Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography
Identifieur interne : 002C97 ( Pmc/Corpus ); précédent : 002C96; suivant : 002C98Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography
Auteurs : C. Lohrmann ; E. Foeldi ; M. LangerSource :
- The British Journal of Radiology [ 0007-1285 ] ; 2011.
Abstract
Lymphocutaneous fistulas with intractable lymphatic leakage represent a serious clinical condition leading to a severe impairment of quality of life for the affected patients. To date, no adequate diagnostic imaging modality is in existence to allow selection of the correct treatment option. The aim of this study was to perform a pre-therapeutic evaluation of the lymphatic system in patients with lymphocutaneous fistulas by magnetic resonance lymphangiography (MRL).
Eight lower extremities in four patients with lymphocutaneous fistulas were examined by MRL. Three locations were examined: first, the lower leg and foot regions; second, the upper leg and the knee region; and third, the pelvic and retroperitoneal regions. A
In all four patients (100%), the clinically suspected lymphocutaneous fistulas (groin and forefoot) were exactly delineated by MRL. In two patients (50%) adjacent diffuse lymphangiomatous changes were detected, extending into the upper leg, pelvis, retroperitoneum, abdomen and abdominal walls. In one patient (25%) with primary lymphoedema of the right lower extremity, MRL revealed an aplasia of the lymphatic collectors at the levels of the lower and upper leg. All patients (100%) suffered from an ipsilateral lymphoedema of the lower extremity, whereby in two patients with diffuse lymphangiomatosis the lymphatic vessels were consecutively enlarged up to a diameter of 6 mm.
MRL is a safe and accurate imaging modality for a comprehensive evaluation of the lymphatic system in patients suffering from lymphocutaneous fistulas.
Url:
DOI: 10.1259/bjr/14411627
PubMed: 21159808
PubMed Central: 3473440
Links to Exploration step
PMC:3473440Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography</title><author><name sortKey="Lohrmann, C" sort="Lohrmann, C" uniqKey="Lohrmann C" first="C" last="Lohrmann">C. Lohrmann</name><affiliation><nlm:aff id="aff1"><addr-line>Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, D-79106, Freiburg, Germany</addr-line></nlm:aff></affiliation></author><author><name sortKey="Foeldi, E" sort="Foeldi, E" uniqKey="Foeldi E" first="E" last="Foeldi">E. Foeldi</name><affiliation><nlm:aff id="aff2"><addr-line>Foeldi Clinic for Lymphology, Hinterzarten, Rößlehofweg 2-6, D-79856, Hinterzarten, Germany</addr-line></nlm:aff></affiliation></author><author><name sortKey="Langer, M" sort="Langer, M" uniqKey="Langer M" first="M" last="Langer">M. Langer</name><affiliation><nlm:aff id="aff1"><addr-line>Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, D-79106, Freiburg, Germany</addr-line></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21159808</idno><idno type="pmc">3473440</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3473440</idno><idno type="RBID">PMC:3473440</idno><idno type="doi">10.1259/bjr/14411627</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">002C97</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002C97</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography</title><author><name sortKey="Lohrmann, C" sort="Lohrmann, C" uniqKey="Lohrmann C" first="C" last="Lohrmann">C. Lohrmann</name><affiliation><nlm:aff id="aff1"><addr-line>Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, D-79106, Freiburg, Germany</addr-line></nlm:aff></affiliation></author><author><name sortKey="Foeldi, E" sort="Foeldi, E" uniqKey="Foeldi E" first="E" last="Foeldi">E. Foeldi</name><affiliation><nlm:aff id="aff2"><addr-line>Foeldi Clinic for Lymphology, Hinterzarten, Rößlehofweg 2-6, D-79856, Hinterzarten, Germany</addr-line></nlm:aff></affiliation></author><author><name sortKey="Langer, M" sort="Langer, M" uniqKey="Langer M" first="M" last="Langer">M. Langer</name><affiliation><nlm:aff id="aff1"><addr-line>Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, D-79106, Freiburg, Germany</addr-line></nlm:aff></affiliation></author></analytic><series><title level="j">The British Journal of Radiology</title><idno type="ISSN">0007-1285</idno><idno type="eISSN">1748-880X</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>Lymphocutaneous fistulas with intractable lymphatic leakage represent a serious clinical condition leading to a severe impairment of quality of life for the affected patients. To date, no adequate diagnostic imaging modality is in existence to allow selection of the correct treatment option. The aim of this study was to perform a pre-therapeutic evaluation of the lymphatic system in patients with lymphocutaneous fistulas by magnetic resonance lymphangiography (MRL).</p></sec><sec><title>Methods</title><p>Eight lower extremities in four patients with lymphocutaneous fistulas were examined by MRL. Three locations were examined: first, the lower leg and foot regions; second, the upper leg and the knee region; and third, the pelvic and retroperitoneal regions. A <italic>T</italic><sub>1</sub> weighted three-dimensional (3D) spoiled gradient echo and a heavily <italic>T</italic><sub>2</sub> weighted 3D turbo spin echo (3D-TSE) sequence were utilised to undertake MRL.</p></sec><sec><title>Results</title><p>In all four patients (100%), the clinically suspected lymphocutaneous fistulas (groin and forefoot) were exactly delineated by MRL. In two patients (50%) adjacent diffuse lymphangiomatous changes were detected, extending into the upper leg, pelvis, retroperitoneum, abdomen and abdominal walls. In one patient (25%) with primary lymphoedema of the right lower extremity, MRL revealed an aplasia of the lymphatic collectors at the levels of the lower and upper leg. All patients (100%) suffered from an ipsilateral lymphoedema of the lower extremity, whereby in two patients with diffuse lymphangiomatosis the lymphatic vessels were consecutively enlarged up to a diameter of 6 mm.</p></sec><sec><title>Conclusion</title><p>MRL is a safe and accurate imaging modality for a comprehensive evaluation of the lymphatic system in patients suffering from lymphocutaneous fistulas.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Br J Radiol</journal-id><journal-id journal-id-type="iso-abbrev">Br J Radiol</journal-id><journal-id journal-id-type="hwp">bjradio</journal-id><journal-id journal-id-type="publisher-id">bjr</journal-id><journal-title-group><journal-title>The British Journal of Radiology</journal-title></journal-title-group><issn pub-type="ppub">0007-1285</issn><issn pub-type="epub">1748-880X</issn><publisher><publisher-name>The British Institute of Radiology.</publisher-name><publisher-loc>36 Portland Place, London, W1B 1AT</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21159808</article-id><article-id pub-id-type="pmc">3473440</article-id><article-id pub-id-type="publisher-id">D9428</article-id><article-id pub-id-type="doi">10.1259/bjr/14411627</article-id><article-categories><subj-group subj-group-type="heading"><subject>Full Paper</subject></subj-group></article-categories><title-group><article-title>Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography</article-title><alt-title alt-title-type="running-head">Imaging of lymphocutaneous fistulas by MRL</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lohrmann</surname><given-names>C</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Foeldi</surname><given-names>E</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Langer</surname><given-names>M</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, D-79106, Freiburg, Germany</addr-line></aff><aff id="aff2"><label>2</label><addr-line>Foeldi Clinic for Lymphology, Hinterzarten, Rößlehofweg 2-6, D-79856, Hinterzarten, Germany</addr-line></aff><author-notes><corresp id="cor1">Christian Lohrmann, <sc>md</sc>, Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, 79106 Freiburg i. Br., Germany. E-mail: <email>christian.lohrmann@uniklinik-freiburg.de</email></corresp></author-notes><pub-date pub-type="ppub"><month>8</month><year>2011</year></pub-date><volume>84</volume><issue>1004</issue><fpage>714</fpage><lpage>718</lpage><history><date date-type="received"><day>20</day><month>5</month><year>2009</year></date><date date-type="rev-recd"><day>4</day><month>2</month><year>2010</year></date><date date-type="accepted"><day>9</day><month>2</month><year>2010</year></date></history><permissions><copyright-statement>© 2011 The British Institute of Radiology</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><sec><title>Objective</title><p>Lymphocutaneous fistulas with intractable lymphatic leakage represent a serious clinical condition leading to a severe impairment of quality of life for the affected patients. To date, no adequate diagnostic imaging modality is in existence to allow selection of the correct treatment option. The aim of this study was to perform a pre-therapeutic evaluation of the lymphatic system in patients with lymphocutaneous fistulas by magnetic resonance lymphangiography (MRL).</p></sec><sec><title>Methods</title><p>Eight lower extremities in four patients with lymphocutaneous fistulas were examined by MRL. Three locations were examined: first, the lower leg and foot regions; second, the upper leg and the knee region; and third, the pelvic and retroperitoneal regions. A <italic>T</italic><sub>1</sub> weighted three-dimensional (3D) spoiled gradient echo and a heavily <italic>T</italic><sub>2</sub> weighted 3D turbo spin echo (3D-TSE) sequence were utilised to undertake MRL.</p></sec><sec><title>Results</title><p>In all four patients (100%), the clinically suspected lymphocutaneous fistulas (groin and forefoot) were exactly delineated by MRL. In two patients (50%) adjacent diffuse lymphangiomatous changes were detected, extending into the upper leg, pelvis, retroperitoneum, abdomen and abdominal walls. In one patient (25%) with primary lymphoedema of the right lower extremity, MRL revealed an aplasia of the lymphatic collectors at the levels of the lower and upper leg. All patients (100%) suffered from an ipsilateral lymphoedema of the lower extremity, whereby in two patients with diffuse lymphangiomatosis the lymphatic vessels were consecutively enlarged up to a diameter of 6 mm.</p></sec><sec><title>Conclusion</title><p>MRL is a safe and accurate imaging modality for a comprehensive evaluation of the lymphatic system in patients suffering from lymphocutaneous fistulas.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002C97 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 002C97 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Pmc
|étape= Corpus
|type= RBID
|clé= PMC:3473440
|texte= Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/RBID.i -Sk "pubmed:21159808" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |