The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study.
Identifieur interne : 001934 ( PubMed/Corpus ); précédent : 001933; suivant : 001935The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study.
Auteurs : Joseph H. Dayan ; Erez Dayan ; Alexander Kagen ; Ming-Huei Cheng ; Mark Sultan ; William Samson ; Mark L. SmithSource :
- Journal of reconstructive microsurgery [ 1098-8947 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- anatomy & histology : Groin.
- blood supply : Surgical Flaps.
- surgery : Lymphedema.
- transplantation : Lymph Nodes.
- Female, Humans, Magnetic Resonance Angiography, Middle Aged, Tattooing.
Abstract
Vascularized groin lymph node transfer (VGLNT) has been successfully used to treat lymphedema. However, lack of familiarity with the inguinal node anatomy and concerns regarding donor site morbidity have limited its widespread use. The purpose of this study was to use magnetic resonance angiography (MRA) to clarify the inguinal anatomy and provide a reliable method for identifying the location of the superficial transverse inguinal lymph nodes. In this study MRA was used to evaluate the superficial inguinal lymph nodes in 117 patients. Coordinates of lymph nodes were plotted relative to an axis from the anterior superior iliac spine (ASIS) to the pubic tubercle (PT). The nodes were also plotted relative to the superficial circumflex iliac vein (SCIV) and superficial inferior epigastric vein (SIEV). A total of 1,938 lymph nodes were identified. These lymph nodes were concentrated on one-third the distance from the PT toward the ASIS and 3 cm perpendicularly below this line. About 67% of the superficial inguinal nodes were located within the bifurcation of the SIEV and SCIV. The results from this study provide useful guidelines for locating lymph nodes targeted for VGLNT.
DOI: 10.1055/s-0033-1351668
PubMed: 24019175
Links to Exploration step
pubmed:24019175Le document en format XML
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<author><name sortKey="Dayan, Joseph H" sort="Dayan, Joseph H" uniqKey="Dayan J" first="Joseph H" last="Dayan">Joseph H. Dayan</name>
<affiliation><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation>
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<author><name sortKey="Dayan, Erez" sort="Dayan, Erez" uniqKey="Dayan E" first="Erez" last="Dayan">Erez Dayan</name>
<affiliation><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation>
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<author><name sortKey="Kagen, Alexander" sort="Kagen, Alexander" uniqKey="Kagen A" first="Alexander" last="Kagen">Alexander Kagen</name>
<affiliation><nlm:affiliation>Department of Radiology, Beth Israel Medical Center, New York, New York.</nlm:affiliation>
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<author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name>
<affiliation><nlm:affiliation>Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan.</nlm:affiliation>
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<author><name sortKey="Sultan, Mark" sort="Sultan, Mark" uniqKey="Sultan M" first="Mark" last="Sultan">Mark Sultan</name>
<affiliation><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Samson, William" sort="Samson, William" uniqKey="Samson W" first="William" last="Samson">William Samson</name>
<affiliation><nlm:affiliation>Division of Plastic Surgery, Beth Israel Medical Center, New York, New York.</nlm:affiliation>
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<author><name sortKey="Smith, Mark L" sort="Smith, Mark L" uniqKey="Smith M" first="Mark L" last="Smith">Mark L. Smith</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study.</title>
<author><name sortKey="Dayan, Joseph H" sort="Dayan, Joseph H" uniqKey="Dayan J" first="Joseph H" last="Dayan">Joseph H. Dayan</name>
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<author><name sortKey="Dayan, Erez" sort="Dayan, Erez" uniqKey="Dayan E" first="Erez" last="Dayan">Erez Dayan</name>
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<author><name sortKey="Kagen, Alexander" sort="Kagen, Alexander" uniqKey="Kagen A" first="Alexander" last="Kagen">Alexander Kagen</name>
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<author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name>
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<author><name sortKey="Samson, William" sort="Samson, William" uniqKey="Samson W" first="William" last="Samson">William Samson</name>
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<author><name sortKey="Smith, Mark L" sort="Smith, Mark L" uniqKey="Smith M" first="Mark L" last="Smith">Mark L. Smith</name>
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<series><title level="j">Journal of reconstructive microsurgery</title>
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<term>Groin (anatomy & histology)</term>
<term>Humans</term>
<term>Lymph Nodes (transplantation)</term>
<term>Lymphedema (surgery)</term>
<term>Magnetic Resonance Angiography</term>
<term>Middle Aged</term>
<term>Surgical Flaps (blood supply)</term>
<term>Tattooing</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term>
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<keywords scheme="MESH" xml:lang="en"><term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Angiography</term>
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<front><div type="abstract" xml:lang="en">Vascularized groin lymph node transfer (VGLNT) has been successfully used to treat lymphedema. However, lack of familiarity with the inguinal node anatomy and concerns regarding donor site morbidity have limited its widespread use. The purpose of this study was to use magnetic resonance angiography (MRA) to clarify the inguinal anatomy and provide a reliable method for identifying the location of the superficial transverse inguinal lymph nodes. In this study MRA was used to evaluate the superficial inguinal lymph nodes in 117 patients. Coordinates of lymph nodes were plotted relative to an axis from the anterior superior iliac spine (ASIS) to the pubic tubercle (PT). The nodes were also plotted relative to the superficial circumflex iliac vein (SCIV) and superficial inferior epigastric vein (SIEV). A total of 1,938 lymph nodes were identified. These lymph nodes were concentrated on one-third the distance from the PT toward the ASIS and 3 cm perpendicularly below this line. About 67% of the superficial inguinal nodes were located within the bifurcation of the SIEV and SCIV. The results from this study provide useful guidelines for locating lymph nodes targeted for VGLNT.</div>
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<Title>Journal of reconstructive microsurgery</Title>
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<ArticleTitle>The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study.</ArticleTitle>
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<Abstract><AbstractText>Vascularized groin lymph node transfer (VGLNT) has been successfully used to treat lymphedema. However, lack of familiarity with the inguinal node anatomy and concerns regarding donor site morbidity have limited its widespread use. The purpose of this study was to use magnetic resonance angiography (MRA) to clarify the inguinal anatomy and provide a reliable method for identifying the location of the superficial transverse inguinal lymph nodes. In this study MRA was used to evaluate the superficial inguinal lymph nodes in 117 patients. Coordinates of lymph nodes were plotted relative to an axis from the anterior superior iliac spine (ASIS) to the pubic tubercle (PT). The nodes were also plotted relative to the superficial circumflex iliac vein (SCIV) and superficial inferior epigastric vein (SIEV). A total of 1,938 lymph nodes were identified. These lymph nodes were concentrated on one-third the distance from the PT toward the ASIS and 3 cm perpendicularly below this line. About 67% of the superficial inguinal nodes were located within the bifurcation of the SIEV and SCIV. The results from this study provide useful guidelines for locating lymph nodes targeted for VGLNT.</AbstractText>
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