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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 : 000263

Chronic lower extremity lymphedema: A comparative study of high-resolution interstitial MR lymphangiography and heavily 2-weighted MRI

Auteurs : QINGLU ; JIANRONG XU ; NINGFEI LIU

Source :

RBID : Pascal:10-0181464

Descripteurs français

English descriptors

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  
A01 01  1    @0 0720-048X
A02 01      @0 EJRADR
A03   1    @0 Eur. j. radiol.
A05       @2 73
A06       @2 2
A08 01  1  ENG  @1 Chronic lower extremity lymphedema: A comparative study of high-resolution interstitial MR lymphangiography and heavily 2-weighted MRI
A11 01  1    @1 QINGLU
A11 02  1    @1 JIANRONG XU
A11 03  1    @1 NINGFEI LIU
A14 01      @1 Department of Radiology, Shanghai Renji Hospital, Shanghai Jiao Tong University School of Medicine, 1630 Dong Fang Rd @2 Shanghai 200127 @3 CHN @Z 1 aut. @Z 2 aut.
A14 02      @1 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 @2 Shanghai 200011 @3 CHN @Z 3 aut.
A20       @1 365-373
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 18731 @5 354000181874360280
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 33 ref.
A47 01  1    @0 10-0181464
A60       @1 P
A61       @0 A
A64 01  1    @0 European journal of radiology
A66 01      @0 NLD
C01 01    ENG  @0 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.
C02 01  X    @0 002B12B04
C02 02  X    @0 002B24A03
C03 01  X  FRE  @0 Lymphoedème @5 01
C03 01  X  ENG  @0 Lymphedema @5 01
C03 01  X  SPA  @0 Linfedema @5 01
C03 02  X  FRE  @0 Lymphographie @5 04
C03 02  X  ENG  @0 Lymphography @5 04
C03 02  X  SPA  @0 Linfografía @5 04
C03 03  X  FRE  @0 Imagerie RMN @5 05
C03 03  X  ENG  @0 Nuclear magnetic resonance imaging @5 05
C03 03  X  SPA  @0 Imaginería RMN @5 05
C03 04  X  FRE  @0 Chronique @5 07
C03 04  X  ENG  @0 Chronic @5 07
C03 04  X  SPA  @0 Crónico @5 07
C03 05  X  FRE  @0 Etude comparative @5 08
C03 05  X  ENG  @0 Comparative study @5 08
C03 05  X  SPA  @0 Estudio comparativo @5 08
C03 06  X  FRE  @0 Haute résolution @5 09
C03 06  X  ENG  @0 High resolution @5 09
C03 06  X  SPA  @0 Alta resolucion @5 09
C07 01  X  FRE  @0 Pathologie de l'appareil circulatoire @5 37
C07 01  X  ENG  @0 Cardiovascular disease @5 37
C07 01  X  SPA  @0 Aparato circulatorio patología @5 37
C07 02  X  FRE  @0 Pathologie des vaisseaux lymphatiques @5 38
C07 02  X  ENG  @0 Lymphatic vessel disease @5 38
C07 02  X  SPA  @0 Linfático patología @5 38
C07 03  X  FRE  @0 Radiodiagnostic @5 39
C07 03  X  ENG  @0 Radiodiagnosis @5 39
C07 03  X  SPA  @0 Radiodiagnóstico @5 39
C07 04  X  FRE  @0 Imagerie médicale @5 40
C07 04  X  ENG  @0 Medical imagery @5 40
C07 04  X  SPA  @0 Imaginería médica @5 40
N21       @1 123
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 10-0181464 INIST
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:10-0181464

Le document en format XML

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<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
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<s0>Imaginería médica</s0>
<s5>40</s5>
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<s1>123</s1>
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<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>
<CC>002B12B04; 002B24A03</CC>
<FD>Lymphoedème; Lymphographie; Imagerie RMN; Chronique; Etude comparative; Haute résolution</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Radiodiagnostic; Imagerie médicale</FG>
<ED>Lymphedema; Lymphography; Nuclear magnetic resonance imaging; Chronic; Comparative study; High resolution</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease; Radiodiagnosis; Medical imagery</EG>
<SD>Linfedema; Linfografía; Imaginería RMN; Crónico; Estudio comparativo; Alta resolucion</SD>
<LO>INIST-18731.354000181874360280</LO>
<ID>10-0181464</ID>
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