Procedural Recommendations for Lymphoscintigraphy in the Diagnosis of Peripheral Lymphedema: the Genoa Protocol

作者: G. Villa , C. C. Campisi , M. Ryan , F. Boccardo , P. Di Summa

DOI: 10.1007/S13139-018-0565-2

关键词:

摘要: Lymphoscintigraphy is the gold standard for imaging in diagnosis of peripheral lymphedema. However, there are no clear guidelines to standardize usage across centers, and as such, large variability exists. The aim this perspectives paper draw upon knowledge extensive experience lymphoscintigraphy here Genoa, Italy, from our center excellence assessment treatment lymphatic disorders over 30 years provide general nuclear medicine specialists. authors describe technical characteristics patients with limb swelling. Radioactive tracers, dosage, administration sites, rationale a two-compartment protocol inclusion subfascial vessels all given detail. Examples lymphoscintigraphic investigations various subgroups discussed. concept transport index (TI) semi-quantitative analysis normal/pathological flow introduced. Different concepts injection techniques outlined. It past time that becomes standardized. This represents first attempt outline delineate relevant points patient population.

参考文章(31)
P Bräutigam, I Schaiper, E Földi, W Vanscheidt, T Krause, E Moser, Analysis of lymphatic drainage in various forms of leg edema using two compartment lymphoscintigraphy Lymphology. ,vol. 31, pp. 43- 55 ,(1998)
H Partsch, A Mostbeck, [Isotope lymphography--possibilities and limits in evaluation of lymph transport]. Wiener Medizinische Wochenschrift. ,vol. 149, pp. 87- 91 ,(1999)
Leslie M. Rainwater, Horst Zincke, Radical prostatectomy after radiation therapy for cancer of the prostate: feasibility and prognosis. The Journal of Urology. ,vol. 140, pp. 1455- 1459 ,(1988) , 10.1016/S0022-5347(17)42072-6
G Lorette, JP Belgrado, F Baulieu, L Vaillant, A Maruani, P Bourgeois, V Tauveron, Contributions of SPECT/CT imaging to the lymphoscintigraphic investigations of the lower limb lymphedema. Lymphology. ,vol. 46, pp. 106- 119 ,(2013)
Masashi Chatani, Takayuki Nose, Norie Masaki, Toshihiko Inoue, Adjuvant radiotherapy after radical hysterectomy of the cervical cancer: Prognostic factors and complications Strahlentherapie Und Onkologie. ,vol. 174, pp. 504- 509 ,(1998) , 10.1007/BF03038982
Kazuyoshi Suga, Norihiko Kume, Naofumi Matsunaga, Kazumi Motoyama, Akiko Hara, Nobuhiko Ogasawara, Assessment of leg oedema by dynamic lymphoscintigraphy with intradermal injection of technetium-99m human serum albumin and load produced by standing European Journal of Nuclear Medicine and Molecular Imaging. ,vol. 28, pp. 294- 303 ,(2001) , 10.1007/S002590000418
Ali Hamadani, Philip I. Haigh, In-Lu A. Liu, Maher A. Abbas, Who is at risk for developing chronic anal fistula or recurrent anal sepsis after initial perianal abscess Diseases of The Colon & Rectum. ,vol. 52, pp. 217- 221 ,(2009) , 10.1007/DCR.0B013E31819A5C52
Angela Keleher, Richard Wendt, Ebrahim Delpassand, Anne Marie Stachowiak, Henry M. Kuerer, The safety of lymphatic mapping in pregnant breast cancer patients using Tc-99m sulfur colloid. Breast Journal. ,vol. 10, pp. 492- 495 ,(2004) , 10.1111/J.1075-122X.2004.21503.X
WALTER H. WILLIAMS, CHARLES L. WITTE, MARLYS H. WITTE, GEORGE C. McNEILL, Radionuclide lymphangioscintigraphy in the evaluation of peripheral lymphedema. Clinical Nuclear Medicine. ,vol. 25, pp. 451- 464 ,(2000) , 10.1097/00003072-200006000-00013