LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000A88

Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy

Identifieur interne : 000A88 ( PascalFrancis/Corpus ); précédent : 000A87; suivant : 000A89

Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy

Auteurs : P. Br Utigam ; E. Födl ; I. Schaiper ; T. Krause ; W. Vanscheidt ; E. Moser

Source :

Lymphology [ 0024-7766 ] ; 1998.

RBID : Pascal:98-0366277

Descripteurs français

Pascal (Inist)
- Lymphoedème, Oedème, Jambe, Postthrombose veine syndrome, Membre, Scintigraphie, Système lymphatique, Exploration, Technique, Homme.

English descriptors

KwdEn :
- Edema, Exploration, Human, Leg, Limb, Lymphatic system, Lymphedema, Postphlebitic syndrome, Scintigraphy, Technique.

Abstract

The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo)edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome), subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0024-7766`
A02	`01`			`@0 LYMPBN`
A03		`1`		`@0 Lymphology`
A05				`@2 31`
A06				`@2 2`
A08	`01`	`1`	`ENG`	`@1 Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy`
A11	`01`	`1`		`@1 BRÄUTIGAM (P.)`
A11	`02`	`1`		`@1 FÖDL (E.)`
A11	`03`	`1`		`@1 SCHAIPER (I.)`
A11	`04`	`1`		`@1 KRAUSE (T.)`
A11	`05`	`1`		`@1 VANSCHEIDT (W.)`
A11	`06`	`1`		`@1 MOSER (E.)`
A14	`01`			`@1 Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg @3 DEU @Z 1 aut. @Z 4 aut. @Z 6 aut.`
A14	`02`			`@1 Földiklinik, Fachklinik für lymphologische Erkrankungen @2 Hinterzarten @3 DEU @Z 2 aut.`
A14	`03`			`@1 Zentrum für Nuklearmedizin, Paracelsus-Klinik Osnabrück @3 DEU @Z 3 aut.`
A14	`04`			`@1 Universitäts-Hautklinik @2 Freiburg @3 DEU @Z 5 aut.`
A20				`@1 43-55`
A21				`@1 1998`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 14604 @5 354000072262290010`
A44				`@0 0000 @1 © 1998 INIST-CNRS. All rights reserved.`
A45				`@0 27 ref.`
A47	`01`	`1`		`@0 98-0366277`
A60				`@1 P`
A61				`@0 A`
A64		`1`		`@0 Lymphology`
A66	`01`			`@0 DEU`
C01	`01`		`ENG`	@0 The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo)edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome), subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.
C02	`01`	`X`		`@0 002B24B03`
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 Oedème @5 04`
C03	`02`	`X`	`ENG`	`@0 Edema @5 04`
C03	`02`	`X`	`SPA`	`@0 Edema @5 04`
C03	`03`	`X`	`FRE`	`@0 Jambe @5 05`
C03	`03`	`X`	`ENG`	`@0 Leg @5 05`
C03	`03`	`X`	`SPA`	`@0 Pierna @5 05`
C03	`04`	`X`	`FRE`	`@0 Postthrombose veine syndrome @5 07`
C03	`04`	`X`	`ENG`	`@0 Postphlebitic syndrome @5 07`
C03	`04`	`X`	`SPA`	`@0 Postflebitis síndrome @5 07`
C03	`05`	`X`	`FRE`	`@0 Membre @5 08`
C03	`05`	`X`	`ENG`	`@0 Limb @5 08`
C03	`05`	`X`	`SPA`	`@0 Miembro @5 08`
C03	`06`	`X`	`FRE`	`@0 Scintigraphie @5 10`
C03	`06`	`X`	`ENG`	`@0 Scintigraphy @5 10`
C03	`06`	`X`	`SPA`	`@0 Centelleografía @5 10`
C03	`07`	`X`	`FRE`	`@0 Système lymphatique @5 11`
C03	`07`	`X`	`ENG`	`@0 Lymphatic system @5 11`
C03	`07`	`X`	`SPA`	`@0 Sistema linfático @5 11`
C03	`08`	`X`	`FRE`	`@0 Exploration @5 17`
C03	`08`	`X`	`ENG`	`@0 Exploration @5 17`
C03	`08`	`X`	`SPA`	`@0 Exploración @5 17`
C03	`09`	`X`	`FRE`	`@0 Technique @5 18`
C03	`09`	`X`	`ENG`	`@0 Technique @5 18`
C03	`09`	`X`	`SPA`	`@0 Técnica @5 18`
C03	`10`	`X`	`FRE`	`@0 Homme @5 20`
C03	`10`	`X`	`ENG`	`@0 Human @5 20`
C03	`10`	`X`	`SPA`	`@0 Hombre @5 20`
C07	`01`	`X`	`FRE`	`@0 Appareil circulatoire pathologie @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 Lymphatique pathologie @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 Vaisseau sanguin pathologie @5 54`
C07	`03`	`X`	`ENG`	`@0 Vascular disease @5 54`
C07	`03`	`X`	`SPA`	`@0 Vaso sanguíneo patología @5 54`
C07	`04`	`X`	`FRE`	`@0 Veine pathologie @5 55`
C07	`04`	`X`	`ENG`	`@0 Venous disease @5 55`
C07	`04`	`X`	`SPA`	`@0 Vena patología @5 55`
C07	`05`	`X`	`FRE`	`@0 Exploration radioisotopique @5 61`
C07	`05`	`X`	`ENG`	`@0 Radionuclide study @5 61`
C07	`05`	`X`	`SPA`	`@0 Exploración radioisotópica @5 61`
C07	`06`	`X`	`FRE`	`@0 Imagerie médicale @5 62`
C07	`06`	`X`	`ENG`	`@0 Medical imagery @5 62`
C07	`06`	`X`	`SPA`	`@0 Imageneria medical @5 62`
N21				`@1 251`

Format Inist (serveur)

NO :	PASCAL 98-0366277 INIST
ET :	Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy
AU :	BRÄUTIGAM (P.); FÖDL (E.); SCHAIPER (I.); KRAUSE (T.); VANSCHEIDT (W.); MOSER (E.)
AF :	Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg/Allemagne (1 aut., 4 aut., 6 aut.); Földiklinik, Fachklinik für lymphologische Erkrankungen/Hinterzarten/Allemagne (2 aut.); Zentrum für Nuklearmedizin, Paracelsus-Klinik Osnabrück/Allemagne (3 aut.); Universitäts-Hautklinik/Freiburg/Allemagne (5 aut.)
DT :	Publication en série; Niveau analytique
SO :	Lymphology; ISSN 0024-7766; Coden LYMPBN; Allemagne; Da. 1998; Vol. 31; No. 2; Pp. 43-55; Bibl. 27 ref.
LA :	Anglais
EA :	The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo)edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome), subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.
CC :	002B24B03
FD :	Lymphoedème; Oedème; Jambe; Postthrombose veine syndrome; Membre; Scintigraphie; Système lymphatique; Exploration; Technique; Homme
FG :	Appareil circulatoire pathologie; Lymphatique pathologie; Vaisseau sanguin pathologie; Veine pathologie; Exploration radioisotopique; Imagerie médicale
ED :	Lymphedema; Edema; Leg; Postphlebitic syndrome; Limb; Scintigraphy; Lymphatic system; Exploration; Technique; Human
EG :	Cardiovascular disease; Lymphatic vessel disease; Vascular disease; Venous disease; Radionuclide study; Medical imagery
SD :	Linfedema; Edema; Pierna; Postflebitis síndrome; Miembro; Centelleografía; Sistema linfático; Exploración; Técnica; Hombre
LO :	INIST-14604.354000072262290010
ID :	98-0366277

Links to Exploration step

Pascal:98-0366277

Le document en format XML

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<front><div type="abstract" xml:lang="en">The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo)edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome), subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.</div>
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<fC01 i1="01" l="ENG"><s0>The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo)edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome), subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B24B03</s0>
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<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Lymphedema</s0>
<s5>01</s5>
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<s5>01</s5>
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<s5>04</s5>
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<s5>05</s5>
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<s5>07</s5>
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<s5>07</s5>
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<fC03 i1="05" i2="X" l="FRE"><s0>Membre</s0>
<s5>08</s5>
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<s5>08</s5>
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<s5>08</s5>
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<s5>10</s5>
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<fC03 i1="06" i2="X" l="ENG"><s0>Scintigraphy</s0>
<s5>10</s5>
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<s5>10</s5>
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<s5>11</s5>
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<s5>11</s5>
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<fC03 i1="08" i2="X" l="FRE"><s0>Exploration</s0>
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<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Exploración</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Technique</s0>
<s5>18</s5>
</fC03>
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<s5>18</s5>
</fC03>
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<s5>18</s5>
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<fC03 i1="10" i2="X" l="FRE"><s0>Homme</s0>
<s5>20</s5>
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<s5>20</s5>
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<s5>20</s5>
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<s5>37</s5>
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<fC07 i1="02" i2="X" l="FRE"><s0>Lymphatique pathologie</s0>
<s5>38</s5>
</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>Vaisseau sanguin pathologie</s0>
<s5>54</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Vascular disease</s0>
<s5>54</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Vaso sanguíneo patología</s0>
<s5>54</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Veine pathologie</s0>
<s5>55</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Venous disease</s0>
<s5>55</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Vena patología</s0>
<s5>55</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Exploration radioisotopique</s0>
<s5>61</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Radionuclide study</s0>
<s5>61</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Exploración radioisotópica</s0>
<s5>61</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Imagerie médicale</s0>
<s5>62</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Medical imagery</s0>
<s5>62</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Imageneria medical</s0>
<s5>62</s5>
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<fN21><s1>251</s1>
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<server><NO>PASCAL 98-0366277 INIST</NO>
<ET>Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy</ET>
<AU>BRÄUTIGAM (P.); FÖDL (E.); SCHAIPER (I.); KRAUSE (T.); VANSCHEIDT (W.); MOSER (E.)</AU>
<AF>Abteilung Nuklearmedizin, Radiol. University Klinik Freiburg/Allemagne (1 aut., 4 aut., 6 aut.); Földiklinik, Fachklinik für lymphologische Erkrankungen/Hinterzarten/Allemagne (2 aut.); Zentrum für Nuklearmedizin, Paracelsus-Klinik Osnabrück/Allemagne (3 aut.); Universitäts-Hautklinik/Freiburg/Allemagne (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Lymphology; ISSN 0024-7766; Coden LYMPBN; Allemagne; Da. 1998; Vol. 31; No. 2; Pp. 43-55; Bibl. 27 ref.</SO>
<LA>Anglais</LA>
<EA>The anatomical and functional status of the epifascial and subfascial lymphatic compartments was analyzed using two compartment lymphoscintigraphy in five groups of patients (total 55) with various forms of edema of the lower extremities. Digital whole body scintigraphy enabled semiquantitative estimation of radiotracer transport with comparison of lymphatic drainage between those individuals without (normal) and those with leg edema by calculating the uptake of the radiopharmaceutical transported to regional lymph nodes. A visual assessment of the lymphatic drainage pathways of the legs was also performed. In patients with cyclic idiopathic edema, an accelerated rate of lymphatic transport was detected (high lymph volume overload or dynamic insufficiency). In those with venous (phlebo)edemas, high volume lymphatic overload (dynamic insufficiency) of the epifascial compartment was scintigraphically detected by increased tracer uptake in regional nodes. In patients with deep femoral venous occlusion (post-thrombotic syndrome), subfascial lymphatic transport was uniformly markedly reduced (safety valve lymphatic insufficiency). On the other hand, in the epifascial compartment, lymph transport was accelerated. In those patients with recurrent or extensive skin ulceration, lymph transport was reduced. Patients with lipedema (obesity) scintigraphically showed no alteration in lymphatic transport. This study demonstrates that lymphatic drainage is notably affected (except in obesity termed lipedema) in various edemas of the leg. Lymphatic drainage varied depending on the specific compartment and the pathophysiologic mechanism accounting for the edema. Two compartment lymphoscintigraphy is a valuable diagnostic tool for accurate assessment of leg edema of known and unknown origin.</EA>
<CC>002B24B03</CC>
<FD>Lymphoedème; Oedème; Jambe; Postthrombose veine syndrome; Membre; Scintigraphie; Système lymphatique; Exploration; Technique; Homme</FD>
<FG>Appareil circulatoire pathologie; Lymphatique pathologie; Vaisseau sanguin pathologie; Veine pathologie; Exploration radioisotopique; Imagerie médicale</FG>
<ED>Lymphedema; Edema; Leg; Postphlebitic syndrome; Limb; Scintigraphy; Lymphatic system; Exploration; Technique; Human</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease; Vascular disease; Venous disease; Radionuclide study; Medical imagery</EG>
<SD>Linfedema; Edema; Pierna; Postflebitis síndrome; Miembro; Centelleografía; Sistema linfático; Exploración; Técnica; Hombre</SD>
<LO>INIST-14604.354000072262290010</LO>
<ID>98-0366277</ID>
</server>
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Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy

Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy

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