Ultrasound and Clinical Measures for Lymphedema.
Identifieur interne : 000B38 ( PubMed/Curation ); précédent : 000B37; suivant : 000B39Ultrasound and Clinical Measures for Lymphedema.
Auteurs : Kristine C. Johnson [États-Unis] ; Mike Desarno [États-Unis] ; Taka Ashikaga [États-Unis] ; Justine Dee [États-Unis] ; Sharon M. Henry [États-Unis]Source :
- Lymphatic research and biology [ 1557-8585 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Fibrose (imagerie diagnostique), Humains, Lymphoedème après cancer du sein (imagerie diagnostique), Membre supérieur (anatomopathologie), Peau (anatomopathologie), Reproductibilité des résultats, Sensibilité et spécificité, Sujet âgé, Sujet âgé de 80 ans ou plus, Échographie (), Études longitudinales.
- MESH :
- anatomopathologie : Membre supérieur, Peau.
- imagerie diagnostique : Fibrose, Lymphoedème après cancer du sein.
- Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Reproductibilité des résultats, Sensibilité et spécificité, Sujet âgé, Sujet âgé de 80 ans ou plus, Échographie, Études longitudinales.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Breast Cancer Lymphedema (diagnostic imaging), Female, Fibrosis (diagnostic imaging), Humans, Longitudinal Studies, Middle Aged, Reproducibility of Results, Sensitivity and Specificity, Skin (pathology), Surveys and Questionnaires, Ultrasonography (methods), Upper Extremity (pathology).
- MESH :
- diagnostic imaging : Breast Cancer Lymphedema, Fibrosis.
- methods : Ultrasonography.
- pathology : Skin, Upper Extremity.
- Aged, Aged, 80 and over, Female, Humans, Longitudinal Studies, Middle Aged, Reproducibility of Results, Sensitivity and Specificity, Surveys and Questionnaires.
Abstract
Treatment for breast cancer has increased patient survivorship exponentially over the past few decades. With increased survivorship, more women are living with the longstanding effects of breast cancer treatment, such as lymphedema. Patients, health care providers, and payers depend on practical and efficient clinical measures to accurately diagnose and monitor disease progression or regression. However, current clinical measures do not include objective measures that assess lymphedetamous tissue accurately. This study compared current measures to a novel use of ultrasound (US) imaging to quantify tissue texture.
DOI: 10.1089/lrb.2015.0001
PubMed: 26574872
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pubmed:26574872Le document en format XML
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<term>Breast Cancer Lymphedema (diagnostic imaging)</term>
<term>Female</term>
<term>Fibrosis (diagnostic imaging)</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Middle Aged</term>
<term>Reproducibility of Results</term>
<term>Sensitivity and Specificity</term>
<term>Skin (pathology)</term>
<term>Surveys and Questionnaires</term>
<term>Ultrasonography (methods)</term>
<term>Upper Extremity (pathology)</term>
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<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Fibrose (imagerie diagnostique)</term>
<term>Humains</term>
<term>Lymphoedème après cancer du sein (imagerie diagnostique)</term>
<term>Membre supérieur (anatomopathologie)</term>
<term>Peau (anatomopathologie)</term>
<term>Reproductibilité des résultats</term>
<term>Sensibilité et spécificité</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échographie ()</term>
<term>Études longitudinales</term>
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<term>Peau</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Breast Cancer Lymphedema</term>
<term>Fibrosis</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Fibrose</term>
<term>Lymphoedème après cancer du sein</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Ultrasonography</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Skin</term>
<term>Upper Extremity</term>
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<term>Female</term>
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<term>Middle Aged</term>
<term>Reproducibility of Results</term>
<term>Sensitivity and Specificity</term>
<term>Surveys and Questionnaires</term>
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<term>Humains</term>
<term>Reproductibilité des résultats</term>
<term>Sensibilité et spécificité</term>
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<front><div type="abstract" xml:lang="en">Treatment for breast cancer has increased patient survivorship exponentially over the past few decades. With increased survivorship, more women are living with the longstanding effects of breast cancer treatment, such as lymphedema. Patients, health care providers, and payers depend on practical and efficient clinical measures to accurately diagnose and monitor disease progression or regression. However, current clinical measures do not include objective measures that assess lymphedetamous tissue accurately. This study compared current measures to a novel use of ultrasound (US) imaging to quantify tissue texture.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26574872</PMID>
<DateCreated><Year>2016</Year>
<Month>03</Month>
<Day>17</Day>
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<Month>12</Month>
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<Day>30</Day>
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<JournalIssue CitedMedium="Internet"><Volume>14</Volume>
<Issue>1</Issue>
<PubDate><Year>2016</Year>
<Month>Mar</Month>
</PubDate>
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<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
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<ArticleTitle>Ultrasound and Clinical Measures for Lymphedema.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Treatment for breast cancer has increased patient survivorship exponentially over the past few decades. With increased survivorship, more women are living with the longstanding effects of breast cancer treatment, such as lymphedema. Patients, health care providers, and payers depend on practical and efficient clinical measures to accurately diagnose and monitor disease progression or regression. However, current clinical measures do not include objective measures that assess lymphedetamous tissue accurately. This study compared current measures to a novel use of ultrasound (US) imaging to quantify tissue texture.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Seventeen women diagnosed with lymphedema completed self-report questionnaires and then were tested twice by two lymphedema physical therapists who measured edema, fibrosis, and limb volume differences. One therapist measured subjects' limbs using US imaging and derived measures of entropy and average pixel intensity. Volume measures were consistent between therapists (p < 0.01) but palpation was not (0.01 < p < 0.72). Therapists' measures correlated better to subjects' self-report of edema (0.01 < p > 0.32) as compared to fibrosis (0.23 < p > 0.90). US measures were reliable (Cronbachs's α = 0.7 and 0.91 for entropy and API, respectively). Entropy measures demonstrated significant differences between subjects' involved versus uninvolved forearms (p = 0.03).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Therapists were not consistent with each other when rating edema or fibrosis; however, they were consistent when measuring limb volume differences. US measures (entropy) demonstrated a significant difference between involved and uninvolved. US imaging, as a tool to quantify subcutaneous tissues, holds promise to be a safe, mobile, and effective method to measure lymphedema tissue texture.</AbstractText>
</Abstract>
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