Magnetic resonance imaging versus lymphoscintigraphy for the assessment of focal lymphatic transport disorders of the lower limb: first experiences.
Identifieur interne : 001450 ( PubMed/Corpus ); précédent : 001449; suivant : 001451Magnetic resonance imaging versus lymphoscintigraphy for the assessment of focal lymphatic transport disorders of the lower limb: first experiences.
Auteurs : M. Weiss ; C. Burgard ; R. Baumeister ; F. Strobl ; A. Rominger ; P. Bartenstein ; J. Wallmichrath ; A. Frick ; M. NotohamiprodjoSource :
- Nuklearmedizin. Nuclear medicine [ 0029-5566 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Lymphedema.
- diagnostic imaging : Leg.
- methods : Image Enhancement, Lymphoscintigraphy, Magnetic Resonance Imaging.
- pathology : Leg.
- Adult, Aged, Child, Female, Humans, Male, Middle Aged, Reproducibility of Results, Sensitivity and Specificity, Young Adult.
Abstract
To compare the diagnostic accuracy of magnetic resonance imaging (MR-lymphangiography) and lymphoscintigraphy for assessment of focal lesions of the peripheral lymphatic system. Patients with focal lymphatic transport disorders might benefit from surgi-cal interventions.
DOI: 10.3413/Nukmed-0649-14-03
PubMed: 24999013
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pubmed:24999013Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Magnetic resonance imaging versus lymphoscintigraphy for the assessment of focal lymphatic transport disorders of the lower limb: first experiences.</title>
<author><name sortKey="Weiss, M" sort="Weiss, M" uniqKey="Weiss M" first="M" last="Weiss">M. Weiss</name>
<affiliation><nlm:affiliation>Mayo Weiss MD, Department of Nuclear Medicine, Ludwig-Maximilians-University of Munich, Marchioninistr.15, 81377 Muenchen, Germany, Tel. +49/(0)89/70 95 76 38, E-mail: mayo.weiss@med.uni-muenchen.de.</nlm:affiliation>
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<author><name sortKey="Burgard, C" sort="Burgard, C" uniqKey="Burgard C" first="C" last="Burgard">C. Burgard</name>
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<author><name sortKey="Baumeister, R" sort="Baumeister, R" uniqKey="Baumeister R" first="R" last="Baumeister">R. Baumeister</name>
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<author><name sortKey="Strobl, F" sort="Strobl, F" uniqKey="Strobl F" first="F" last="Strobl">F. Strobl</name>
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<author><name sortKey="Rominger, A" sort="Rominger, A" uniqKey="Rominger A" first="A" last="Rominger">A. Rominger</name>
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<author><name sortKey="Bartenstein, P" sort="Bartenstein, P" uniqKey="Bartenstein P" first="P" last="Bartenstein">P. Bartenstein</name>
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<author><name sortKey="Wallmichrath, J" sort="Wallmichrath, J" uniqKey="Wallmichrath J" first="J" last="Wallmichrath">J. Wallmichrath</name>
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<author><name sortKey="Frick, A" sort="Frick, A" uniqKey="Frick A" first="A" last="Frick">A. Frick</name>
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<author><name sortKey="Notohamiprodjo, M" sort="Notohamiprodjo, M" uniqKey="Notohamiprodjo M" first="M" last="Notohamiprodjo">M. Notohamiprodjo</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Magnetic resonance imaging versus lymphoscintigraphy for the assessment of focal lymphatic transport disorders of the lower limb: first experiences.</title>
<author><name sortKey="Weiss, M" sort="Weiss, M" uniqKey="Weiss M" first="M" last="Weiss">M. Weiss</name>
<affiliation><nlm:affiliation>Mayo Weiss MD, Department of Nuclear Medicine, Ludwig-Maximilians-University of Munich, Marchioninistr.15, 81377 Muenchen, Germany, Tel. +49/(0)89/70 95 76 38, E-mail: mayo.weiss@med.uni-muenchen.de.</nlm:affiliation>
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<author><name sortKey="Burgard, C" sort="Burgard, C" uniqKey="Burgard C" first="C" last="Burgard">C. Burgard</name>
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<author><name sortKey="Baumeister, R" sort="Baumeister, R" uniqKey="Baumeister R" first="R" last="Baumeister">R. Baumeister</name>
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<author><name sortKey="Strobl, F" sort="Strobl, F" uniqKey="Strobl F" first="F" last="Strobl">F. Strobl</name>
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<author><name sortKey="Rominger, A" sort="Rominger, A" uniqKey="Rominger A" first="A" last="Rominger">A. Rominger</name>
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<author><name sortKey="Bartenstein, P" sort="Bartenstein, P" uniqKey="Bartenstein P" first="P" last="Bartenstein">P. Bartenstein</name>
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<author><name sortKey="Wallmichrath, J" sort="Wallmichrath, J" uniqKey="Wallmichrath J" first="J" last="Wallmichrath">J. Wallmichrath</name>
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<author><name sortKey="Frick, A" sort="Frick, A" uniqKey="Frick A" first="A" last="Frick">A. Frick</name>
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<author><name sortKey="Notohamiprodjo, M" sort="Notohamiprodjo, M" uniqKey="Notohamiprodjo M" first="M" last="Notohamiprodjo">M. Notohamiprodjo</name>
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<series><title level="j">Nuklearmedizin. Nuclear medicine</title>
<idno type="ISSN">0029-5566</idno>
<imprint><date when="2014" type="published">2014</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
<term>Image Enhancement (methods)</term>
<term>Leg (diagnostic imaging)</term>
<term>Leg (pathology)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphoscintigraphy (methods)</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reproducibility of Results</term>
<term>Sensitivity and Specificity</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Leg</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Image Enhancement</term>
<term>Lymphoscintigraphy</term>
<term>Magnetic Resonance Imaging</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Leg</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reproducibility of Results</term>
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<front><div type="abstract" xml:lang="en">To compare the diagnostic accuracy of magnetic resonance imaging (MR-lymphangiography) and lymphoscintigraphy for assessment of focal lesions of the peripheral lymphatic system. Patients with focal lymphatic transport disorders might benefit from surgi-cal interventions.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24999013</PMID>
<DateCreated><Year>2014</Year>
<Month>10</Month>
<Day>07</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>06</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0029-5566</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>53</Volume>
<Issue>5</Issue>
<PubDate><Year>2014</Year>
</PubDate>
</JournalIssue>
<Title>Nuklearmedizin. Nuclear medicine</Title>
<ISOAbbreviation>Nuklearmedizin</ISOAbbreviation>
</Journal>
<ArticleTitle>Magnetic resonance imaging versus lymphoscintigraphy for the assessment of focal lymphatic transport disorders of the lower limb: first experiences.</ArticleTitle>
<Pagination><MedlinePgn>190-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.3413/Nukmed-0649-14-03</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare the diagnostic accuracy of magnetic resonance imaging (MR-lymphangiography) and lymphoscintigraphy for assessment of focal lesions of the peripheral lymphatic system. Patients with focal lymphatic transport disorders might benefit from surgi-cal interventions.</AbstractText>
<AbstractText Label="PATIENTS, METHODS" NlmCategory="METHODS">We examined by lymphoscintigraphy and MR-lymphangiography a total of 85 lower limbs in 46 consecutive patients (33 women; mean age 41 years; range 9-79 years) presenting with uni- or bilateral lymphedema. MR-lymphangiographies were obtained at isotropic sub-millimeter resolution with a 3.0 Tesla magnet after injection of gadolinium contrast medium. MR-lymphangiography was reviewed by radiologists, whereas lymphoscintigraphy was reviewed by nuclear medicine physicians. The images were examined for localization and distribution of any focal lesions of the lymphatic vessel system. Diagnostic accuracy of the MR-approach was calculated relative to the lymphoscintigraphy gold standard.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There was substantial correlation of results by the two modalities (κ = 0.62). MR-lymphangiography had sensitivity of 68%, specificity of 91%, positive predictive value of 82%, and negative predictive value of 83%.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Imaging findings of both lymphoscintigraphy and MR-lymphangiography showed good diagnostic accuracy. MR-lymphangiography proved more information about anatomic location of focal lesions of the lymphatic vessels, but use of MR-lymphangiography is currently constrained due to the requirement for off-label subcutaneous injection of gadolinium chelates. Consequently, and due to its superior sensitivity lymphoscintigraphy remains the most common imaging method to assess functional lymphatic disorders of the lower limb.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Weiss</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Mayo Weiss MD, Department of Nuclear Medicine, Ludwig-Maximilians-University of Munich, Marchioninistr.15, 81377 Muenchen, Germany, Tel. +49/(0)89/70 95 76 38, E-mail: mayo.weiss@med.uni-muenchen.de.</Affiliation>
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<Author ValidYN="Y"><LastName>Burgard</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y"><LastName>Baumeister</LastName>
<ForeName>R</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Strobl</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
</Author>
<Author ValidYN="Y"><LastName>Rominger</LastName>
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<Author ValidYN="Y"><LastName>Bartenstein</LastName>
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<Author ValidYN="Y"><LastName>Frick</LastName>
<ForeName>A</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Notohamiprodjo</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D007089" MajorTopicYN="N">Image Enhancement</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName>
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<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
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<MeshHeading><DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName>
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<MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName>
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<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Lymphoscintigraphy</Keyword>
<Keyword MajorTopicYN="N">MR-lymphangiography</Keyword>
<Keyword MajorTopicYN="N">lymphatic disorders</Keyword>
<Keyword MajorTopicYN="N">lymphoedema</Keyword>
<Keyword MajorTopicYN="N">magnet resonance imaging</Keyword>
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