MR lymphangiography: How i do it.
Identifieur interne : 000F27 ( PubMed/Corpus ); précédent : 000F26; suivant : 000F28MR lymphangiography: How i do it.
Auteurs : Lee M. Mitsumori ; Elizabeth S. Mcdonald ; Gregory J. Wilson ; Peter C. Neligan ; Satoshi Minoshima ; Jeffrey H. MakiSource :
- Journal of magnetic resonance imaging : JMRI [ 1522-2586 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- methods : Imaging, Three-Dimensional, Lymph Node Excision, Lymphography, Magnetic Resonance Imaging, Surgery, Computer-Assisted.
- pathology : Lymph Nodes, Lymphedema.
- surgery : Lymph Nodes, Lymphedema.
- Humans.
Abstract
Lymphedema is a chronic progressive edematous disease that in the United States is most commonly related to malignancy and its treatment. Lymphaticovenular anastomosis is a recently introduced microsurgical treatment option for lymphedema that requires the identification and mapping of individual lymphatic channels. While nuclear medicine lymphoscintigraphy has been the primary imaging modality performed to evaluate suspected lymphedema, lymphoscintigraphy does not provide the spatial information necessary for presurgical planning. High-resolution dynamic 3D magnetic resonance imaging (MRI) can noninvasively image abnormal lymphatic channels to both diagnose lymphedema and depict the location and number of individual lymphatic channels for surgical planning. MR lymphangiography can be performed at 1.5T or 3.0T using multichannel phased array surface coils. The main components of the exam are a heavily T2 -weighted 3D sequence to define the severity and extent of edema, a high-resolution dynamic 3D gradient echo imaging after intracutaneous contrast injection to visualize lymphatic channels, and a delayed 3D gradient echo sequence after intravenous contrast to define veins. This article reviews the pathophysiology and microsurgical treatment of lymphedema, presents the imaging protocol used at our institution, and describes exam interpretation and the image postprocessing performed for surgical planning.
DOI: 10.1002/jmri.24887
PubMed: 25906741
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pubmed:25906741Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">MR lymphangiography: How i do it.</title><author><name sortKey="Mitsumori, Lee M" sort="Mitsumori, Lee M" uniqKey="Mitsumori L" first="Lee M" last="Mitsumori">Lee M. Mitsumori</name><affiliation><nlm:affiliation>Department of Radiology, Straub Clinic and Hospital, Honolulu, Hawaii, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mcdonald, Elizabeth S" sort="Mcdonald, Elizabeth S" uniqKey="Mcdonald E" first="Elizabeth S" last="Mcdonald">Elizabeth S. Mcdonald</name><affiliation><nlm:affiliation>Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Wilson, Gregory J" sort="Wilson, Gregory J" uniqKey="Wilson G" first="Gregory J" last="Wilson">Gregory J. Wilson</name><affiliation><nlm:affiliation>Department of Radiology, University of Washington, Seattle, Washington, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Neligan, Peter C" sort="Neligan, Peter C" uniqKey="Neligan P" first="Peter C" last="Neligan">Peter C. Neligan</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Washington, Seattle, Washington, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Minoshima, Satoshi" sort="Minoshima, Satoshi" uniqKey="Minoshima S" first="Satoshi" last="Minoshima">Satoshi Minoshima</name><affiliation><nlm:affiliation>Department of Radiology, University of Washington, Seattle, Washington, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Maki, Jeffrey H" sort="Maki, Jeffrey H" uniqKey="Maki J" first="Jeffrey H" last="Maki">Jeffrey H. Maki</name><affiliation><nlm:affiliation>Department of Radiology, University of Washington, Seattle, Washington, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25906741</idno><idno type="pmid">25906741</idno><idno type="doi">10.1002/jmri.24887</idno><idno type="wicri:Area/PubMed/Corpus">000F27</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000F27</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">MR lymphangiography: How i do it.</title><author><name sortKey="Mitsumori, Lee M" sort="Mitsumori, Lee M" uniqKey="Mitsumori L" first="Lee M" last="Mitsumori">Lee M. Mitsumori</name><affiliation><nlm:affiliation>Department of Radiology, Straub Clinic and Hospital, Honolulu, Hawaii, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mcdonald, Elizabeth S" sort="Mcdonald, Elizabeth S" uniqKey="Mcdonald E" first="Elizabeth S" last="Mcdonald">Elizabeth S. Mcdonald</name><affiliation><nlm:affiliation>Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Wilson, Gregory J" sort="Wilson, Gregory J" uniqKey="Wilson G" first="Gregory J" last="Wilson">Gregory J. Wilson</name><affiliation><nlm:affiliation>Department of Radiology, University of Washington, Seattle, Washington, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Neligan, Peter C" sort="Neligan, Peter C" uniqKey="Neligan P" first="Peter C" last="Neligan">Peter C. Neligan</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Washington, Seattle, Washington, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Minoshima, Satoshi" sort="Minoshima, Satoshi" uniqKey="Minoshima S" first="Satoshi" last="Minoshima">Satoshi Minoshima</name><affiliation><nlm:affiliation>Department of Radiology, University of Washington, Seattle, Washington, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Maki, Jeffrey H" sort="Maki, Jeffrey H" uniqKey="Maki J" first="Jeffrey H" last="Maki">Jeffrey H. Maki</name><affiliation><nlm:affiliation>Department of Radiology, University of Washington, Seattle, Washington, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of magnetic resonance imaging : JMRI</title><idno type="eISSN">1522-2586</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>Imaging, Three-Dimensional (methods)</term><term>Lymph Node Excision (methods)</term><term>Lymph Nodes (pathology)</term><term>Lymph Nodes (surgery)</term><term>Lymphedema (pathology)</term><term>Lymphedema (surgery)</term><term>Lymphography (methods)</term><term>Magnetic Resonance Imaging (methods)</term><term>Surgery, Computer-Assisted (methods)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Imaging, Three-Dimensional</term><term>Lymph Node Excision</term><term>Lymphography</term><term>Magnetic Resonance Imaging</term><term>Surgery, Computer-Assisted</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymph Nodes</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymph Nodes</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema is a chronic progressive edematous disease that in the United States is most commonly related to malignancy and its treatment. Lymphaticovenular anastomosis is a recently introduced microsurgical treatment option for lymphedema that requires the identification and mapping of individual lymphatic channels. While nuclear medicine lymphoscintigraphy has been the primary imaging modality performed to evaluate suspected lymphedema, lymphoscintigraphy does not provide the spatial information necessary for presurgical planning. High-resolution dynamic 3D magnetic resonance imaging (MRI) can noninvasively image abnormal lymphatic channels to both diagnose lymphedema and depict the location and number of individual lymphatic channels for surgical planning. MR lymphangiography can be performed at 1.5T or 3.0T using multichannel phased array surface coils. The main components of the exam are a heavily T2 -weighted 3D sequence to define the severity and extent of edema, a high-resolution dynamic 3D gradient echo imaging after intracutaneous contrast injection to visualize lymphatic channels, and a delayed 3D gradient echo sequence after intravenous contrast to define veins. This article reviews the pathophysiology and microsurgical treatment of lymphedema, presents the imaging protocol used at our institution, and describes exam interpretation and the image postprocessing performed for surgical planning.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25906741</PMID><DateCreated><Year>2016</Year><Month>01</Month><Day>15</Day></DateCreated><DateCompleted><Year>2016</Year><Month>10</Month><Day>11</Day></DateCompleted><DateRevised><Year>2016</Year><Month>12</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1522-2586</ISSN><JournalIssue CitedMedium="Internet"><Volume>42</Volume><Issue>6</Issue><PubDate><Year>2015</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of magnetic resonance imaging : JMRI</Title><ISOAbbreviation>J Magn Reson Imaging</ISOAbbreviation></Journal><ArticleTitle>MR lymphangiography: How i do it.</ArticleTitle><Pagination><MedlinePgn>1465-77</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/jmri.24887</ELocationID><Abstract><AbstractText>Lymphedema is a chronic progressive edematous disease that in the United States is most commonly related to malignancy and its treatment. Lymphaticovenular anastomosis is a recently introduced microsurgical treatment option for lymphedema that requires the identification and mapping of individual lymphatic channels. While nuclear medicine lymphoscintigraphy has been the primary imaging modality performed to evaluate suspected lymphedema, lymphoscintigraphy does not provide the spatial information necessary for presurgical planning. High-resolution dynamic 3D magnetic resonance imaging (MRI) can noninvasively image abnormal lymphatic channels to both diagnose lymphedema and depict the location and number of individual lymphatic channels for surgical planning. MR lymphangiography can be performed at 1.5T or 3.0T using multichannel phased array surface coils. The main components of the exam are a heavily T2 -weighted 3D sequence to define the severity and extent of edema, a high-resolution dynamic 3D gradient echo imaging after intracutaneous contrast injection to visualize lymphatic channels, and a delayed 3D gradient echo sequence after intravenous contrast to define veins. This article reviews the pathophysiology and microsurgical treatment of lymphedema, presents the imaging protocol used at our institution, and describes exam interpretation and the image postprocessing performed for surgical planning.</AbstractText><CopyrightInformation>© 2015 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mitsumori</LastName><ForeName>Lee M</ForeName><Initials>LM</Initials><AffiliationInfo><Affiliation>Department of Radiology, Straub Clinic and Hospital, Honolulu, Hawaii, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McDonald</LastName><ForeName>Elizabeth S</ForeName><Initials>ES</Initials><AffiliationInfo><Affiliation>Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wilson</LastName><ForeName>Gregory J</ForeName><Initials>GJ</Initials><AffiliationInfo><Affiliation>Department of Radiology, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Neligan</LastName><ForeName>Peter C</ForeName><Initials>PC</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Minoshima</LastName><ForeName>Satoshi</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Radiology, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maki</LastName><ForeName>Jeffrey H</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Department of Radiology, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>04</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Magn Reson Imaging</MedlineTA><NlmUniqueID>9105850</NlmUniqueID><ISSNLinking>1053-1807</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021621" MajorTopicYN="N">Imaging, Three-Dimensional</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</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="D025321" MajorTopicYN="N">Surgery, Computer-Assisted</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">MR lymphangiography</Keyword><Keyword MajorTopicYN="N">breast cancer</Keyword><Keyword MajorTopicYN="N">image postprocessing</Keyword><Keyword MajorTopicYN="N">lymphaticovenular anastomosis</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">microsurgery</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>04</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>11</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>10</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25906741</ArticleId><ArticleId IdType="doi">10.1002/jmri.24887</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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