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Regional diagnosis of lymphoedema and selection of sites for lymphaticovenular anastomosis using elastography.

Identifieur interne : 002651 ( PubMed/Corpus ); précédent : 002650; suivant : 002652

Regional diagnosis of lymphoedema and selection of sites for lymphaticovenular anastomosis using elastography.

Auteurs : M. Mihara ; Y. Hayashi ; N. Murai ; H. Moriguchi ; T. Iida ; H. Hara ; T. Todokoro ; M. Narushima ; G. Uchida ; I. Koshima

Source :

RBID : pubmed:21524415

English descriptors

Abstract

To evaluate the use of ultrasound elastography as a basis for determining the most appropriate sites for lymphaticovenular anastomosis (LVA) for treatment of lymphoedema.

DOI: 10.1016/j.crad.2011.03.004
PubMed: 21524415

Links to Exploration step

pubmed:21524415

Le document en format XML

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<title xml:lang="en">Regional diagnosis of lymphoedema and selection of sites for lymphaticovenular anastomosis using elastography.</title>
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<name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name>
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<nlm:affiliation>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Tokyo 113-8655, Japan. mihara@keiseigeka.name</nlm:affiliation>
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<name sortKey="Hayashi, Y" sort="Hayashi, Y" uniqKey="Hayashi Y" first="Y" last="Hayashi">Y. Hayashi</name>
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<name sortKey="Murai, N" sort="Murai, N" uniqKey="Murai N" first="N" last="Murai">N. Murai</name>
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<name sortKey="Moriguchi, H" sort="Moriguchi, H" uniqKey="Moriguchi H" first="H" last="Moriguchi">H. Moriguchi</name>
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<name sortKey="Iida, T" sort="Iida, T" uniqKey="Iida T" first="T" last="Iida">T. Iida</name>
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<name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name>
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<name sortKey="Todokoro, T" sort="Todokoro, T" uniqKey="Todokoro T" first="T" last="Todokoro">T. Todokoro</name>
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<name sortKey="Narushima, M" sort="Narushima, M" uniqKey="Narushima M" first="M" last="Narushima">M. Narushima</name>
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<name sortKey="Uchida, G" sort="Uchida, G" uniqKey="Uchida G" first="G" last="Uchida">G. Uchida</name>
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<name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name>
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<title level="j">Clinical radiology</title>
<idno type="eISSN">1365-229X</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Anastomosis, Surgical (methods)</term>
<term>Elasticity Imaging Techniques (methods)</term>
<term>Elasticity Imaging Techniques (standards)</term>
<term>Female</term>
<term>Humans</term>
<term>Leg (diagnostic imaging)</term>
<term>Leg (surgery)</term>
<term>Lymphatic Vessels (diagnostic imaging)</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Venules (diagnostic imaging)</term>
<term>Venules (surgery)</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Leg</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Venules</term>
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<term>Anastomosis, Surgical</term>
<term>Elasticity Imaging Techniques</term>
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<term>Elasticity Imaging Techniques</term>
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<term>Leg</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Venules</term>
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<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">To evaluate the use of ultrasound elastography as a basis for determining the most appropriate sites for lymphaticovenular anastomosis (LVA) for treatment of lymphoedema.</div>
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<Month>08</Month>
<Day>22</Day>
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<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
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<Volume>66</Volume>
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<Month>Aug</Month>
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<Title>Clinical radiology</Title>
<ISOAbbreviation>Clin Radiol</ISOAbbreviation>
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<ArticleTitle>Regional diagnosis of lymphoedema and selection of sites for lymphaticovenular anastomosis using elastography.</ArticleTitle>
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<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To evaluate the use of ultrasound elastography as a basis for determining the most appropriate sites for lymphaticovenular anastomosis (LVA) for treatment of lymphoedema.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Preoperative elastography and LVA were performed in 11 patients (11 legs) with leg lymphoedema, including two cases of primary oedema and nine of secondary oedema.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean number of LVAs applied per leg was 4.4 (range 3-7). The mean reduction in the leg circumference was 91.7%, and 10 of the 11 cases (90.0%) were improved. Hardness was reduced from a mean of 1.6 before surgery to 0.9 after surgery, and improvement was also noted in 10 cases (90.9%). The severity of oedema was determined in five regions in each leg, and was classified as elastography stage (ES) 0 in 11 regions, ES1 in 23, ES2 in 15, and ES3 in six.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These results demonstrate the value of ultrasound elastography for the diagnosis of early-stage lymphoedema and determination of LVA sites. This is the first report of diagnosis of lymphoedema using elastography and the findings suggest that this procedure followed by LVA could be used as a new therapeutic method for early-stage lymphoedema.</AbstractText>
<CopyrightInformation>Copyright © 2011 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
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