Breast Cancer-Related Lymphedema: Differentiating Fat from Fluid Using Magnetic Resonance Imaging Segmentation.
Identifieur interne : 000449 ( PubMed/Checkpoint ); précédent : 000448; suivant : 000450Breast Cancer-Related Lymphedema: Differentiating Fat from Fluid Using Magnetic Resonance Imaging Segmentation.
Auteurs : Yuka Sen [Australie] ; Yi Qian [Australie] ; Louise Koelmeyer [Australie] ; Robert Borotkanics [Nouvelle-Zélande] ; Robyn Ricketts [Australie] ; Helen Mackie [Australie] ; Thomas C. Lam [Australie] ; Kevin Ho Shon [Australie] ; Hiroo Suami [Australie] ; John Boyages [Australie]Source :
- Lymphatic research and biology [ 1557-8585 ] ; 2017.
Abstract
Lymphedema is an iatrogenic complication after breast cancer treatment in which lymph fluid in the affected limb progresses to fat deposition and fibrosis that are amenable to liposuction treatment. Magnetic resonance imaging (MRI) for lymphedema can differentiate fat tissue from fluid, but estimating relative volumes remains problematic.
DOI: 10.1089/lrb.2016.0047
PubMed: 28346854
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Qian</name><affiliation wicri:level="3"><nlm:affiliation>1 Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>1 Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Macquarie University , Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Koelmeyer, Louise" sort="Koelmeyer, Louise" uniqKey="Koelmeyer L" first="Louise" last="Koelmeyer">Louise Koelmeyer</name><affiliation wicri:level="3"><nlm:affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie 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wicri:level="3"><nlm:affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Mackie, Helen" sort="Mackie, Helen" uniqKey="Mackie H" first="Helen" last="Mackie">Helen Mackie</name><affiliation wicri:level="3"><nlm:affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Lam, Thomas C" sort="Lam, Thomas C" uniqKey="Lam T" first="Thomas C" last="Lam">Thomas C. Lam</name><affiliation wicri:level="3"><nlm:affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Ho Shon, Kevin" sort="Ho Shon, Kevin" uniqKey="Ho Shon K" first="Kevin" last="Ho Shon">Kevin Ho Shon</name><affiliation wicri:level="3"><nlm:affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Suami, Hiroo" sort="Suami, Hiroo" uniqKey="Suami H" first="Hiroo" last="Suami">Hiroo Suami</name><affiliation wicri:level="3"><nlm:affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Boyages, John" sort="Boyages, John" uniqKey="Boyages J" first="John" last="Boyages">John Boyages</name><affiliation wicri:level="3"><nlm:affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</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">Lymphedema is an iatrogenic complication after breast cancer treatment in which lymph fluid in the affected limb progresses to fat deposition and fibrosis that are amenable to liposuction treatment. Magnetic resonance imaging (MRI) for lymphedema can differentiate fat tissue from fluid, but estimating relative volumes remains problematic.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28346854</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>27</Day></DateCreated><DateRevised><Year>2017</Year><Month>04</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Mar</Month><Day>27</Day></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><ArticleTitle>Breast Cancer-Related Lymphedema: Differentiating Fat from Fluid Using Magnetic Resonance Imaging Segmentation.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2016.0047</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema is an iatrogenic complication after breast cancer treatment in which lymph fluid in the affected limb progresses to fat deposition and fibrosis that are amenable to liposuction treatment. Magnetic resonance imaging (MRI) for lymphedema can differentiate fat tissue from fluid, but estimating relative volumes remains problematic.</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Patients underwent routine bilateral arm MRI both before and after liposuction for advanced lymphedema. The threshold-based level set (TLS) segmentation method was applied to segment the geometric image data and to measure volumes of soft tissue (fat, muscle, and lymph fluid) and bone. Bioimpedance testing (L-Dex(®)) to detect extracellular fluid was also used. Volumes derived by using TLS or girth measurement were evaluated and showed consistent agreement, whereas L-Dex showed no significant reduction between pre- and postoperative measures. The percentage median volume difference between the affected and unaffected sides was 132.4% for girth measures compared with 137.2% for TLS (p = 0.175) preoperatively, and 99.8% and 98.5%, respectively (p = 0.600), postoperatively. MRI segmentation detected reductions in fat (median 52.6%, p = 0.0163) and lymph fluid (median 66%, p = 0.094), but the volumes of muscle and bone were relatively constant.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">MRI imaging with TLS technology may be a useful tool to quantitatively measure fat tissue and fluid for patients with advanced lymphedema and may assist in the selection of eligible liposuction candidates at initial assessment and follow-up of patients who proceed with surgery.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sen</LastName><ForeName>Yuka</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>1 Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Qian</LastName><ForeName>Yi</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>1 Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koelmeyer</LastName><ForeName>Louise</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Borotkanics</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>3 Department of Biostatistics and Epidemiology, Faculty of Health and Environmental Sciences, Auckland University of Technology , Auckland, New Zealand .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ricketts</LastName><ForeName>Robyn</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mackie</LastName><ForeName>Helen</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lam</LastName><ForeName>Thomas C</ForeName><Initials>TC</Initials><AffiliationInfo><Affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ho Shon</LastName><ForeName>Kevin</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>4 Macquarie Medical Imaging, Macquarie University Hospital, Macquarie University , Sydney, Australia .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Suami</LastName><ForeName>Hiroo</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boyages</LastName><ForeName>John</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphat Res Biol</MedlineTA><NlmUniqueID>101163587</NlmUniqueID><ISSNLinking>1539-6851</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">MRI</Keyword><Keyword MajorTopicYN="N">liposuction</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>3</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>3</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>3</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28346854</ArticleId><ArticleId IdType="doi">10.1089/lrb.2016.0047</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>Nouvelle-Zélande</li></country><region><li>Nouvelle-Galles du Sud</li></region><settlement><li>Sydney</li></settlement></list><tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Sen, Yuka" sort="Sen, Yuka" uniqKey="Sen Y" first="Yuka" last="Sen">Yuka Sen</name></region><name sortKey="Boyages, John" sort="Boyages, John" uniqKey="Boyages J" first="John" last="Boyages">John Boyages</name><name sortKey="Ho Shon, Kevin" sort="Ho Shon, Kevin" uniqKey="Ho Shon K" first="Kevin" last="Ho Shon">Kevin Ho Shon</name><name sortKey="Koelmeyer, Louise" sort="Koelmeyer, Louise" uniqKey="Koelmeyer L" first="Louise" last="Koelmeyer">Louise Koelmeyer</name><name sortKey="Lam, Thomas C" sort="Lam, Thomas C" uniqKey="Lam T" first="Thomas C" last="Lam">Thomas C. Lam</name><name sortKey="Mackie, Helen" sort="Mackie, Helen" uniqKey="Mackie H" first="Helen" last="Mackie">Helen Mackie</name><name sortKey="Qian, Yi" sort="Qian, Yi" uniqKey="Qian Y" first="Yi" last="Qian">Yi Qian</name><name sortKey="Ricketts, Robyn" sort="Ricketts, Robyn" uniqKey="Ricketts R" first="Robyn" last="Ricketts">Robyn Ricketts</name><name sortKey="Suami, Hiroo" sort="Suami, Hiroo" uniqKey="Suami H" first="Hiroo" last="Suami">Hiroo Suami</name></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Borotkanics, Robert" sort="Borotkanics, Robert" uniqKey="Borotkanics R" first="Robert" last="Borotkanics">Robert Borotkanics</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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