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Assessment of bilateral limb lymphedema by bioelectrical impedance spectroscopy.

Identifieur interne : 002581 ( PubMed/Checkpoint ); précédent : 002580; suivant : 002582

Assessment of bilateral limb lymphedema by bioelectrical impedance spectroscopy.

Auteurs : Leigh Ward [Australie] ; Ann Winall ; Elizabeth Isenring ; Andrew Hills ; Sharon Czerniec ; Elizabeth Dylke ; Sharon Kilbreath

Source :

RBID : pubmed:21270623

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English descriptors

Abstract

The aim of the present study was to determine if the ratio of extracellular fluid (ECF), including the lymph, to that of intracellular fluid (ICF), as measured by bioimpedance spectroscopy (BIS), could be used to assess bilateral lymphedema (LE).

DOI: 10.1097/IGC.0b013e31820866e1
PubMed: 21270623


Affiliations:


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pubmed:21270623

Le document en format XML

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<title xml:lang="en">Assessment of bilateral limb lymphedema by bioelectrical impedance spectroscopy.</title>
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<nlm:affiliation>School of Chemistry and Molecular Biosciences, University ofQueensland, St. Lucia, Brisbane, Australia. l.ward@uq.edu.au</nlm:affiliation>
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<name sortKey="Winall, Ann" sort="Winall, Ann" uniqKey="Winall A" first="Ann" last="Winall">Ann Winall</name>
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<name sortKey="Isenring, Elizabeth" sort="Isenring, Elizabeth" uniqKey="Isenring E" first="Elizabeth" last="Isenring">Elizabeth Isenring</name>
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<name sortKey="Hills, Andrew" sort="Hills, Andrew" uniqKey="Hills A" first="Andrew" last="Hills">Andrew Hills</name>
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<name sortKey="Czerniec, Sharon" sort="Czerniec, Sharon" uniqKey="Czerniec S" first="Sharon" last="Czerniec">Sharon Czerniec</name>
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<name sortKey="Dylke, Elizabeth" sort="Dylke, Elizabeth" uniqKey="Dylke E" first="Elizabeth" last="Dylke">Elizabeth Dylke</name>
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<name sortKey="Kilbreath, Sharon" sort="Kilbreath, Sharon" uniqKey="Kilbreath S" first="Sharon" last="Kilbreath">Sharon Kilbreath</name>
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<title level="j">International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</title>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged, 80 and over</term>
<term>Cross-Sectional Studies</term>
<term>Dielectric Spectroscopy</term>
<term>Electric Impedance</term>
<term>Extracellular Fluid</term>
<term>Female</term>
<term>Humans</term>
<term>Intracellular Fluid</term>
<term>Leg</term>
<term>Lymphedema (diagnosis)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Impédance électrique</term>
<term>Jambe</term>
<term>Jeune adulte</term>
<term>Liquide extracellulaire</term>
<term>Liquide intracellulaire</term>
<term>Lymphoedème (diagnostic)</term>
<term>Mâle</term>
<term>Spectroscopie diélectrique</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études transversales</term>
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<term>Lymphedema</term>
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<term>Lymphoedème</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged, 80 and over</term>
<term>Cross-Sectional Studies</term>
<term>Dielectric Spectroscopy</term>
<term>Electric Impedance</term>
<term>Extracellular Fluid</term>
<term>Female</term>
<term>Humans</term>
<term>Intracellular Fluid</term>
<term>Leg</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Young Adult</term>
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<term>Adolescent</term>
<term>Adulte</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Impédance électrique</term>
<term>Jambe</term>
<term>Jeune adulte</term>
<term>Liquide extracellulaire</term>
<term>Liquide intracellulaire</term>
<term>Mâle</term>
<term>Spectroscopie diélectrique</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études transversales</term>
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<front>
<div type="abstract" xml:lang="en">The aim of the present study was to determine if the ratio of extracellular fluid (ECF), including the lymph, to that of intracellular fluid (ICF), as measured by bioimpedance spectroscopy (BIS), could be used to assess bilateral lymphedema (LE).</div>
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<Year>2011</Year>
<Month>07</Month>
<Day>01</Day>
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<Year>2011</Year>
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<ISSN IssnType="Electronic">1525-1438</ISSN>
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<Volume>21</Volume>
<Issue>2</Issue>
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<Year>2011</Year>
<Month>Feb</Month>
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<Title>International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</Title>
<ISOAbbreviation>Int. J. Gynecol. Cancer</ISOAbbreviation>
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<ArticleTitle>Assessment of bilateral limb lymphedema by bioelectrical impedance spectroscopy.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of the present study was to determine if the ratio of extracellular fluid (ECF), including the lymph, to that of intracellular fluid (ICF), as measured by bioimpedance spectroscopy (BIS), could be used to assess bilateral lymphedema (LE).</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The presence of LE is commonly determined as an increase in tissue volume due to the presence of excess lymph relative to the volume of a comparable unaffected body region or to comparative normative data. However, in bilateral LE of the limbs, a comparable body region, the contralateral limb, is also affected, precluding normalization. An alternative is to normalize the increase in lymph volume, as ECF, to that of ICF volume.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Extracellular/intracellular fluid ratios, expressed as the ratio of intracellular impedance (Ri) to extracellular impedance (R0), for the limbs of 277 female and 224 male controls were determined from an accumulated database of impedance data. Equivalent data were obtained for an opportunistic cross-sectional sample of 37 female and 5 male participants with bilateral LE of the legs. The ratios of Ri/R0 in the lymphedematous legs of the affected participants were compared with the equivalent ratios in the unaffected arms of the same participants and with those of the controls using box plots and visualized as bivariate data using tolerance ellipses.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Despite Ri/R0 ratios varying with age, sex, and limb dominance, comparison of the ratio for affected legs (normalized to the ratio in the unaffected arms) with equivalent ratios observed in a control population (as bivariate tolerance plots) was capable of discriminating between 70% and 89% of the participants with LE.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Bioelectrical impedance spectroscopy and determination of Ri/R0 ratios as indices of ECF/ICF ratios holds promise for the semiquantitative assessment of bilateral LE.</AbstractText>
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