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Could MRI visualize the invisible? An Italian single center study comparing magnetic resonance lymphography (MRL), super microsurgery and histology in the identification of lymphatic vessels.

Identifieur interne : 000398 ( PubMed/Checkpoint ); précédent : 000397; suivant : 000399

Could MRI visualize the invisible? An Italian single center study comparing magnetic resonance lymphography (MRL), super microsurgery and histology in the identification of lymphatic vessels.

Auteurs : P. Gennaro [Italie] ; A. Borghini ; G. Chisci ; F G Mazzei ; E. Weber ; E. Tedone Clemente ; S. Guerrini ; F. Gentili ; G. Gabriele ; C. Ungari ; M A Mazzei

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RBID : pubmed:28272715

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Abstract

Aim of this study is to evaluate the possibility of limb magnetic resonance lymphography (MRL) to differentiate lymphatic vessels from pathological veins, collect a specimen of the identified lymphatic vessel during operations of super microsurgical lymphatic-venular anastomosis (s-LVA) and perform immunohistochemical stainings to confirm the nature of the collected vessels.

PubMed: 28272715


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pubmed:28272715

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<title xml:lang="en">Could MRI visualize the invisible? An Italian single center study comparing magnetic resonance lymphography (MRL), super microsurgery and histology in the identification of lymphatic vessels.</title>
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<name sortKey="Gennaro, P" sort="Gennaro, P" uniqKey="Gennaro P" first="P" last="Gennaro">P. Gennaro</name>
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<nlm:affiliation>Department of Biotechnology, Azienda Ospedaliero-Universitaria Senese, Siena, Italy. ericatedone@gmail.com.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<name sortKey="Borghini, A" sort="Borghini, A" uniqKey="Borghini A" first="A" last="Borghini">A. Borghini</name>
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<name sortKey="Chisci, G" sort="Chisci, G" uniqKey="Chisci G" first="G" last="Chisci">G. Chisci</name>
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<name sortKey="Mazzei, F G" sort="Mazzei, F G" uniqKey="Mazzei F" first="F G" last="Mazzei">F G Mazzei</name>
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<name sortKey="Weber, E" sort="Weber, E" uniqKey="Weber E" first="E" last="Weber">E. Weber</name>
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<name sortKey="Tedone Clemente, E" sort="Tedone Clemente, E" uniqKey="Tedone Clemente E" first="E" last="Tedone Clemente">E. Tedone Clemente</name>
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<name sortKey="Guerrini, S" sort="Guerrini, S" uniqKey="Guerrini S" first="S" last="Guerrini">S. Guerrini</name>
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<name sortKey="Gentili, F" sort="Gentili, F" uniqKey="Gentili F" first="F" last="Gentili">F. Gentili</name>
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<name sortKey="Gabriele, G" sort="Gabriele, G" uniqKey="Gabriele G" first="G" last="Gabriele">G. Gabriele</name>
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<name sortKey="Ungari, C" sort="Ungari, C" uniqKey="Ungari C" first="C" last="Ungari">C. Ungari</name>
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<name sortKey="Mazzei, M A" sort="Mazzei, M A" uniqKey="Mazzei M" first="M A" last="Mazzei">M A Mazzei</name>
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<nlm:affiliation>Department of Biotechnology, Azienda Ospedaliero-Universitaria Senese, Siena, Italy. ericatedone@gmail.com.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<name sortKey="Borghini, A" sort="Borghini, A" uniqKey="Borghini A" first="A" last="Borghini">A. Borghini</name>
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<name sortKey="Chisci, G" sort="Chisci, G" uniqKey="Chisci G" first="G" last="Chisci">G. Chisci</name>
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<name sortKey="Mazzei, F G" sort="Mazzei, F G" uniqKey="Mazzei F" first="F G" last="Mazzei">F G Mazzei</name>
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<name sortKey="Weber, E" sort="Weber, E" uniqKey="Weber E" first="E" last="Weber">E. Weber</name>
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<name sortKey="Tedone Clemente, E" sort="Tedone Clemente, E" uniqKey="Tedone Clemente E" first="E" last="Tedone Clemente">E. Tedone Clemente</name>
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<name sortKey="Guerrini, S" sort="Guerrini, S" uniqKey="Guerrini S" first="S" last="Guerrini">S. Guerrini</name>
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<name sortKey="Gentili, F" sort="Gentili, F" uniqKey="Gentili F" first="F" last="Gentili">F. Gentili</name>
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<name sortKey="Ungari, C" sort="Ungari, C" uniqKey="Ungari C" first="C" last="Ungari">C. Ungari</name>
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<title level="j">European review for medical and pharmacological sciences</title>
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<term>Anastomosis, Surgical</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic Vessels (diagnostic imaging)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphography</term>
<term>Magnetic Resonance Imaging</term>
<term>Microsurgery</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphographie</term>
<term>Microchirurgie</term>
<term>Vaisseaux lymphatiques (imagerie diagnostique)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Lymphoedème</term>
<term>Vaisseaux lymphatiques</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Anastomosis, Surgical</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphography</term>
<term>Magnetic Resonance Imaging</term>
<term>Microsurgery</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Lymphographie</term>
<term>Microchirurgie</term>
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<front>
<div type="abstract" xml:lang="en">Aim of this study is to evaluate the possibility of limb magnetic resonance lymphography (MRL) to differentiate lymphatic vessels from pathological veins, collect a specimen of the identified lymphatic vessel during operations of super microsurgical lymphatic-venular anastomosis (s-LVA) and perform immunohistochemical stainings to confirm the nature of the collected vessels.</div>
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<DateCreated>
<Year>2017</Year>
<Month>03</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>07</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>07</Month>
<Day>27</Day>
</DateRevised>
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<ISSN IssnType="Electronic">2284-0729</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>21</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2017</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>European review for medical and pharmacological sciences</Title>
<ISOAbbreviation>Eur Rev Med Pharmacol Sci</ISOAbbreviation>
</Journal>
<ArticleTitle>Could MRI visualize the invisible? An Italian single center study comparing magnetic resonance lymphography (MRL), super microsurgery and histology in the identification of lymphatic vessels.</ArticleTitle>
<Pagination>
<MedlinePgn>687-694</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">12231</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Aim of this study is to evaluate the possibility of limb magnetic resonance lymphography (MRL) to differentiate lymphatic vessels from pathological veins, collect a specimen of the identified lymphatic vessel during operations of super microsurgical lymphatic-venular anastomosis (s-LVA) and perform immunohistochemical stainings to confirm the nature of the collected vessels.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Twenty patients presenting lymphedema were enrolled in this study. Five patients reported lower limb lymphedema and 15 patients reported upper limb lymphedema. All patients had the indication for s-LVA and underwent preoperative MRL imaging of the affected limb. A total of 57 lymphatic vessels were identified by MRL and used to guide s-LVA: all these vessels have also been used to perform an intraoperative biopsy for immunohistochemical evaluation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 53/57 vascular structures resulted compatible with lymphatic vessels at the immunohistochemical study performed with D2-40 antibody; 3/57 specimen showed the absence of the D2-40 antibody. A significant association was found between preoperative MRL and immunohistochemical marker D2-40 on collected specimen.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Most of the articles in the international literature report the concomitant presence of both lymphatic and venous vessels at MRL. However, no one in literature describes the possibility to differentiate venous vessels from lymphatic vessels, and this is a crucial issue for the correct evaluation of the lymphatic system in patients with limb lymphedema undergoing a future surgical correction. In the present study, MRL allowed to identify active lymphatic vessels. MRL was predictive to determine preoperatory lymphatic vessels and to perform successful s-LVA in lymphedema patients. This is the first study to prove the nature of the vessels identified at the preoperative MRL with immunohistochemical stainings.</AbstractText>
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<LastName>Gennaro</LastName>
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<Affiliation>Department of Biotechnology, Azienda Ospedaliero-Universitaria Senese, Siena, Italy. ericatedone@gmail.com.</Affiliation>
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<LastName>Borghini</LastName>
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<DescriptorName UI="D000714" MajorTopicYN="N">Anastomosis, Surgical</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName>
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<DescriptorName UI="D008220" MajorTopicYN="Y">Lymphography</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008279" MajorTopicYN="Y">Magnetic Resonance Imaging</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008866" MajorTopicYN="Y">Microsurgery</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<name sortKey="Mazzei, F G" sort="Mazzei, F G" uniqKey="Mazzei F" first="F G" last="Mazzei">F G Mazzei</name>
<name sortKey="Mazzei, M A" sort="Mazzei, M A" uniqKey="Mazzei M" first="M A" last="Mazzei">M A Mazzei</name>
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