Comparison of radionuclide lymphoscintigraphy and dynamic magnetic resonance lymphangiography for investigating extremity lymphoedema

The British Journal of Surgery
N F LiuB-S Wang

Abstract

Lymphoscintigraphy is widely used to image the lymphatic system. The aim of this study was to compare lymphoscintigraphy and dynamic magnetic resonance lymphangiography (MRL) in the investigation of extremity lymphoedema. Sixteen patients with primary extremity lymphoedema and two with Klippel-Trenaunay syndrome with lymphoedema were examined by lymphoscintigraphy using the tracer (99)Tc-labelled dextran, and by MRL using gadobenate dimeglumine as contrast agent. Morphological abnormalities and functional state of the lymphatic systems of affected limbs were compared between the two imaging methods. Lymphatic vessels were imaged in 14 of 18 limbs with lymphoedema using MRL, compared with one of 18 using lymphoscintigraphy. MRL detected the inguinal nodes in 16 of 17 patients, whereas lymphoscintigraphy revealed inguinal nodes in only nine. MRL revealed more precise information about structural and functional abnormalities of lymph vessels and nodes than lymphoscintigraphy by real-time measurement of lymph flow in vessels and nodes. Dynamic MRL was more sensitive and accurate than lymphoscintigraphy in the detection of anatomical and functional abnormalities in the lymphatic system in patients with extremity lymphoedema.

References

Dec 29, 2006·Contrast Media & Molecular Imaging·Tristan BarrettHisataka Kobayashi

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Citations

Dec 26, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·L XiongC Hirche
Mar 13, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Zhaohua JiangShengli Li
Aug 15, 2014·Lymphatic Research and Biology·Wei-Ren PanYuan Chen
Dec 17, 2014·Lymphatic Research and Biology·Ning-fei Liu, Bing-shun Wang
Apr 25, 2015·Journal of Magnetic Resonance Imaging : JMRI·Lee M MitsumoriJeffrey H Maki
Oct 17, 2012·Revista española de medicina nuclear e imagen molecular·J R InfanteR Sánchez
Nov 3, 2010·La Presse médicale·Loïc Vaillant, Valérie Tauveron
Aug 31, 2010·Journal of Vascular Surgery·Ning-Fei LiuZhi-Xin Yan
May 21, 2016·Journal of Magnetic Resonance Imaging : JMRI·Lee M Mitsumori
Oct 6, 2012·Clinics in Plastic Surgery·Corinne BeckerMarc Riquet
Nov 21, 2019·Radiology·Clifford R Weiss, Robert P Liddell
Sep 6, 2012·Pediatric Pulmonology·Dima R EzmignaMark A Brown
Feb 25, 2021·Journal of Magnetic Resonance Imaging : JMRI·Michael MillsFranklyn A Howe

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