Serveur d'exploration sur le lymphœdème

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Indocyanine green (ICG) lymphography is superior to lymphoscintigraphy for diagnostic imaging of early lymphedema of the upper limbs.

Identifieur interne : 002096 ( PubMed/Corpus ); précédent : 002095; suivant : 002097

Indocyanine green (ICG) lymphography is superior to lymphoscintigraphy for diagnostic imaging of early lymphedema of the upper limbs.

Auteurs : Makoto Mihara ; Hisako Hara ; Jun Araki ; Kazuki Kikuchi ; Mitsunaga Narushima ; Takumi Yamamoto ; Takuya Iida ; Hidehiko Yoshimatsu ; Noriyuki Murai ; Kito Mitsui ; Taro Okitsu ; Isao Koshima

Source :

RBID : pubmed:22675520

English descriptors

Abstract

Secondary lymphedema causes swelling in limbs due to lymph retention following lymph node dissection in cancer therapy. Initiation of treatment soon after appearance of edema is very important, but there is no method for early diagnosis of lymphedema. In this study, we compared the utility of four diagnostic imaging methods: magnetic resonance imaging (MRI), computed tomography (CT), lymphoscintigraphy, and Indocyanine Green (ICG) lymphography.

DOI: 10.1371/journal.pone.0038182
PubMed: 22675520

Links to Exploration step

pubmed:22675520

Le document en format XML

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<name sortKey="Hara, Hisako" sort="Hara, Hisako" uniqKey="Hara H" first="Hisako" last="Hara">Hisako Hara</name>
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<name sortKey="Kikuchi, Kazuki" sort="Kikuchi, Kazuki" uniqKey="Kikuchi K" first="Kazuki" last="Kikuchi">Kazuki Kikuchi</name>
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<name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name>
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<name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
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<name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name>
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<name sortKey="Yoshimatsu, Hidehiko" sort="Yoshimatsu, Hidehiko" uniqKey="Yoshimatsu H" first="Hidehiko" last="Yoshimatsu">Hidehiko Yoshimatsu</name>
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<name sortKey="Hara, Hisako" sort="Hara, Hisako" uniqKey="Hara H" first="Hisako" last="Hara">Hisako Hara</name>
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<name sortKey="Araki, Jun" sort="Araki, Jun" uniqKey="Araki J" first="Jun" last="Araki">Jun Araki</name>
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<name sortKey="Kikuchi, Kazuki" sort="Kikuchi, Kazuki" uniqKey="Kikuchi K" first="Kazuki" last="Kikuchi">Kazuki Kikuchi</name>
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<name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name>
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<name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
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<name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name>
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<name sortKey="Yoshimatsu, Hidehiko" sort="Yoshimatsu, Hidehiko" uniqKey="Yoshimatsu H" first="Hidehiko" last="Yoshimatsu">Hidehiko Yoshimatsu</name>
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<name sortKey="Murai, Noriyuki" sort="Murai, Noriyuki" uniqKey="Murai N" first="Noriyuki" last="Murai">Noriyuki Murai</name>
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<name sortKey="Mitsui, Kito" sort="Mitsui, Kito" uniqKey="Mitsui K" first="Kito" last="Mitsui">Kito Mitsui</name>
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<name sortKey="Okitsu, Taro" sort="Okitsu, Taro" uniqKey="Okitsu T" first="Taro" last="Okitsu">Taro Okitsu</name>
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<name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Indocyanine Green</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphography (methods)</term>
<term>Lymphoscintigraphy (methods)</term>
<term>Middle Aged</term>
<term>Sensitivity and Specificity</term>
<term>Upper Extremity (diagnostic imaging)</term>
<term>Upper Extremity (pathology)</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Indocyanine Green</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lymphedema</term>
<term>Upper Extremity</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lymphography</term>
<term>Lymphoscintigraphy</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
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<front>
<div type="abstract" xml:lang="en">Secondary lymphedema causes swelling in limbs due to lymph retention following lymph node dissection in cancer therapy. Initiation of treatment soon after appearance of edema is very important, but there is no method for early diagnosis of lymphedema. In this study, we compared the utility of four diagnostic imaging methods: magnetic resonance imaging (MRI), computed tomography (CT), lymphoscintigraphy, and Indocyanine Green (ICG) lymphography.</div>
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<DateCreated>
<Year>2012</Year>
<Month>06</Month>
<Day>07</Day>
</DateCreated>
<DateCompleted>
<Year>2012</Year>
<Month>10</Month>
<Day>11</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1932-6203</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>7</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2012</Year>
</PubDate>
</JournalIssue>
<Title>PloS one</Title>
<ISOAbbreviation>PLoS ONE</ISOAbbreviation>
</Journal>
<ArticleTitle>Indocyanine green (ICG) lymphography is superior to lymphoscintigraphy for diagnostic imaging of early lymphedema of the upper limbs.</ArticleTitle>
<Pagination>
<MedlinePgn>e38182</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pone.0038182</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Secondary lymphedema causes swelling in limbs due to lymph retention following lymph node dissection in cancer therapy. Initiation of treatment soon after appearance of edema is very important, but there is no method for early diagnosis of lymphedema. In this study, we compared the utility of four diagnostic imaging methods: magnetic resonance imaging (MRI), computed tomography (CT), lymphoscintigraphy, and Indocyanine Green (ICG) lymphography.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Between April 2010 and November 2011, we examined 21 female patients (42 arms) with unilateral mild upper limb lymphedema using the four methods. The mean age of the patients was 60.4 years old (35-81 years old). Biopsies of skin and collecting lymphatic vessels were performed in 7 patients who underwent lymphaticovenous anastomosis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The specificity was 1 for all four methods. The sensitivity was 1 in ICG lymphography and MRI, 0.62 in lymphoscintigraphy, and 0.33 in CT. These results show that MRI and ICG lymphography are superior to lymphoscintigraphy or CT for diagnosis of lymphedema. In some cases, biopsy findings suggested abnormalities in skin and lymphatic vessels for which lymphoscintigraphy showed no abnormal findings. ICG lymphography showed a dermal backflow pattern in these cases.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our findings suggest the importance of dual diagnosis by examination of the lymphatic system using ICG lymphography and evaluation of edema in subcutaneous fat tissue using MRI.</AbstractText>
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