Interstitial MR lymphangiography : A diagnostic imaging method for the evaluation of patients with clinically advanced stages of lymphedema
Identifieur interne : 000427 ( PascalFrancis/Corpus ); précédent : 000426; suivant : 000428Interstitial MR lymphangiography : A diagnostic imaging method for the evaluation of patients with clinically advanced stages of lymphedema
Auteurs : Christian Lohrmann ; Etelka Foeldi ; Jean-Paul Bartholom ; Mathias LangerSource :
- Acta tropica [ 0001-706X ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Background: To assess the feasibility of interstitial magnetic resonance lymphangiography with intracutaneous injection of a commercially available, non-ionic, extracellular paramagnetic contrast agent, to visualize lymphatic vessels in patients with clinically advanced stages of primary lymphedema. Methods: Sixteen lower extremities in 8 patients with clinically advanced stages of primary lymphedema were examined with magnetic resonance lymphangiography. A 18 mL of gadodiamide and 2 mL of mepivacainhydrochloride 1% were subdivided into 10 portions and injected intracutaneously into the dorsal aspect of both feet. For MRL, a 3D spoiled gradient-echo sequence (Volumetric Interpolated Breathold Examination, VIBE) was performed. Results: The beaded appearance of lymphatic vessels extending from the injection site was detected in all 16 lower extremities (100%). In 10 lower extremities (63%), lymphatic vessels of the upper leg could be visualized. A contrast enhancement was observed in 10/16 inguinal lymph node groups (63%). In 12 lower extremities (75%) collateral vessels with dermal back-flow areas between lymphatic vessels were seen. Conclusion: Magnetic resonance lymphangiography is safe, technically feasible, and assists the clinician in the therapeutic planning of patients with clinically advanced stages of primary lymphedema by imaging the pathologically modified lymphatic vessels and accompanying complications non-invasively.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 07-0502672 INIST |
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ET : | Interstitial MR lymphangiography : A diagnostic imaging method for the evaluation of patients with clinically advanced stages of lymphedema |
AU : | LOHRMANN (Christian); FOELDI (Etelka); BARTHOLOMÄ (Jean-Paul); LANGER (Mathias) |
AF : | Division of Diagnostic Radiology, Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55/79106 Freiburg/Allemagne (1 aut., 3 aut., 4 aut.); Foeldi Clinic for Lymphology, Hinterzarten, Röβlehofweg 2-6/79856 Hinterzarten/Allemagne (2 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Acta tropica; ISSN 0001-706X; Coden ACTRAQ; Pays-Bas; Da. 2007; Vol. 104; No. 1; Pp. 8-15; Bibl. 1/2 p. |
LA : | Anglais |
EA : | Background: To assess the feasibility of interstitial magnetic resonance lymphangiography with intracutaneous injection of a commercially available, non-ionic, extracellular paramagnetic contrast agent, to visualize lymphatic vessels in patients with clinically advanced stages of primary lymphedema. Methods: Sixteen lower extremities in 8 patients with clinically advanced stages of primary lymphedema were examined with magnetic resonance lymphangiography. A 18 mL of gadodiamide and 2 mL of mepivacainhydrochloride 1% were subdivided into 10 portions and injected intracutaneously into the dorsal aspect of both feet. For MRL, a 3D spoiled gradient-echo sequence (Volumetric Interpolated Breathold Examination, VIBE) was performed. Results: The beaded appearance of lymphatic vessels extending from the injection site was detected in all 16 lower extremities (100%). In 10 lower extremities (63%), lymphatic vessels of the upper leg could be visualized. A contrast enhancement was observed in 10/16 inguinal lymph node groups (63%). In 12 lower extremities (75%) collateral vessels with dermal back-flow areas between lymphatic vessels were seen. Conclusion: Magnetic resonance lymphangiography is safe, technically feasible, and assists the clinician in the therapeutic planning of patients with clinically advanced stages of primary lymphedema by imaging the pathologically modified lymphatic vessels and accompanying complications non-invasively. |
CC : | 002B01; 002B12B04 |
FD : | Imagerie RMN; Lymphoedème; Diagnostic; Méthodologie; Evaluation; Homme; Malade; Stade avancé; Médecine tropicale |
FG : | Imagerie médicale; Appareil circulatoire pathologie; Lymphatique pathologie |
ED : | Nuclear magnetic resonance imaging; Lymphedema; Diagnosis; Methodology; Evaluation; Human; Patient; Advanced stage; Tropical medicine |
EG : | Medical imagery; Cardiovascular disease; Lymphatic vessel disease |
SD : | Imaginería RMN; Linfedema; Diagnóstico; Metodología; Evaluación; Hombre; Enfermo; Estadio avanzado; Medicina tropical |
LO : | INIST-3165.354000162004620020 |
ID : | 07-0502672 |
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Pascal:07-0502672Le document en format XML
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<front><div type="abstract" xml:lang="en">Background: To assess the feasibility of interstitial magnetic resonance lymphangiography with intracutaneous injection of a commercially available, non-ionic, extracellular paramagnetic contrast agent, to visualize lymphatic vessels in patients with clinically advanced stages of primary lymphedema. Methods: Sixteen lower extremities in 8 patients with clinically advanced stages of primary lymphedema were examined with magnetic resonance lymphangiography. A 18 mL of gadodiamide and 2 mL of mepivacainhydrochloride 1% were subdivided into 10 portions and injected intracutaneously into the dorsal aspect of both feet. For MRL, a 3D spoiled gradient-echo sequence (Volumetric Interpolated Breathold Examination, VIBE) was performed. Results: The beaded appearance of lymphatic vessels extending from the injection site was detected in all 16 lower extremities (100%). In 10 lower extremities (63%), lymphatic vessels of the upper leg could be visualized. A contrast enhancement was observed in 10/16 inguinal lymph node groups (63%). In 12 lower extremities (75%) collateral vessels with dermal back-flow areas between lymphatic vessels were seen. Conclusion: Magnetic resonance lymphangiography is safe, technically feasible, and assists the clinician in the therapeutic planning of patients with clinically advanced stages of primary lymphedema by imaging the pathologically modified lymphatic vessels and accompanying complications non-invasively.</div>
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<server><NO>PASCAL 07-0502672 INIST</NO>
<ET>Interstitial MR lymphangiography : A diagnostic imaging method for the evaluation of patients with clinically advanced stages of lymphedema</ET>
<AU>LOHRMANN (Christian); FOELDI (Etelka); BARTHOLOMÄ (Jean-Paul); LANGER (Mathias)</AU>
<AF>Division of Diagnostic Radiology, Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55/79106 Freiburg/Allemagne (1 aut., 3 aut., 4 aut.); Foeldi Clinic for Lymphology, Hinterzarten, Röβlehofweg 2-6/79856 Hinterzarten/Allemagne (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Acta tropica; ISSN 0001-706X; Coden ACTRAQ; Pays-Bas; Da. 2007; Vol. 104; No. 1; Pp. 8-15; Bibl. 1/2 p.</SO>
<LA>Anglais</LA>
<EA>Background: To assess the feasibility of interstitial magnetic resonance lymphangiography with intracutaneous injection of a commercially available, non-ionic, extracellular paramagnetic contrast agent, to visualize lymphatic vessels in patients with clinically advanced stages of primary lymphedema. Methods: Sixteen lower extremities in 8 patients with clinically advanced stages of primary lymphedema were examined with magnetic resonance lymphangiography. A 18 mL of gadodiamide and 2 mL of mepivacainhydrochloride 1% were subdivided into 10 portions and injected intracutaneously into the dorsal aspect of both feet. For MRL, a 3D spoiled gradient-echo sequence (Volumetric Interpolated Breathold Examination, VIBE) was performed. Results: The beaded appearance of lymphatic vessels extending from the injection site was detected in all 16 lower extremities (100%). In 10 lower extremities (63%), lymphatic vessels of the upper leg could be visualized. A contrast enhancement was observed in 10/16 inguinal lymph node groups (63%). In 12 lower extremities (75%) collateral vessels with dermal back-flow areas between lymphatic vessels were seen. Conclusion: Magnetic resonance lymphangiography is safe, technically feasible, and assists the clinician in the therapeutic planning of patients with clinically advanced stages of primary lymphedema by imaging the pathologically modified lymphatic vessels and accompanying complications non-invasively.</EA>
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<ED>Nuclear magnetic resonance imaging; Lymphedema; Diagnosis; Methodology; Evaluation; Human; Patient; Advanced stage; Tropical medicine</ED>
<EG>Medical imagery; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Imaginería RMN; Linfedema; Diagnóstico; Metodología; Evaluación; Hombre; Enfermo; Estadio avanzado; Medicina tropical</SD>
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