Nonenhanced Magnetic Resonance Lymphoductography

Matsushima, Satoshi; Ichiba, Noriatsu; Hayashi, Daichi; Fukuda, Kunihiko

doi:10.1097/01.rct.0000236415.97642.58

Cited by 24 publications

(8 citation statements)

References 6 publications

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“…These imaging techniques permit objective documentation of the structural changes caused by lymphedema [16,17]. Recent advances in the magnetic resonance approach have improved the visualization of lymphatic vascular anomalies in both nonenhanced [18] and contrast-enhanced [19] applications.…”

Section: Introductionmentioning

confidence: 99%

Breast and gynecologic cancer-related extremity lymphedema: a review of diagnostic modalities and management options

et al. 2013

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Lymphedema remains a poorly understood entity that can occur after lymphadenectomy. Herein, we will review the pathogenesis of lymphedema, diagnostic modalities and the natural history of extremity involvement. We will review the incidence of upper extremity lymphedema in patients treated for breast malignancies and lower extremity lymphedema in those treated for gynecologic malignancy. Finally, we will review traditional treatment modalities for lymphedema, as well as introduce new surgical treatment modalities that are under active investigation.

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Section: Introductionmentioning

confidence: 99%

Breast and gynecologic cancer-related extremity lymphedema: a review of diagnostic modalities and management options

et al. 2013

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“…The thoracic duct has been known as a water-intensity structure extending in the craniocaudal direction between the descending thoracic aorta and the azygos vein at the level of the lower thoracic region, connecting to the subclavian region. 1 – 3 , 5 – 7 The visibility of the thoracic duct on each MR sequence was assessed by two board-certified radiologists with experience of the thoracic imaging more than 10 years with consensus achieved by discussion. Before image analysis, the thoracic duct from the cranial top to the level of the diaphragm was trisected: the upper, middle, and lower sections.…”

Section: Methodsmentioning

confidence: 99%

“…Previous investigators performed the MRTD mainly with heavily T 2 -weighted turbo spin-echo (TSE) sequence. 1 – 3 , 6 , 7 They showed a relatively good visualization of the thoracic duct with TSE. However, MRTD with TSE has some disadvantages.…”

Section: Introductionmentioning

confidence: 93%

“…Recently, the visualization of the thoracic duct by the magnetic resonance imaging (MRI) has been attempted. 1 – 3 , 6 , 7 An MRI is a noninvasive method and offers morphological details of the thoracic structures. Magnetic resonance thoracic ductography (MRTD) has been performed with single shot MRI sequence because of the many moving organs in the thoracic region.…”

Section: Introductionmentioning

confidence: 99%

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Balanced Turbo Field Echo with Extended <i>k</i>-space Sampling: A Fast Technique for the Thoracic Ductography

et al. 2016

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We evaluated the visibility of the thoracic duct by fast balanced turbo field echo with extended k-space sampling (bTFEe). The thoracic duct of 10 healthy volunteers was scanned by bTFEe using a 1.5-T magnetic resonance imaging (MRI), which was acquired in approximately 2 minutes. Three-dimensional (3D) turbo spin-echo (TSE) was obtained for comparison. The thoracic duct including draining location of the venous system was overall well visualized on bTFEe, compared to TSE.

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“…Lu et al and Matsushima et al have developed techniques involving heavily T2-weighted MRI (64, 65), and comparing MR lymphangiography with heavily T2-weighted MRI, Lu et al found that while MR lymphangiography produces better image quality, heavily T2-weighted MRI has a greater sensitivity (66). Alternatively, work by Rane and colleagues has demonstrated the ability to detect differences in lymphatic flow velocity in normal and lymphedematous arms using spin labeling MRI (67), which is an MR technique that does not require exogenous agents for imaging.…”

Section: Failure Of Lymphatic Drainagementioning

confidence: 99%

Bridging the divide between pathogenesis and detection in lymphedema

Dixon¹,

Weiler²

2015

Seminars in Cell & Developmental Biology

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While our understanding of the lymphatic system has improved substantially in the past few decades, the translation of this knowledge into improved healthcare solutions for patients suffering from secondary lymphedema has been severely limited. The challenge facing clinicians is two-fold. First, there is no reliable, affordable, diagnostic capable of detecting the disease before symptoms of the lymphedema develop and the efficacy of treatment options becomes limited. Second, our understanding of the disease pathogenesis, its risk factors, and the underlying physiologic mechanisms is still in its infancy. These two challenges go hand in hand as limited diagnostic options have hindered our ability to understand lymphedema progression, and the lack of known underlying mechanisms involved in the disease prohibits the development of new diagnostic targets. This review serves to discuss the recent developments in clinical and lab research settings of both lymphedema diagnostic technologies and our understanding of the mechanisms driving disease risk and progression. We will show how these two lines of research are synergistically working with the ultimate goal of improving patient outcomes for those suffering from this horrible disease, identifying key areas of further research that are warranted to move the field forward and provide clinical relief for this neglected patient population.

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Nonenhanced Magnetic Resonance Lymphoductography

Cited by 24 publications

References 6 publications

Breast and gynecologic cancer-related extremity lymphedema: a review of diagnostic modalities and management options

Breast and gynecologic cancer-related extremity lymphedema: a review of diagnostic modalities and management options

Balanced Turbo Field Echo with Extended <i>k</i>-space Sampling: A Fast Technique for the Thoracic Ductography

Bridging the divide between pathogenesis and detection in lymphedema

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