MR-lymphangiography at 3.0 T--a feasibility study.
Identifieur interne : 002B83 ( PubMed/Checkpoint ); précédent : 002B82; suivant : 002B84MR-lymphangiography at 3.0 T--a feasibility study.
Auteurs : Mike Notohamiprodjo [Allemagne] ; Ruediger G H. Baumeister ; Tobias F. Jakobs ; Kerstin U. Bauner ; Holger F. Boehm ; Annie Horng ; Maximilian F. Reiser ; Christian Glaser ; Karin A. HerrmannSource :
- European radiology [ 1432-1084 ] ; 2009.
Descripteurs français
- KwdFr :
- Acide gadopentétique (pharmacologie), Adulte, Adulte d'âge moyen, Femelle, Humains, Imagerie par résonance magnétique (), Lymphocèle (anatomopathologie), Lymphocèle (diagnostic), Lymphoedème (anatomopathologie), Lymphoedème (diagnostic), Lymphographie (), Mâle, Noeuds lymphatiques (anatomopathologie), Produits de contraste (pharmacologie), Reproductibilité des résultats, Vaisseaux lymphatiques (anatomopathologie), Études de faisabilité.
- MESH :
- anatomopathologie : Lymphocèle, Lymphoedème, Noeuds lymphatiques, Vaisseaux lymphatiques.
- diagnostic : Lymphocèle, Lymphoedème.
- pharmacologie : Acide gadopentétique, Produits de contraste.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Imagerie par résonance magnétique, Lymphographie, Mâle, Reproductibilité des résultats, Études de faisabilité.
English descriptors
- KwdEn :
- Adult, Contrast Media (pharmacology), Feasibility Studies, Female, Gadolinium DTPA (pharmacology), Humans, Lymph Nodes (pathology), Lymphatic Vessels (pathology), Lymphedema (diagnosis), Lymphedema (pathology), Lymphocele (diagnosis), Lymphocele (pathology), Lymphography (methods), Magnetic Resonance Imaging (methods), Male, Middle Aged, Reproducibility of Results.
- MESH :
- chemical , pharmacology : Contrast Media, Gadolinium DTPA.
- diagnosis : Lymphedema, Lymphocele.
- methods : Lymphography, Magnetic Resonance Imaging.
- pathology : Lymph Nodes, Lymphatic Vessels, Lymphedema, Lymphocele.
- Adult, Feasibility Studies, Female, Humans, Male, Middle Aged, Reproducibility of Results.
Abstract
The purpose of this study was to establish and evaluate contrast-enhanced MR-lymphangiography (MRL) at 3.0 T for detection and visualization of abnormalities of the peripheral lymphatic system. Sixteen patients were examined with a highly resolved isotropic T1w-3D-GRE-(FLASH) sequence (TR 3.76 ms/TE 1.45 ms/FA 30 degrees /voxel-size 0.8 x 0.8 x 0.8 mm(3)) at 3T after intracutaneous injection of gadolinium-diethylene-triamine-pentaacetic-acid. Two radiologists evaluated overall image quality, contrast between lymph vessels and background tissue, venous contamination, visualized levels, and fat-saturation-homogeneity on 3D maximum-intensity projections. Overall image quality was good to excellent, and all examinations were diagnostic except one, where contrast medium was injected subcutaneously instead of intracutaneously. Overall image quality was good to excellent in 12/16 cases, depiction of lymph vessels was good to excellent in 15/16 cases. Venous contamination was always present, but diagnostically problematical in only one case. Instant lymphatic drainage was observed in unaffected extremities, reaching the pelvic level after approximately 10 min. Lymphatic drainage was considerably delayed in lymphedematous extremities. Ectatic lymph vessels, entrapment, and diffuse drainage of contrast medium correlated with impaired lymphatic drainage. In conclusion, MRL at 3.0 T provides very high spatial resolution and anatomical detail of normal and abnormal peripheral lymph vessels. MRL may thus become a valuable tool for microsurgical treatment planning and monitoring.
DOI: 10.1007/s00330-009-1461-z
PubMed: 19504106
Affiliations:
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Sixteen patients were examined with a highly resolved isotropic T1w-3D-GRE-(FLASH) sequence (TR 3.76 ms/TE 1.45 ms/FA 30 degrees /voxel-size 0.8 x 0.8 x 0.8 mm(3)) at 3T after intracutaneous injection of gadolinium-diethylene-triamine-pentaacetic-acid. Two radiologists evaluated overall image quality, contrast between lymph vessels and background tissue, venous contamination, visualized levels, and fat-saturation-homogeneity on 3D maximum-intensity projections. Overall image quality was good to excellent, and all examinations were diagnostic except one, where contrast medium was injected subcutaneously instead of intracutaneously. Overall image quality was good to excellent in 12/16 cases, depiction of lymph vessels was good to excellent in 15/16 cases. Venous contamination was always present, but diagnostically problematical in only one case. Instant lymphatic drainage was observed in unaffected extremities, reaching the pelvic level after approximately 10 min. Lymphatic drainage was considerably delayed in lymphedematous extremities. Ectatic lymph vessels, entrapment, and diffuse drainage of contrast medium correlated with impaired lymphatic drainage. In conclusion, MRL at 3.0 T provides very high spatial resolution and anatomical detail of normal and abnormal peripheral lymph vessels. MRL may thus become a valuable tool for microsurgical treatment planning and monitoring.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19504106</PMID><DateCreated><Year>2009</Year><Month>10</Month><Day>15</Day></DateCreated><DateCompleted><Year>2010</Year><Month>01</Month><Day>11</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1084</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>11</Issue><PubDate><Year>2009</Year><Month>Nov</Month></PubDate></JournalIssue><Title>European radiology</Title><ISOAbbreviation>Eur Radiol</ISOAbbreviation></Journal><ArticleTitle>MR-lymphangiography at 3.0 T--a feasibility study.</ArticleTitle><Pagination><MedlinePgn>2771-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00330-009-1461-z</ELocationID><Abstract><AbstractText>The purpose of this study was to establish and evaluate contrast-enhanced MR-lymphangiography (MRL) at 3.0 T for detection and visualization of abnormalities of the peripheral lymphatic system. Sixteen patients were examined with a highly resolved isotropic T1w-3D-GRE-(FLASH) sequence (TR 3.76 ms/TE 1.45 ms/FA 30 degrees /voxel-size 0.8 x 0.8 x 0.8 mm(3)) at 3T after intracutaneous injection of gadolinium-diethylene-triamine-pentaacetic-acid. Two radiologists evaluated overall image quality, contrast between lymph vessels and background tissue, venous contamination, visualized levels, and fat-saturation-homogeneity on 3D maximum-intensity projections. Overall image quality was good to excellent, and all examinations were diagnostic except one, where contrast medium was injected subcutaneously instead of intracutaneously. Overall image quality was good to excellent in 12/16 cases, depiction of lymph vessels was good to excellent in 15/16 cases. Venous contamination was always present, but diagnostically problematical in only one case. Instant lymphatic drainage was observed in unaffected extremities, reaching the pelvic level after approximately 10 min. Lymphatic drainage was considerably delayed in lymphedematous extremities. Ectatic lymph vessels, entrapment, and diffuse drainage of contrast medium correlated with impaired lymphatic drainage. In conclusion, MRL at 3.0 T provides very high spatial resolution and anatomical detail of normal and abnormal peripheral lymph vessels. MRL may thus become a valuable tool for microsurgical treatment planning and monitoring.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Notohamiprodjo</LastName><ForeName>Mike</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Clinical Radiology, University-Hospitals Munich, Campus Grosshadern, Marchioninistrasse 15, 81377 Munich, Germany. mike.notohamiprodjo@med.uni-muenchen.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baumeister</LastName><ForeName>Ruediger G H</ForeName><Initials>RG</Initials></Author><Author ValidYN="Y"><LastName>Jakobs</LastName><ForeName>Tobias F</ForeName><Initials>TF</Initials></Author><Author ValidYN="Y"><LastName>Bauner</LastName><ForeName>Kerstin U</ForeName><Initials>KU</Initials></Author><Author ValidYN="Y"><LastName>Boehm</LastName><ForeName>Holger F</ForeName><Initials>HF</Initials></Author><Author ValidYN="Y"><LastName>Horng</LastName><ForeName>Annie</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Reiser</LastName><ForeName>Maximilian F</ForeName><Initials>MF</Initials></Author><Author ValidYN="Y"><LastName>Glaser</LastName><ForeName>Christian</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Herrmann</LastName><ForeName>Karin A</ForeName><Initials>KA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2009</Year><Month>06</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur Radiol</MedlineTA><NlmUniqueID>9114774</NlmUniqueID><ISSNLinking>0938-7994</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D003287">Contrast Media</NameOfSubstance></Chemical><Chemical><RegistryNumber>K2I13DR72L</RegistryNumber><NameOfSubstance UI="D019786">Gadolinium DTPA</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003287" MajorTopicYN="N">Contrast Media</DescriptorName><QualifierName UI="Q000494" MajorTopicYN="N">pharmacology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019786" MajorTopicYN="N">Gadolinium DTPA</DescriptorName><QualifierName UI="Q000494" MajorTopicYN="N">pharmacology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008210" MajorTopicYN="N">Lymphocele</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008220" MajorTopicYN="N">Lymphography</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2008</Year><Month>11</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2009</Year><Month>04</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2009</Year><Month>04</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>6</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>6</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19504106</ArticleId><ArticleId IdType="doi">10.1007/s00330-009-1461-z</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement></list><tree><noCountry><name sortKey="Baumeister, Ruediger G H" sort="Baumeister, Ruediger G H" uniqKey="Baumeister R" first="Ruediger G H" last="Baumeister">Ruediger G H. Baumeister</name><name sortKey="Bauner, Kerstin U" sort="Bauner, Kerstin U" uniqKey="Bauner K" first="Kerstin U" last="Bauner">Kerstin U. Bauner</name><name sortKey="Boehm, Holger F" sort="Boehm, Holger F" uniqKey="Boehm H" first="Holger F" last="Boehm">Holger F. Boehm</name><name sortKey="Glaser, Christian" sort="Glaser, Christian" uniqKey="Glaser C" first="Christian" last="Glaser">Christian Glaser</name><name sortKey="Herrmann, Karin A" sort="Herrmann, Karin A" uniqKey="Herrmann K" first="Karin A" last="Herrmann">Karin A. Herrmann</name><name sortKey="Horng, Annie" sort="Horng, Annie" uniqKey="Horng A" first="Annie" last="Horng">Annie Horng</name><name sortKey="Jakobs, Tobias F" sort="Jakobs, Tobias F" uniqKey="Jakobs T" first="Tobias F" last="Jakobs">Tobias F. Jakobs</name><name sortKey="Reiser, Maximilian F" sort="Reiser, Maximilian F" uniqKey="Reiser M" first="Maximilian F" last="Reiser">Maximilian F. Reiser</name></noCountry><country name="Allemagne"><region name="Bavière"><name sortKey="Notohamiprodjo, Mike" sort="Notohamiprodjo, Mike" uniqKey="Notohamiprodjo M" first="Mike" last="Notohamiprodjo">Mike Notohamiprodjo</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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