Chronic lower extremity lymphedema: A comparative study of high-resolution interstitial MR lymphangiography and heavily 2-weighted MRI
Identifieur interne : 000262 ( PascalFrancis/Corpus ); précédent : 000261; suivant : 000263Chronic lower extremity lymphedema: A comparative study of high-resolution interstitial MR lymphangiography and heavily 2-weighted MRI
Auteurs : QINGLU ; JIANRONG XU ; NINGFEI LIUSource :
- European journal of radiology [ 0720-048X ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Purpose: To assess the role of heavily T2-weighted image and interstitial MR lymphangiography (MRL) for the visualization of lymphatic vessels in patients with disorders of the lymphatic circulation. Methods: Forty lower extremities in 31 patients (9 bilateral and 22 unilateral) with primary lymphedema were examined by heavilyT2-weighted image and indirect MRL Maximum-intensity projection (MIP) was used to reconstruct the images of the lymphatic system. Two experienced radiologists analyzed the images with regard to the differences in image quality, number of lymphatic vessels, its maximum diameter and two other findings: accumulated lymph fluid in the tissue and honeycombing pattern. Results: The beaded appearance of the affected vessels in 73 leg segments of 40 lower extremities were present on both modalities 3D MIP. Larger amount of the dilated lymphatic vessels were visualized on heavily T2-weighted image than that on MRL (p=0.003) and the maximum diameter of it was 4.28 ± 1.53 mm on heavily T2-weighted image, whereas 3.41 ± 1.05 mm on MRL (p < 0.01). The dilated lymphatic vessels on MRL showed better image quality and greater SNR and CNR than that on heavily T2-weighted image (p < 0.01). The regions of accumulated lymph fluid and the honeycombing pattern extent were identified on heavily T2-weighted image scored statistically higher than that on MRL (p < 0.01). Conclusion: The heavily T2-weighted imaging has greater sensitivity and the MRL image has higher legibility for detecting the pathologically modified lymphatic vessels and accompanying complications non-invasively. Combining these two MR techniques can accurately access the pathological changes in the lower extremity with lymphedema.
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Pour connaître la documentation sur le format Inist Standard.
pA |
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Format Inist (serveur)
NO : | PASCAL 10-0181464 INIST |
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ET : | Chronic lower extremity lymphedema: A comparative study of high-resolution interstitial MR lymphangiography and heavily 2-weighted MRI |
AU : | QINGLU; JIANRONG XU; NINGFEI LIU |
AF : | Department of Radiology, Shanghai Renji Hospital, Shanghai Jiao Tong University School of Medicine, 1630 Dong Fang Rd/Shanghai 200127/Chine (1 aut., 2 aut.); Department of Plastic & Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Second Medical University, 639 Zhi Zao Ju Rd/Shanghai 200011/Chine (3 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | European journal of radiology; ISSN 0720-048X; Coden EJRADR; Pays-Bas; Da. 2010; Vol. 73; No. 2; Pp. 365-373; Bibl. 33 ref. |
LA : | Anglais |
EA : | Purpose: To assess the role of heavily T2-weighted image and interstitial MR lymphangiography (MRL) for the visualization of lymphatic vessels in patients with disorders of the lymphatic circulation. Methods: Forty lower extremities in 31 patients (9 bilateral and 22 unilateral) with primary lymphedema were examined by heavilyT2-weighted image and indirect MRL Maximum-intensity projection (MIP) was used to reconstruct the images of the lymphatic system. Two experienced radiologists analyzed the images with regard to the differences in image quality, number of lymphatic vessels, its maximum diameter and two other findings: accumulated lymph fluid in the tissue and honeycombing pattern. Results: The beaded appearance of the affected vessels in 73 leg segments of 40 lower extremities were present on both modalities 3D MIP. Larger amount of the dilated lymphatic vessels were visualized on heavily T2-weighted image than that on MRL (p=0.003) and the maximum diameter of it was 4.28 ± 1.53 mm on heavily T2-weighted image, whereas 3.41 ± 1.05 mm on MRL (p < 0.01). The dilated lymphatic vessels on MRL showed better image quality and greater SNR and CNR than that on heavily T2-weighted image (p < 0.01). The regions of accumulated lymph fluid and the honeycombing pattern extent were identified on heavily T2-weighted image scored statistically higher than that on MRL (p < 0.01). Conclusion: The heavily T2-weighted imaging has greater sensitivity and the MRL image has higher legibility for detecting the pathologically modified lymphatic vessels and accompanying complications non-invasively. Combining these two MR techniques can accurately access the pathological changes in the lower extremity with lymphedema. |
CC : | 002B12B04; 002B24A03 |
FD : | Lymphoedème; Lymphographie; Imagerie RMN; Chronique; Etude comparative; Haute résolution |
FG : | Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Radiodiagnostic; Imagerie médicale |
ED : | Lymphedema; Lymphography; Nuclear magnetic resonance imaging; Chronic; Comparative study; High resolution |
EG : | Cardiovascular disease; Lymphatic vessel disease; Radiodiagnosis; Medical imagery |
SD : | Linfedema; Linfografía; Imaginería RMN; Crónico; Estudio comparativo; Alta resolucion |
LO : | INIST-18731.354000181874360280 |
ID : | 10-0181464 |
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Pascal:10-0181464Le document en format XML
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<affiliation><inist:fA14 i1="01"><s1>Department of Radiology, Shanghai Renji Hospital, Shanghai Jiao Tong University School of Medicine, 1630 Dong Fang Rd</s1>
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<author><name sortKey="Jianrong Xu" sort="Jianrong Xu" uniqKey="Jianrong Xu" last="Jianrong Xu">JIANRONG XU</name>
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<front><div type="abstract" xml:lang="en">Purpose: To assess the role of heavily T2-weighted image and interstitial MR lymphangiography (MRL) for the visualization of lymphatic vessels in patients with disorders of the lymphatic circulation. Methods: Forty lower extremities in 31 patients (9 bilateral and 22 unilateral) with primary lymphedema were examined by heavilyT2-weighted image and indirect MRL Maximum-intensity projection (MIP) was used to reconstruct the images of the lymphatic system. Two experienced radiologists analyzed the images with regard to the differences in image quality, number of lymphatic vessels, its maximum diameter and two other findings: accumulated lymph fluid in the tissue and honeycombing pattern. Results: The beaded appearance of the affected vessels in 73 leg segments of 40 lower extremities were present on both modalities 3D MIP. Larger amount of the dilated lymphatic vessels were visualized on heavily T2-weighted image than that on MRL (p<sub>=</sub>
0.003) and the maximum diameter of it was 4.28 ± 1.53 mm on heavily T2-weighted image, whereas 3.41 ± 1.05 mm on MRL (p < 0.01). The dilated lymphatic vessels on MRL showed better image quality and greater SNR and CNR than that on heavily T2-weighted image (p < 0.01). The regions of accumulated lymph fluid and the honeycombing pattern extent were identified on heavily T2-weighted image scored statistically higher than that on MRL (p < 0.01). Conclusion: The heavily T2-weighted imaging has greater sensitivity and the MRL image has higher legibility for detecting the pathologically modified lymphatic vessels and accompanying complications non-invasively. Combining these two MR techniques can accurately access the pathological changes in the lower extremity with lymphedema.</div>
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<server><NO>PASCAL 10-0181464 INIST</NO>
<ET>Chronic lower extremity lymphedema: A comparative study of high-resolution interstitial MR lymphangiography and heavily 2-weighted MRI</ET>
<AU>QINGLU; JIANRONG XU; NINGFEI LIU</AU>
<AF>Department of Radiology, Shanghai Renji Hospital, Shanghai Jiao Tong University School of Medicine, 1630 Dong Fang Rd/Shanghai 200127/Chine (1 aut., 2 aut.); Department of Plastic & Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Second Medical University, 639 Zhi Zao Ju Rd/Shanghai 200011/Chine (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>European journal of radiology; ISSN 0720-048X; Coden EJRADR; Pays-Bas; Da. 2010; Vol. 73; No. 2; Pp. 365-373; Bibl. 33 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: To assess the role of heavily T2-weighted image and interstitial MR lymphangiography (MRL) for the visualization of lymphatic vessels in patients with disorders of the lymphatic circulation. Methods: Forty lower extremities in 31 patients (9 bilateral and 22 unilateral) with primary lymphedema were examined by heavilyT2-weighted image and indirect MRL Maximum-intensity projection (MIP) was used to reconstruct the images of the lymphatic system. Two experienced radiologists analyzed the images with regard to the differences in image quality, number of lymphatic vessels, its maximum diameter and two other findings: accumulated lymph fluid in the tissue and honeycombing pattern. Results: The beaded appearance of the affected vessels in 73 leg segments of 40 lower extremities were present on both modalities 3D MIP. Larger amount of the dilated lymphatic vessels were visualized on heavily T2-weighted image than that on MRL (p<sub>=</sub>
0.003) and the maximum diameter of it was 4.28 ± 1.53 mm on heavily T2-weighted image, whereas 3.41 ± 1.05 mm on MRL (p < 0.01). The dilated lymphatic vessels on MRL showed better image quality and greater SNR and CNR than that on heavily T2-weighted image (p < 0.01). The regions of accumulated lymph fluid and the honeycombing pattern extent were identified on heavily T2-weighted image scored statistically higher than that on MRL (p < 0.01). Conclusion: The heavily T2-weighted imaging has greater sensitivity and the MRL image has higher legibility for detecting the pathologically modified lymphatic vessels and accompanying complications non-invasively. Combining these two MR techniques can accurately access the pathological changes in the lower extremity with lymphedema.</EA>
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