Anatomic and functional evaluation of the lymphatics and lymph nodes in diagnosis of lymphatic circulation disorders with contrast magnetic resonance lymphangiography

Liu, Ning-Fei; Lü, Qing; Jiang, Zhaohua; Wang, Chenguang; Zhou, Jianguo

doi:10.1016/j.jvs.2008.11.029

Cited by 120 publications

(131 citation statements)

References 12 publications

Supporting

Mentioning

118

Contrasting

Unclassified

Order By: Relevance

“…Enhancement of lymphatic vessels is optimal near the contrast media site. On the other hand, visualization of larger lymphatic vessels may be suboptimal, and venous enhancement which is frequently observed may be confusing (15,16).…”

Section: Introductionmentioning

confidence: 99%

Primary lower limb lymphoedema: classification with non-contrast MR lymphography

et al. 2017

View full text Add to dashboard Cite

PurposeThe purpose of the present study was to analyze the performances of non-contrast MR lymphography for the classification of primary lower limb lymphedema in 121 consecutive patients with 187 primary lower limb lymphedemas. Materials and methods121 consecutive patients with clinically diagnosed primary lower limb lymphedema underwent non-contrast MR lymphography with a free-breathing 3D fast spin-echo sequence with a very long TR/TE (4000/884 ms). MR examinations were retrospectively reviewed for severity of lymphedema (absent, mild, moderate, severe) and characteristics of inguinal lymph nodes and iliac and inguinal lymphatic trunks graded as aplasic (no lymph nodes or lymphatic trunks), hypoplasic (less lymph nodes or lymphatic trunks), normal and hyperplasic (more lymph nodes or more and/or dilated trunks). ResultsThere was an excellent correlation between clinical stage and severity of lymphedema (Cramer's V of 0,73 (p<0.001)). Differentiation was feasible between inguinal lymphatic vessel aplasia (21%), hypoplasia (15%), normal pattern (53%) and hyperplasia (11%).Severe lymphedema was observed in 46% of aplasic patterns and in 37% of hyperplasic patterns, but in only 15% of hypoplasic patterns and never observed in normal patterns (p<0.001). ConclusionNon-contrast MR lymphography is able to classify primary lower limb lymphedemas into hyperplasic, aplasic, hypoplasic and normal patterns.

show abstract

Section: Introductionmentioning

confidence: 99%

Primary lower limb lymphoedema: classification with non-contrast MR lymphography

et al. 2017

View full text Add to dashboard Cite

show abstract

“…It is safe, convenient and highly reproducible, but the disadvantage is low image resolution (Borgstein et al, 1998;Wood and Angermeier, 2010). Direct angiography of lymphatic vessels can lead to fatal complications and is difficult to operate (Liu et al, 2009). The experimental method applied in the present study is simple to operate, safe, reliable, and produces good contrast of penile lymphatic vessels (Einarsdottir et al, 2004).…”

Section: Discussionmentioning

confidence: 86%

“…Radionuclide lymphatic imaging has the disadvantage of low image resolution (Borgstein et al, 1998). Direct lymphangiography can lead to fatal complications and is difficult to operate, therefore, it is now no longer applied routinely (Liu et al, 2009).…”

mentioning

confidence: 99%

A New Technique to Map the Lymphatic Distribution and Alignment of the Penis

Long

Qiang

Tao

et al. 2014

The Anatomical Record

View full text Add to dashboard Cite

The present study was to examine the distribution of lymphatic vessels in the penis of normal adult males, which could provide an anatomical basis for improvement of incisions in penile lengthening surgery, and may also help to prevent postoperative refractory edema. Thirteen normal adult male volunteers were recruited for this study. Contrast agent was injected subcutaneously in the foreskin of the penis, and after two minutes magnetic resonance lymphangiography (MRL) was performed. The acquired magnetic resonance images were analyzed to determine the changes in the number and diameter of lymphatic vessels in different parts of the penis. Maximum intensity projections (MIP) and materializes interactive medical image control system (MIMICS) were applied to analyze the overall distribution of lymphatic vessels in the penis. Magnetic resonance imaging (MRI) showed that the lymphatic vessels were in conspicuous contrast with surrounding tissues and could be clearly identified. Penile lymphatic vessels were clearly visible in the root of the penis. At the junction of the penis and the abdominal wall, all lymphatic vessels were found to be concentrated in the dorsal part of the penis. MIP two-dimensional reconstruction showed that the overall distribution of relatively large lymphatic vessels in the dorsal and ventral parts of the penis could be seen clearly on bilateral 45 position, but not inside the abdominal wall because some of lymphatic vessels were overlapped by other tissues in the abdomen. MIMICS threedimensional reconstruction was able to reveal the overall spatial distribution of lymphatic vessels in the penis from any angle. The reconstruction results showed that there were 1-2 main lymphatic vessels on the root of dorsal penis, which coursed along the cavernous to the first physiological curvature of the penis. Lymphatic vessels merged on both sides of the ventral penis. At the root of the penis, lymphatic vessels gradually coursed to the dorsal surface of the penis and folded at the abdominal wall to the outside, and finally merged into the inguinal lymph nodes. The changes in distribution, number and diameter of the lymphatic vessels in the penis were observed by MRI. MIP and MIMICS reconstructions directly revealed the anatomical features of penile lymphatic vessels such as spatial distribution, overall alignment, and the relations to adjacent structures, drainage

show abstract

“…In his Presidential address to the Eastern Vascular Surgery Society, Dr Perler surmised that "controllable lifestyle is more of an issue for men than for women." 3 We believe in 2009 that a controllable lifestyle is an equally important issue to men and women.…”

Section: Regarding "Predicted Shortage Of Vascular Surgeons In the Unmentioning

confidence: 99%

Macromolecule lymph-compatible MR contrast agent for the diagnosis of lymphatic circulation disorders

Jiang

Zhang

Chen

et al. 2010

Journal of Vascular Surgery

View full text Add to dashboard Cite

Anatomic and functional evaluation of the lymphatics and lymph nodes in diagnosis of lymphatic circulation disorders with contrast magnetic resonance lymphangiography

Cited by 120 publications

References 12 publications

Primary lower limb lymphoedema: classification with non-contrast MR lymphography

Primary lower limb lymphoedema: classification with non-contrast MR lymphography

A New Technique to Map the Lymphatic Distribution and Alignment of the Penis

Macromolecule lymph-compatible MR contrast agent for the diagnosis of lymphatic circulation disorders

Contact Info

Product

Resources

About