Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs?
Identifieur interne : 000012 ( PascalFrancis/Corpus ); précédent : 000011; suivant : 000013Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs?
Auteurs : S. Birkballe ; M. R. Jensen ; S. Noerregaard ; F. Gottrup ; T. KarlsmarkSource :
- British journal of dermatology : (1951) [ 0007-0963 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Lymphoedème, Lipoedème, Mesure, Tissu, Femelle, Jambe, Homme, Femme, Dermatologie.
English descriptors
- KwdEn :
- Dermatology, Female, Human, Leg, Lipoedema, Lymphedema, Measurement, Tissue, Woman.
Abstract
Background Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements. Objectives To examine whether TDC measurements can differentiate untreated lower extremity lymphoedema from lipoedema, and to test interobserver agreement. Methods Thirty-nine women participated in the study; 10 patients with lipoedema (LipP), nine patients with untreated lymphoedema (U-LP), 10 patients with lymphoedema treated with compression bandaging for ≥ 4 weeks (T-LP) and 10 healthy controls. All subjects were measured at three predefined sites (foot, ankle and lower leg). All groups except U-LP were measured by three blinded investigators. Using a handheld device, a 300-MHz electromagnetic wave is transmitted into the skin via a 2.5-mm depth probe. TDC calculated from the reflected wave is directly proportional to tissue water content ranging from 1 (vacuum) to 78.5 (pure water). Results Mean ± SD TDC values for U-LP were 48.8 ± 5-2. TDC values of T-LP, LipP and controls were 34.0 ± 6.6, 295 ± 6.2 and 32.3 ± 5.7, respectively. U-LP had significantly higher TDC values in all measurement sites compared with all other groups (P < 0.001). A cut-off value of 40 for ankle and lower-leg measurements correctly differentiated all U-LP from LipP and controls. Intraclass correlation coefficients were 0.94 for the ankle and the lower leg and 0.63 for the foot. Conclusions TDC values of U-LP were significantly higher than those of T-LP, LipP and controls and may aid in differentiating lymphoedema from lipoedema. Interobserver agreement was high in ankle and lower-leg measurements but low in foot measurements.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 14-0096044 INIST |
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ET : | Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs? |
AU : | BIRKBALLE (S.); JENSEN (M. R.); NOERREGAARD (S.); GOTTRUP (F.); KARLSMARK (T.) |
AF : | Department of Dermatology and Copenhagen Wound Healing Centre, Copenhagen Lymphoedema Centre, Bispebjerg University Hospital, Bispebjerg bakke 23/2400 Copenhagen NV/Danemark (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.); Department of Clinical Physiology and Nuclear Medicine, Bispebjerg University Hospital, Bispebjerg bakke 23/2400 Copenhagen NV/Danemark (2 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | British journal of dermatology : (1951); ISSN 0007-0963; Coden BJDEAZ; Royaume-Uni; Da. 2014; Vol. 170; No. 1; Pp. 96-102; Bibl. 41 ref. |
LA : | Anglais |
EA : | Background Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements. Objectives To examine whether TDC measurements can differentiate untreated lower extremity lymphoedema from lipoedema, and to test interobserver agreement. Methods Thirty-nine women participated in the study; 10 patients with lipoedema (LipP), nine patients with untreated lymphoedema (U-LP), 10 patients with lymphoedema treated with compression bandaging for ≥ 4 weeks (T-LP) and 10 healthy controls. All subjects were measured at three predefined sites (foot, ankle and lower leg). All groups except U-LP were measured by three blinded investigators. Using a handheld device, a 300-MHz electromagnetic wave is transmitted into the skin via a 2.5-mm depth probe. TDC calculated from the reflected wave is directly proportional to tissue water content ranging from 1 (vacuum) to 78.5 (pure water). Results Mean ± SD TDC values for U-LP were 48.8 ± 5-2. TDC values of T-LP, LipP and controls were 34.0 ± 6.6, 295 ± 6.2 and 32.3 ± 5.7, respectively. U-LP had significantly higher TDC values in all measurement sites compared with all other groups (P < 0.001). A cut-off value of 40 for ankle and lower-leg measurements correctly differentiated all U-LP from LipP and controls. Intraclass correlation coefficients were 0.94 for the ankle and the lower leg and 0.63 for the foot. Conclusions TDC values of U-LP were significantly higher than those of T-LP, LipP and controls and may aid in differentiating lymphoedema from lipoedema. Interobserver agreement was high in ankle and lower-leg measurements but low in foot measurements. |
CC : | 002B08J; 002B12B04 |
FD : | Lymphoedème; Lipoedème; Mesure; Tissu; Femelle; Jambe; Homme; Femme; Dermatologie |
FG : | Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Pathologie de la peau; Pathologie du tissu adipeux |
ED : | Lymphedema; Lipoedema; Measurement; Tissue; Female; Leg; Human; Woman; Dermatology |
EG : | Cardiovascular disease; Lymphatic vessel disease; Skin disease; Adipose tissue disorders |
SD : | Linfedema; Lipoedema; Medida; Tejido; Hembra; Pierna; Hombre; Mujer; Dermatología |
LO : | INIST-1043.354000501188280140 |
ID : | 14-0096044 |
Links to Exploration step
Pascal:14-0096044Le document en format XML
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<front><div type="abstract" xml:lang="en">Background Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements. Objectives To examine whether TDC measurements can differentiate untreated lower extremity lymphoedema from lipoedema, and to test interobserver agreement. Methods Thirty-nine women participated in the study; 10 patients with lipoedema (LipP), nine patients with untreated lymphoedema (U-LP), 10 patients with lymphoedema treated with compression bandaging for ≥ 4 weeks (T-LP) and 10 healthy controls. All subjects were measured at three predefined sites (foot, ankle and lower leg). All groups except U-LP were measured by three blinded investigators. Using a handheld device, a 300-MHz electromagnetic wave is transmitted into the skin via a 2.5-mm depth probe. TDC calculated from the reflected wave is directly proportional to tissue water content ranging from 1 (vacuum) to 78.5 (pure water). Results Mean ± SD TDC values for U-LP were 48.8 ± 5-2. TDC values of T-LP, LipP and controls were 34.0 ± 6.6, 295 ± 6.2 and 32.3 ± 5.7, respectively. U-LP had significantly higher TDC values in all measurement sites compared with all other groups (P < 0.001). A cut-off value of 40 for ankle and lower-leg measurements correctly differentiated all U-LP from LipP and controls. Intraclass correlation coefficients were 0.94 for the ankle and the lower leg and 0.63 for the foot. Conclusions TDC values of U-LP were significantly higher than those of T-LP, LipP and controls and may aid in differentiating lymphoedema from lipoedema. Interobserver agreement was high in ankle and lower-leg measurements but low in foot measurements.</div>
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<fC01 i1="01" l="ENG"><s0>Background Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements. Objectives To examine whether TDC measurements can differentiate untreated lower extremity lymphoedema from lipoedema, and to test interobserver agreement. Methods Thirty-nine women participated in the study; 10 patients with lipoedema (LipP), nine patients with untreated lymphoedema (U-LP), 10 patients with lymphoedema treated with compression bandaging for ≥ 4 weeks (T-LP) and 10 healthy controls. All subjects were measured at three predefined sites (foot, ankle and lower leg). All groups except U-LP were measured by three blinded investigators. Using a handheld device, a 300-MHz electromagnetic wave is transmitted into the skin via a 2.5-mm depth probe. TDC calculated from the reflected wave is directly proportional to tissue water content ranging from 1 (vacuum) to 78.5 (pure water). Results Mean ± SD TDC values for U-LP were 48.8 ± 5-2. TDC values of T-LP, LipP and controls were 34.0 ± 6.6, 295 ± 6.2 and 32.3 ± 5.7, respectively. U-LP had significantly higher TDC values in all measurement sites compared with all other groups (P < 0.001). A cut-off value of 40 for ankle and lower-leg measurements correctly differentiated all U-LP from LipP and controls. Intraclass correlation coefficients were 0.94 for the ankle and the lower leg and 0.63 for the foot. Conclusions TDC values of U-LP were significantly higher than those of T-LP, LipP and controls and may aid in differentiating lymphoedema from lipoedema. Interobserver agreement was high in ankle and lower-leg measurements but low in foot measurements.</s0>
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</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Pathologie de la peau</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Skin disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Piel patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Pathologie du tissu adipeux</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Adipose tissue disorders</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Tejido adiposo patología</s0>
<s5>40</s5>
</fC07>
<fN21><s1>132</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
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<server><NO>PASCAL 14-0096044 INIST</NO>
<ET>Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs?</ET>
<AU>BIRKBALLE (S.); JENSEN (M. R.); NOERREGAARD (S.); GOTTRUP (F.); KARLSMARK (T.)</AU>
<AF>Department of Dermatology and Copenhagen Wound Healing Centre, Copenhagen Lymphoedema Centre, Bispebjerg University Hospital, Bispebjerg bakke 23/2400 Copenhagen NV/Danemark (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.); Department of Clinical Physiology and Nuclear Medicine, Bispebjerg University Hospital, Bispebjerg bakke 23/2400 Copenhagen NV/Danemark (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>British journal of dermatology : (1951); ISSN 0007-0963; Coden BJDEAZ; Royaume-Uni; Da. 2014; Vol. 170; No. 1; Pp. 96-102; Bibl. 41 ref.</SO>
<LA>Anglais</LA>
<EA>Background Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements. Objectives To examine whether TDC measurements can differentiate untreated lower extremity lymphoedema from lipoedema, and to test interobserver agreement. Methods Thirty-nine women participated in the study; 10 patients with lipoedema (LipP), nine patients with untreated lymphoedema (U-LP), 10 patients with lymphoedema treated with compression bandaging for ≥ 4 weeks (T-LP) and 10 healthy controls. All subjects were measured at three predefined sites (foot, ankle and lower leg). All groups except U-LP were measured by three blinded investigators. Using a handheld device, a 300-MHz electromagnetic wave is transmitted into the skin via a 2.5-mm depth probe. TDC calculated from the reflected wave is directly proportional to tissue water content ranging from 1 (vacuum) to 78.5 (pure water). Results Mean ± SD TDC values for U-LP were 48.8 ± 5-2. TDC values of T-LP, LipP and controls were 34.0 ± 6.6, 295 ± 6.2 and 32.3 ± 5.7, respectively. U-LP had significantly higher TDC values in all measurement sites compared with all other groups (P < 0.001). A cut-off value of 40 for ankle and lower-leg measurements correctly differentiated all U-LP from LipP and controls. Intraclass correlation coefficients were 0.94 for the ankle and the lower leg and 0.63 for the foot. Conclusions TDC values of U-LP were significantly higher than those of T-LP, LipP and controls and may aid in differentiating lymphoedema from lipoedema. Interobserver agreement was high in ankle and lower-leg measurements but low in foot measurements.</EA>
<CC>002B08J; 002B12B04</CC>
<FD>Lymphoedème; Lipoedème; Mesure; Tissu; Femelle; Jambe; Homme; Femme; Dermatologie</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Pathologie de la peau; Pathologie du tissu adipeux</FG>
<ED>Lymphedema; Lipoedema; Measurement; Tissue; Female; Leg; Human; Woman; Dermatology</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease; Skin disease; Adipose tissue disorders</EG>
<SD>Linfedema; Lipoedema; Medida; Tejido; Hembra; Pierna; Hombre; Mujer; Dermatología</SD>
<LO>INIST-1043.354000501188280140</LO>
<ID>14-0096044</ID>
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