High-resolution MR lymphangiography for planning lymphaticovenous anastomosis treatment: a single-centre experience.
Identifieur interne : 000318 ( PubMed/Checkpoint ); précédent : 000317; suivant : 000319High-resolution MR lymphangiography for planning lymphaticovenous anastomosis treatment: a single-centre experience.
Auteurs : Maria Antonietta Mazzei [Italie] ; Francesco Gentili [Italie] ; Francesco Giuseppe Mazzei [Italie] ; Paolo Gennaro [Italie] ; Duccio Guerrieri [Italie] ; Andrea Nigri [Italie] ; Guido Gabriele [Italie] ; Elisabetta Weber [Italie] ; Alfonso Fausto [Italie] ; Giuseppe Botta [Italie] ; Luca Volterrani [Italie]Source :
- La Radiologia medica [ 1826-6983 ] ; 2017.
Abstract
This article illustrates the feasibility of MR lymphangiography (MRL) for imaging lymphatic vessels in patients with lymphedema, its accuracy in distinguishing lymphatic vessels from veins, and its utility for planning Lymphaticovenous anastomosis (LVA) treatment.
DOI: 10.1007/s11547-017-0795-x
PubMed: 28770484
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Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Gentili, Francesco" sort="Gentili, Francesco" uniqKey="Gentili F" first="Francesco" last="Gentili">Francesco Gentili</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical, Surgical and Neuro Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy. francescogentili@gmail.com.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical, Surgical and Neuro Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Mazzei, Francesco Giuseppe" sort="Mazzei, Francesco Giuseppe" uniqKey="Mazzei F" first="Francesco Giuseppe" last="Mazzei">Francesco Giuseppe Mazzei</name><affiliation wicri:level="1"><nlm:affiliation>Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Gennaro, Paolo" sort="Gennaro, Paolo" uniqKey="Gennaro P" first="Paolo" last="Gennaro">Paolo Gennaro</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Biotechnology, Unit of Maxillofacial Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical Biotechnology, Unit of Maxillofacial Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Guerrieri, Duccio" sort="Guerrieri, Duccio" uniqKey="Guerrieri D" first="Duccio" last="Guerrieri">Duccio Guerrieri</name><affiliation wicri:level="1"><nlm:affiliation>Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Nigri, Andrea" sort="Nigri, Andrea" uniqKey="Nigri A" first="Andrea" last="Nigri">Andrea Nigri</name><affiliation wicri:level="1"><nlm:affiliation>University of Siena, Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>University of Siena, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Gabriele, Guido" sort="Gabriele, Guido" uniqKey="Gabriele G" first="Guido" last="Gabriele">Guido Gabriele</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Biotechnology, Unit of Maxillofacial Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical Biotechnology, Unit of Maxillofacial Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Weber, Elisabetta" sort="Weber, Elisabetta" uniqKey="Weber E" first="Elisabetta" last="Weber">Elisabetta Weber</name><affiliation wicri:level="1"><nlm:affiliation>Department of Molecular and Developmental Medicine, Unit of Anatomy, University of Siena, Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Molecular and Developmental Medicine, Unit of Anatomy, University of Siena, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Fausto, Alfonso" sort="Fausto, Alfonso" uniqKey="Fausto A" first="Alfonso" last="Fausto">Alfonso Fausto</name><affiliation wicri:level="1"><nlm:affiliation>Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Botta, Giuseppe" sort="Botta, Giuseppe" uniqKey="Botta G" first="Giuseppe" last="Botta">Giuseppe Botta</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical, Surgical and Neuro Sciences, Unit of Phlebology, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical, Surgical and Neuro Sciences, Unit of Phlebology, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author><author><name sortKey="Volterrani, Luca" sort="Volterrani, Luca" uniqKey="Volterrani L" first="Luca" last="Volterrani">Luca Volterrani</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical, Surgical and Neuro Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical, Surgical and Neuro Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena</wicri:regionArea><wicri:noRegion>Siena</wicri:noRegion></affiliation></author></analytic><series><title level="j">La Radiologia medica</title><idno type="eISSN">1826-6983</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This article illustrates the feasibility of MR lymphangiography (MRL) for imaging lymphatic vessels in patients with lymphedema, its accuracy in distinguishing lymphatic vessels from veins, and its utility for planning Lymphaticovenous anastomosis (LVA) treatment.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28770484</PMID><DateCreated><Year>2017</Year><Month>08</Month><Day>03</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1826-6983</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Aug</Month><Day>02</Day></PubDate></JournalIssue><Title>La Radiologia medica</Title><ISOAbbreviation>Radiol Med</ISOAbbreviation></Journal><ArticleTitle>High-resolution MR lymphangiography for planning lymphaticovenous anastomosis treatment: a single-centre experience.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s11547-017-0795-x</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This article illustrates the feasibility of MR lymphangiography (MRL) for imaging lymphatic vessels in patients with lymphedema, its accuracy in distinguishing lymphatic vessels from veins, and its utility for planning Lymphaticovenous anastomosis (LVA) treatment.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">We prospectively enrolled 30 patients (24 women, range 18-70, 17 cases of lower limb lymphedema, 6 cases of primary lymphedema). All the patients underwent MRL, using a 1.5T MR unit (Signa Twin Speed Hdxt; GE), after the subcutaneous injection of gadobenate dimeglumine (Gd-BOPTA) with a little dose of lidocaine into the interdigital webs of the dorsal foot or hand. Lymphatic vessels identified for the LVA at MRL were histologically confirmed after surgery. Enhancement of lymphatic vessels and veins at different times after injection of contrast medium and their diameters were measured.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 79 lymphatic vessels were clearly identified in 29 patients at MRL; their morphology was tortuous in 22 patients and rectilinear in 7, whereas, the adjacent veins were straight with focal bulging only at the level of venous valve; the enhancement kinetic of the two different structures were different (p < 0.05) but the mean diameter of affected lymphatic vessels was similar to the adjacent veins (p > 0.05). Thirty-four out of 38 specimens of presumed lymphatic vessels at MRL, collected during surgery, resulted positive at the immunoistochemical marker d2-40, with a significant association (Chi-square = 40.421, DF = 1, p < 0.05, contingency coefficent 0.644). One patient had an early complication 1 month after treatment.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">MRL is easy and safe to use and combines extensive information on the anatomy and functionality of lymphatic vessels and veins in a single process; therefore, it could be useful in LVA treatment planning and evaluating possible super-microsurgical treatment complications in patients with lymphedema.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mazzei</LastName><ForeName>Maria Antonietta</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Department of Medical, Surgical and Neuro Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gentili</LastName><ForeName>Francesco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Medical, Surgical and Neuro Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy. francescogentili@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mazzei</LastName><ForeName>Francesco Giuseppe</ForeName><Initials>FG</Initials><AffiliationInfo><Affiliation>Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gennaro</LastName><ForeName>Paolo</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Medical Biotechnology, Unit of Maxillofacial Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guerrieri</LastName><ForeName>Duccio</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nigri</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gabriele</LastName><ForeName>Guido</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Medical Biotechnology, Unit of Maxillofacial Surgery, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weber</LastName><ForeName>Elisabetta</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Molecular and Developmental Medicine, Unit of Anatomy, University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fausto</LastName><ForeName>Alfonso</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Botta</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Medical, Surgical and Neuro Sciences, Unit of Phlebology, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Volterrani</LastName><ForeName>Luca</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Medical, Surgical and Neuro Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>08</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Radiol Med</MedlineTA><NlmUniqueID>0177625</NlmUniqueID><ISSNLinking>0033-8362</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">High-resolution MRI</Keyword><Keyword MajorTopicYN="N">Lymphatic vessels</Keyword><Keyword MajorTopicYN="N">Lymphaticovenous anastomosis</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Magnetic resonance imaging</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>02</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>07</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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first="Alfonso" last="Fausto">Alfonso Fausto</name><name sortKey="Gabriele, Guido" sort="Gabriele, Guido" uniqKey="Gabriele G" first="Guido" last="Gabriele">Guido Gabriele</name><name sortKey="Gennaro, Paolo" sort="Gennaro, Paolo" uniqKey="Gennaro P" first="Paolo" last="Gennaro">Paolo Gennaro</name><name sortKey="Gentili, Francesco" sort="Gentili, Francesco" uniqKey="Gentili F" first="Francesco" last="Gentili">Francesco Gentili</name><name sortKey="Guerrieri, Duccio" sort="Guerrieri, Duccio" uniqKey="Guerrieri D" first="Duccio" last="Guerrieri">Duccio Guerrieri</name><name sortKey="Mazzei, Francesco Giuseppe" sort="Mazzei, Francesco Giuseppe" uniqKey="Mazzei F" first="Francesco Giuseppe" last="Mazzei">Francesco Giuseppe Mazzei</name><name sortKey="Nigri, Andrea" sort="Nigri, Andrea" uniqKey="Nigri A" first="Andrea" last="Nigri">Andrea Nigri</name><name sortKey="Volterrani, Luca" sort="Volterrani, Luca" uniqKey="Volterrani L" first="Luca" last="Volterrani">Luca Volterrani</name><name 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