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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 : 000428

Interstitial 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 Langer

Source :

RBID : Pascal:07-0502672

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0001-706X
A02 01      @0 ACTRAQ
A03   1    @0 Acta trop.
A05       @2 104
A06       @2 1
A08 01  1  ENG  @1 Interstitial MR lymphangiography : A diagnostic imaging method for the evaluation of patients with clinically advanced stages of lymphedema
A11 01  1    @1 LOHRMANN (Christian)
A11 02  1    @1 FOELDI (Etelka)
A11 03  1    @1 BARTHOLOMÄ (Jean-Paul)
A11 04  1    @1 LANGER (Mathias)
A14 01      @1 Division of Diagnostic Radiology, Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55 @2 79106 Freiburg @3 DEU @Z 1 aut. @Z 3 aut. @Z 4 aut.
A14 02      @1 Foeldi Clinic for Lymphology, Hinterzarten, Röβlehofweg 2-6 @2 79856 Hinterzarten @3 DEU @Z 2 aut.
A20       @1 8-15
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 3165 @5 354000162004620020
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 1/2 p.
A47 01  1    @0 07-0502672
A60       @1 P
A61       @0 A
A64 01  1    @0 Acta tropica
A66 01      @0 NLD
C01 01    ENG  @0 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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C02 02  X    @0 002B12B04
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C03 01  X  ENG  @0 Nuclear magnetic resonance imaging @5 01
C03 01  X  SPA  @0 Imaginería RMN @5 01
C03 02  X  FRE  @0 Lymphoedème @5 02
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C03 03  X  FRE  @0 Diagnostic @5 09
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C03 08  X  SPA  @0 Estadio avanzado @5 14
C03 09  X  FRE  @0 Médecine tropicale @5 15
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C07 01  X  ENG  @0 Medical imagery @5 37
C07 01  X  SPA  @0 Imaginería médica @5 37
C07 02  X  FRE  @0 Appareil circulatoire pathologie @5 38
C07 02  X  ENG  @0 Cardiovascular disease @5 38
C07 02  X  SPA  @0 Aparato circulatorio patología @5 38
C07 03  X  FRE  @0 Lymphatique pathologie @5 39
C07 03  X  ENG  @0 Lymphatic vessel disease @5 39
C07 03  X  SPA  @0 Linfático patología @5 39
N21       @1 330
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 07-0502672 INIST
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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Le document en format XML

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<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>
<CC>002B01; 002B12B04</CC>
<FD>Imagerie RMN; Lymphoedème; Diagnostic; Méthodologie; Evaluation; Homme; Malade; Stade avancé; Médecine tropicale</FD>
<FG>Imagerie médicale; Appareil circulatoire pathologie; Lymphatique pathologie</FG>
<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>
<LO>INIST-3165.354000162004620020</LO>
<ID>07-0502672</ID>
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