LAS) of the peripheral lymphatic system was performed. In 11 patients with acquired lymphedema, a well-defined obstructive pattern was seen, characterized by discrete peripheral lymphatic trunks, delayed or absent depiction of regional nodes, and delayed but extensive soft-tissue tracer extravasation. Five of nine patients with congenital lymphedema showed hypoplasia characterized by poorly defined lymphatic trunks, delayed depiction of regional nodes, and early and extensive extravasation of tracer. The other four patients showed aplasia, with absence of trunks, no depiction of nodes, and little or no tracer extravasation. LAS is technically simple to perform and requires no special training. Radiation exposure is minuscule, and the procedure is safe and without apparent side effects. For these reasons, whole-body LAS should be the preferred method for the initial assessment of congenital or acquired lymphedema.
DOI: 10.1148/radiology.172.2.2748831
PubMed: 2748831
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last="Hall">J N Hall</name></author><author><name sortKey="Patton, D D" sort="Patton, D D" uniqKey="Patton D" first="D D" last="Patton">D D Patton</name></author><author><name sortKey="Pond, G D" sort="Pond, G D" uniqKey="Pond G" first="G D" last="Pond">G D Pond</name></author><author><name sortKey="Woolfenden, J M" sort="Woolfenden, J M" uniqKey="Woolfenden J" first="J M" last="Woolfenden">J M Woolfenden</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1989">1989</date><idno type="RBID">pubmed:2748831</idno><idno type="pmid">2748831</idno><idno type="doi">10.1148/radiology.172.2.2748831</idno><idno type="wicri:Area/PubMed/Corpus">005F52</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005F52</idno><idno type="wicri:Area/PubMed/Curation">005F52</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">005F52</idno><idno 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sortKey="Williams, W H" sort="Williams, W H" uniqKey="Williams W" first="W H" last="Williams">W H Williams</name></author><author><name sortKey="Hall, J N" sort="Hall, J N" uniqKey="Hall J" first="J N" last="Hall">J N Hall</name></author><author><name sortKey="Patton, D D" sort="Patton, D D" uniqKey="Patton D" first="D D" last="Patton">D D Patton</name></author><author><name sortKey="Pond, G D" sort="Pond, G D" uniqKey="Pond G" first="G D" last="Pond">G D Pond</name></author><author><name sortKey="Woolfenden, J M" sort="Woolfenden, J M" uniqKey="Woolfenden J" first="J M" last="Woolfenden">J M Woolfenden</name></author></analytic><series><title level="j">Radiology</title><idno type="ISSN">0033-8419</idno><imprint><date when="1989" type="published">1989</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Child, Preschool</term><term>Extremities</term><term>Female</term><term>Humans</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphography</term><term>Lymphoscintigraphy</term><term>Male</term><term>Methods</term><term>Middle Aged</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphographie</term><term>Lymphoscintigraphie</term><term>Membres</term><term>Mâle</term><term>Méthodes</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><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></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Child, Preschool</term><term>Extremities</term><term>Female</term><term>Humans</term><term>Lymphography</term><term>Lymphoscintigraphy</term><term>Male</term><term>Methods</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Lymphographie</term><term>Lymphoscintigraphie</term><term>Membres</term><term>Mâle</term><term>Méthodes</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In 20 patients with congenital and acquired lymphedema in either upper or lower extremities and in four patients without extremity edema, human serum albumin labeled with technetium-99m was injected intradermally into a digital web space of the hand or foot. With a digital gamma camera that permitted a "sweep" of the torso, serial extremity and whole-body lymphagioscintigraphy (LAS) of the peripheral lymphatic system was performed. In 11 patients with acquired lymphedema, a well-defined obstructive pattern was seen, characterized by discrete peripheral lymphatic trunks, delayed or absent depiction of regional nodes, and delayed but extensive soft-tissue tracer extravasation. Five of nine patients with congenital lymphedema showed hypoplasia characterized by poorly defined lymphatic trunks, delayed depiction of regional nodes, and early and extensive extravasation of tracer. The other four patients showed aplasia, with absence of trunks, no depiction of nodes, and little or no tracer extravasation. LAS is technically simple to perform and requires no special training. Radiation exposure is minuscule, and the procedure is safe and without apparent side effects. For these reasons, whole-body LAS should be the preferred method for the initial assessment of congenital or acquired lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">2748831</PMID><DateCreated><Year>1989</Year><Month>08</Month><Day>17</Day></DateCreated><DateCompleted><Year>1989</Year><Month>08</Month><Day>17</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0033-8419</ISSN><JournalIssue CitedMedium="Print"><Volume>172</Volume><Issue>2</Issue><PubDate><Year>1989</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Radiology</Title><ISOAbbreviation>Radiology</ISOAbbreviation></Journal><ArticleTitle>Whole-body lymphangioscintigraphy: preferred method for initial assessment of the peripheral lymphatic system.</ArticleTitle><Pagination><MedlinePgn>495-502</MedlinePgn></Pagination><Abstract><AbstractText>In 20 patients with congenital and acquired lymphedema in either upper or lower extremities and in four patients without extremity edema, human serum albumin labeled with technetium-99m was injected intradermally into a digital web space of the hand or foot. With a digital gamma camera that permitted a "sweep" of the torso, serial extremity and whole-body lymphagioscintigraphy (LAS) of the peripheral lymphatic system was performed. In 11 patients with acquired lymphedema, a well-defined obstructive pattern was seen, characterized by discrete peripheral lymphatic trunks, delayed or absent depiction of regional nodes, and delayed but extensive soft-tissue tracer extravasation. Five of nine patients with congenital lymphedema showed hypoplasia characterized by poorly defined lymphatic trunks, delayed depiction of regional nodes, and early and extensive extravasation of tracer. The other four patients showed aplasia, with absence of trunks, no depiction of nodes, and little or no tracer extravasation. LAS is technically simple to perform and requires no special training. Radiation exposure is minuscule, and the procedure is safe and without apparent side effects. For these reasons, whole-body LAS should be the preferred method for the initial assessment of congenital or acquired lymphedema.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McNeill</LastName><ForeName>G C</ForeName><Initials>GC</Initials><AffiliationInfo><Affiliation>Department of Diagnostic Radiology, University of Arizona Health Sciences Center, Tucson 85724.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Witte</LastName><ForeName>M H</ForeName><Initials>MH</Initials></Author><Author ValidYN="Y"><LastName>Witte</LastName><ForeName>C L</ForeName><Initials>CL</Initials></Author><Author ValidYN="Y"><LastName>Williams</LastName><ForeName>W H</ForeName><Initials>WH</Initials></Author><Author ValidYN="Y"><LastName>Hall</LastName><ForeName>J N</ForeName><Initials>JN</Initials></Author><Author ValidYN="Y"><LastName>Patton</LastName><ForeName>D D</ForeName><Initials>DD</Initials></Author><Author ValidYN="Y"><LastName>Pond</LastName><ForeName>G D</ForeName><Initials>GD</Initials></Author><Author ValidYN="Y"><LastName>Woolfenden</LastName><ForeName>J M</ForeName><Initials>JM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Radiology</MedlineTA><NlmUniqueID>0401260</NlmUniqueID><ISSNLinking>0033-8419</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005121" MajorTopicYN="N">Extremities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008220" MajorTopicYN="N">Lymphography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="Y">Lymphoscintigraphy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008722" MajorTopicYN="N">Methods</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1989</Year><Month>8</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1989</Year><Month>8</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1989</Year><Month>8</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">2748831</ArticleId><ArticleId IdType="doi">10.1148/radiology.172.2.2748831</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Hall, J N" sort="Hall, J N" uniqKey="Hall J" first="J N" last="Hall">J N Hall</name><name sortKey="Mcneill, G C" sort="Mcneill, G C" uniqKey="Mcneill G" first="G C" last="Mcneill">G C Mcneill</name><name sortKey="Patton, D D" sort="Patton, D D" uniqKey="Patton D" first="D D" last="Patton">D D Patton</name><name sortKey="Pond, G D" sort="Pond, G D" uniqKey="Pond G" first="G D" last="Pond">G D Pond</name><name sortKey="Williams, W H" sort="Williams, W H" uniqKey="Williams W" first="W H" last="Williams">W H Williams</name><name sortKey="Witte, C L" sort="Witte, C L" uniqKey="Witte C" first="C L" last="Witte">C L Witte</name><name sortKey="Witte, M H" sort="Witte, M H" uniqKey="Witte M" first="M H" last="Witte">M H Witte</name><name sortKey="Woolfenden, J M" sort="Woolfenden, J M" uniqKey="Woolfenden J" first="J M" last="Woolfenden">J M Woolfenden</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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