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Experimental and Analytical Comparisons of Tissue Dielectric Constant (TDC) and Bioimpedance Spectroscopy (BIS) in Assessment of Early Arm Lymphedema in Breast Cancer Patients after Axillary Surgery and Radiotherapy.

Identifieur interne : 000C98 ( PubMed/Corpus ); précédent : 000C97; suivant : 000C99

Experimental and Analytical Comparisons of Tissue Dielectric Constant (TDC) and Bioimpedance Spectroscopy (BIS) in Assessment of Early Arm Lymphedema in Breast Cancer Patients after Axillary Surgery and Radiotherapy.

Auteurs : Tapani Lahtinen ; Jan Sepp L ; Tuomas Viren ; Karin Johansson

Source :

RBID : pubmed:26305554

English descriptors

Abstract

Early diagnosis of breast cancer treatment-related lymphedema (BCRL) is of great importance for longstanding treatment results. Tissue dielectric constant (TDC) and bioimpedance spectroscopy (BIS) both have a potential for early diagnosis, but have not been compared.

DOI: 10.1089/lrb.2015.0019
PubMed: 26305554

Links to Exploration step

pubmed:26305554

Le document en format XML

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<title xml:lang="en">Experimental and Analytical Comparisons of Tissue Dielectric Constant (TDC) and Bioimpedance Spectroscopy (BIS) in Assessment of Early Arm Lymphedema in Breast Cancer Patients after Axillary Surgery and Radiotherapy.</title>
<author>
<name sortKey="Lahtinen, Tapani" sort="Lahtinen, Tapani" uniqKey="Lahtinen T" first="Tapani" last="Lahtinen">Tapani Lahtinen</name>
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<nlm:affiliation>1 Cancer Center, Kuopio University Hospital , Kuopio, Finland .</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Sepp L, Jan" sort="Sepp L, Jan" uniqKey="Sepp L J" first="Jan" last="Sepp L">Jan Sepp L</name>
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<nlm:affiliation>1 Cancer Center, Kuopio University Hospital , Kuopio, Finland .</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Viren, Tuomas" sort="Viren, Tuomas" uniqKey="Viren T" first="Tuomas" last="Viren">Tuomas Viren</name>
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<nlm:affiliation>1 Cancer Center, Kuopio University Hospital , Kuopio, Finland .</nlm:affiliation>
</affiliation>
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<name sortKey="Johansson, Karin" sort="Johansson, Karin" uniqKey="Johansson K" first="Karin" last="Johansson">Karin Johansson</name>
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<nlm:affiliation>2 Department of Health Sciences, Lund University , Lund, Sweden .</nlm:affiliation>
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<title xml:lang="en">Experimental and Analytical Comparisons of Tissue Dielectric Constant (TDC) and Bioimpedance Spectroscopy (BIS) in Assessment of Early Arm Lymphedema in Breast Cancer Patients after Axillary Surgery and Radiotherapy.</title>
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<name sortKey="Lahtinen, Tapani" sort="Lahtinen, Tapani" uniqKey="Lahtinen T" first="Tapani" last="Lahtinen">Tapani Lahtinen</name>
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<nlm:affiliation>1 Cancer Center, Kuopio University Hospital , Kuopio, Finland .</nlm:affiliation>
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<nlm:affiliation>1 Cancer Center, Kuopio University Hospital , Kuopio, Finland .</nlm:affiliation>
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<name sortKey="Viren, Tuomas" sort="Viren, Tuomas" uniqKey="Viren T" first="Tuomas" last="Viren">Tuomas Viren</name>
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<nlm:affiliation>1 Cancer Center, Kuopio University Hospital , Kuopio, Finland .</nlm:affiliation>
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<name sortKey="Johansson, Karin" sort="Johansson, Karin" uniqKey="Johansson K" first="Karin" last="Johansson">Karin Johansson</name>
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<nlm:affiliation>2 Department of Health Sciences, Lund University , Lund, Sweden .</nlm:affiliation>
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<title level="j">Lymphatic research and biology</title>
<idno type="eISSN">1557-8585</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm (pathology)</term>
<term>Axilla</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Dielectric Spectroscopy (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Organ Size</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dielectric Spectroscopy</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Arm</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Mastectomy</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Organ Size</term>
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<div type="abstract" xml:lang="en">Early diagnosis of breast cancer treatment-related lymphedema (BCRL) is of great importance for longstanding treatment results. Tissue dielectric constant (TDC) and bioimpedance spectroscopy (BIS) both have a potential for early diagnosis, but have not been compared.</div>
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<DateCreated>
<Year>2015</Year>
<Month>09</Month>
<Day>12</Day>
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<DateCompleted>
<Year>2016</Year>
<Month>06</Month>
<Day>17</Day>
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<DateRevised>
<Year>2015</Year>
<Month>09</Month>
<Day>12</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1557-8585</ISSN>
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<Volume>13</Volume>
<Issue>3</Issue>
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<Year>2015</Year>
<Month>Sep</Month>
</PubDate>
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<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
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<ArticleTitle>Experimental and Analytical Comparisons of Tissue Dielectric Constant (TDC) and Bioimpedance Spectroscopy (BIS) in Assessment of Early Arm Lymphedema in Breast Cancer Patients after Axillary Surgery and Radiotherapy.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Early diagnosis of breast cancer treatment-related lymphedema (BCRL) is of great importance for longstanding treatment results. Tissue dielectric constant (TDC) and bioimpedance spectroscopy (BIS) both have a potential for early diagnosis, but have not been compared.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">One hundred women, treated for breast cancer with breast surgery, axillary dissection, and radiotherapy, were examined within one year after breast cancer treatment, as part of the follow-up procedure. Affected/at-risk and contralateral arms were measured with the TDC technique specific to localized skin water content and the BIS technique assessing arm extracellular fluid (ECF). Thirty-eight patients were clinically diagnosed for lymphedema (38.0%). The sensitivity and specificity for the TDC method were 65.8% and 83.9%, and for BIS method 42.1% and 93.5%, (p < 0.001 and NS), respectively. Of all lymphedema, 18.4% were detected only by TDC and 2.6% by BIS. Affected arm to contralateral arm TDC ratios for upper arm and forearm, 1.56 ± 0.49 and 1.28 ± 0.33, demonstrating the localized feature of the TDC measurements were significantly greater than the BIS arm ratio 1.12 ± 0.12 (both p < 0.001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Discrepancies between TDC and BIS techniques in assessing lymphedema are related to different measurement techniques and assessed tissue water components. Independently of selected technique-specific threshold limit, the TDC technique was more sensitive than the BIS technique in the early assessment of BCRL and demonstrated that nearly 20% of early lymphedema are only superficially localized. The results further supported the complementary role of TDC and arm volume measurements as a highly diagnostic method for early lymphedema.</AbstractText>
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<Affiliation>1 Cancer Center, Kuopio University Hospital , Kuopio, Finland .</Affiliation>
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<Affiliation>1 Cancer Center, Kuopio University Hospital , Kuopio, Finland .</Affiliation>
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<Affiliation>2 Department of Health Sciences, Lund University , Lund, Sweden .</Affiliation>
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<Language>eng</Language>
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<RefSource>Lymphat Res Biol. 2015 Sep;13(3):169</RefSource>
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<DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D058266" MajorTopicYN="N">Dielectric Spectroscopy</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
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<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D009929" MajorTopicYN="N">Organ Size</DescriptorName>
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