The importance of the subfascial lymphatics in the diagnosis of lower limb edema: investigations with semiquantitative lymphoscintigraphy.
Identifieur interne : 004F55 ( PubMed/Checkpoint ); précédent : 004F54; suivant : 004F56The importance of the subfascial lymphatics in the diagnosis of lower limb edema: investigations with semiquantitative lymphoscintigraphy.
Auteurs : P. Br Utigam [Allemagne] ; W. Vanscheidt ; E. Földi ; T. Krause ; E. MoserSource :
- Angiology [ 0003-3197 ] ; 1993.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Agrégat d'albumine marquée au technétium (99mTc), Aine, Dosimétrie du corps entier (), Facteurs temps, Fascia, Femelle, Humains, Jambe, Lymphoedème (imagerie diagnostique), Lymphoscintigraphie, Mâle, Oedème (imagerie diagnostique), Syndrome post-phlébitique (imagerie diagnostique).
- MESH :
- imagerie diagnostique : Lymphoedème, Oedème, Syndrome post-phlébitique.
- Adolescent, Adulte, Agrégat d'albumine marquée au technétium (99mTc), Aine, Dosimétrie du corps entier, Facteurs temps, Fascia, Femelle, Humains, Jambe, Lymphoscintigraphie, Mâle.
English descriptors
- KwdEn :
- MESH :
- chemical : Technetium Tc 99m Aggregated Albumin.
- diagnostic imaging : Edema, Lymphedema, Postphlebitic Syndrome.
- methods : Whole-Body Counting.
- Adolescent, Adult, Fascia, Female, Groin, Humans, Leg, Lymphoscintigraphy, Male, Time Factors.
Abstract
A new method of semiquantitative lymphoscintigraphy for the evaluation of lower limb edema is characterized by (1) the evaluation of both the epifascial and subfascial system in order to assess type and stage of the edema, (2) the use of high-resolution digital whole-body imaging to facilitate the calculation of functional parameters, and (3) the use of active, standardized ergometry for reproducibility. The appearance time of 99mTc-labeled human albumin nanocolloid in inguinal lymph nodes after injection and the percent uptake of colloid into lymph nodes at 40 and 120 min after injection served as functional parameters. Patients with edema of the lower limb were compared with normal subjects. In patients with primary lymphedema the two lymphatic compartments are functionally compromised. Early and advanced stages of postthrombotic syndromes can be distinguished by characteristic lymphoscintigraphic patterns in epifascial and subfascial lymphatic compartments. These results indicate that only the separate evaluation of both the epifascial and subfascial compartments allows an accurate functional assessment of the lymphatics in lower limb edema.
DOI: 10.1177/000331979304400606
PubMed: 8503512
Affiliations:
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Moser</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1993">1993</date><idno type="RBID">pubmed:8503512</idno><idno type="pmid">8503512</idno><idno type="doi">10.1177/000331979304400606</idno><idno type="wicri:Area/PubMed/Corpus">005716</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005716</idno><idno type="wicri:Area/PubMed/Curation">005716</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">005716</idno><idno type="wicri:Area/PubMed/Checkpoint">005716</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">005716</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The importance of the subfascial lymphatics in the diagnosis of lower limb edema: investigations with semiquantitative lymphoscintigraphy.</title><author><name sortKey="Br Utigam, P" sort="Br Utigam, P" uniqKey="Br Utigam P" first="P" last="Br Utigam">P. Br Utigam</name><affiliation wicri:level="3"><nlm:affiliation>Nuclear Medicine Department, University Hospital, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Nuclear Medicine Department, University Hospital, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Vanscheidt, W" sort="Vanscheidt, W" uniqKey="Vanscheidt W" first="W" last="Vanscheidt">W. Vanscheidt</name></author><author><name sortKey="Foldi, E" sort="Foldi, E" uniqKey="Foldi E" first="E" last="Földi">E. Földi</name></author><author><name sortKey="Krause, T" sort="Krause, T" uniqKey="Krause T" first="T" last="Krause">T. Krause</name></author><author><name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E" last="Moser">E. Moser</name></author></analytic><series><title level="j">Angiology</title><idno type="ISSN">0003-3197</idno><imprint><date when="1993" type="published">1993</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Edema (diagnostic imaging)</term><term>Fascia</term><term>Female</term><term>Groin</term><term>Humans</term><term>Leg</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphoscintigraphy</term><term>Male</term><term>Postphlebitic Syndrome (diagnostic imaging)</term><term>Technetium Tc 99m Aggregated Albumin</term><term>Time Factors</term><term>Whole-Body Counting (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Agrégat d'albumine marquée au technétium (99mTc)</term><term>Aine</term><term>Dosimétrie du corps entier ()</term><term>Facteurs temps</term><term>Fascia</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoscintigraphie</term><term>Mâle</term><term>Oedème (imagerie diagnostique)</term><term>Syndrome post-phlébitique (imagerie diagnostique)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Technetium Tc 99m Aggregated Albumin</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Edema</term><term>Lymphedema</term><term>Postphlebitic Syndrome</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term><term>Oedème</term><term>Syndrome post-phlébitique</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Whole-Body Counting</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Fascia</term><term>Female</term><term>Groin</term><term>Humans</term><term>Leg</term><term>Lymphoscintigraphy</term><term>Male</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Agrégat d'albumine marquée au technétium (99mTc)</term><term>Aine</term><term>Dosimétrie du corps entier</term><term>Facteurs temps</term><term>Fascia</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoscintigraphie</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A new method of semiquantitative lymphoscintigraphy for the evaluation of lower limb edema is characterized by (1) the evaluation of both the epifascial and subfascial system in order to assess type and stage of the edema, (2) the use of high-resolution digital whole-body imaging to facilitate the calculation of functional parameters, and (3) the use of active, standardized ergometry for reproducibility. The appearance time of 99mTc-labeled human albumin nanocolloid in inguinal lymph nodes after injection and the percent uptake of colloid into lymph nodes at 40 and 120 min after injection served as functional parameters. Patients with edema of the lower limb were compared with normal subjects. In patients with primary lymphedema the two lymphatic compartments are functionally compromised. Early and advanced stages of postthrombotic syndromes can be distinguished by characteristic lymphoscintigraphic patterns in epifascial and subfascial lymphatic compartments. These results indicate that only the separate evaluation of both the epifascial and subfascial compartments allows an accurate functional assessment of the lymphatics in lower limb edema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8503512</PMID><DateCreated><Year>1993</Year><Month>06</Month><Day>29</Day></DateCreated><DateCompleted><Year>1993</Year><Month>06</Month><Day>29</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-3197</ISSN><JournalIssue CitedMedium="Print"><Volume>44</Volume><Issue>6</Issue><PubDate><Year>1993</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Angiology</Title><ISOAbbreviation>Angiology</ISOAbbreviation></Journal><ArticleTitle>The importance of the subfascial lymphatics in the diagnosis of lower limb edema: investigations with semiquantitative lymphoscintigraphy.</ArticleTitle><Pagination><MedlinePgn>464-70</MedlinePgn></Pagination><Abstract><AbstractText>A new method of semiquantitative lymphoscintigraphy for the evaluation of lower limb edema is characterized by (1) the evaluation of both the epifascial and subfascial system in order to assess type and stage of the edema, (2) the use of high-resolution digital whole-body imaging to facilitate the calculation of functional parameters, and (3) the use of active, standardized ergometry for reproducibility. The appearance time of 99mTc-labeled human albumin nanocolloid in inguinal lymph nodes after injection and the percent uptake of colloid into lymph nodes at 40 and 120 min after injection served as functional parameters. Patients with edema of the lower limb were compared with normal subjects. In patients with primary lymphedema the two lymphatic compartments are functionally compromised. Early and advanced stages of postthrombotic syndromes can be distinguished by characteristic lymphoscintigraphic patterns in epifascial and subfascial lymphatic compartments. These results indicate that only the separate evaluation of both the epifascial and subfascial compartments allows an accurate functional assessment of the lymphatics in lower limb edema.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bräutigam</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Nuclear Medicine Department, University Hospital, Freiburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vanscheidt</LastName><ForeName>W</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Földi</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Krause</LastName><ForeName>T</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Moser</LastName><ForeName>E</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Angiology</MedlineTA><NlmUniqueID>0203706</NlmUniqueID><ISSNLinking>0003-3197</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D013668">Technetium Tc 99m Aggregated Albumin</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004487" MajorTopicYN="N">Edema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005205" MajorTopicYN="N">Fascia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="Y">Lymphoscintigraphy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011186" MajorTopicYN="N">Postphlebitic Syndrome</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013668" MajorTopicYN="N">Technetium Tc 99m Aggregated Albumin</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014915" MajorTopicYN="N">Whole-Body Counting</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1993</Year><Month>6</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1993</Year><Month>6</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1993</Year><Month>6</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8503512</ArticleId><ArticleId IdType="doi">10.1177/000331979304400606</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Fribourg-en-Brisgau</li></region><settlement><li>Fribourg-en-Brisgau</li></settlement></list><tree><noCountry><name sortKey="Foldi, E" sort="Foldi, E" uniqKey="Foldi E" first="E" last="Földi">E. Földi</name><name sortKey="Krause, T" sort="Krause, T" uniqKey="Krause T" first="T" last="Krause">T. Krause</name><name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E" last="Moser">E. Moser</name><name sortKey="Vanscheidt, W" sort="Vanscheidt, W" uniqKey="Vanscheidt W" first="W" last="Vanscheidt">W. Vanscheidt</name></noCountry><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Br Utigam, P" sort="Br Utigam, P" uniqKey="Br Utigam P" first="P" last="Br Utigam">P. Br Utigam</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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