Segmental measurement of breast cancer-related arm lymphoedema using perometry and bioimpedance spectroscopy

Czerniec, Sharon; Ward, Leigh C.; Lee, Mi-Joung; Refshauge, Kathryn M.; Beith, Jane; Kilbreath, Sharon L.

doi:10.1007/s00520-010-0896-8

Cited by 73 publications

(49 citation statements)

References 24 publications

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“…Although BIS ratios and perometry volume values were highly correlated (total arm: r ¼ 0.89; segments: r ¼ 0.46-0.78), the average BIS interlimb ratios for the total arm and each segment were greater than comparable perometry measures in women with lymphoedema. 66 Limits of agreement showed that the mean difference differed by segment ranging from 8.5% for the uppermost segment of the arm to 16.6% for the forearm adjacent to the elbow. The BIS measurements overestimated volume, and increased with the severity of lymphoedema.…”

Section: O R E S O F T T Is S U E S L E S S S O F T T Is S U E Smentioning

confidence: 99%

Evolution of bioimpedance: a circuitous journey from estimation of physiological function to assessment of body composition and a return to clinical research

2013

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BACKGROUND/OBJECTIVES:Bioimpedance is the collective term that describes safe, non-invasive methods to measure the electrical responses to the introduction of a low-level, alternating current into a living organism, and the biophysical models to estimate body composition from bioelectrical measurements. Although bioimpedance techniques have been used for more than 100 years to monitor assorted biological components, the desire to translate bioelectrical measurements into physiological variables advanced the creation of empirical prediction models that produced inconsistent results. SUBJECTS/METHODS: This paper succinctly reviews the origin, and critically evaluates the conceptual models and the implementation of bioimpedance in clinical research, including indirect assessment of assorted physiological functions and body composition (fluid volumes and fat-free mass), classification of hydration, regional fluid accumulation, prognosis in disease and wound healing. RESULTS: Despite widespread and mounting interest in the use of bioimpedance to characterise body structure and function, most experimental findings reveal the limitations of existing physical models and reliance on multiple regression models for use in assessments of an individual. CONCLUSIONS: Contemporary applications of bioimpedance emphasise the value of bioimpedance variables per se in some novel biomedical applications with the objective of identifying opportunities for future outcome-based research.European Journal of Clinical Nutrition (2013) 67, S2-S9; doi:10.1038/ejcn.2012.149Keywords: resistance; reactance; impedance; phase angle; hydration; prognosis INTRODUCTIONThe history of the use of electrical current to explore tissues and reveal information about its composition and function recognises various contributions that are the basis for contemporary bioimpedance analysis.1 The chronology of bioimpedance research highlights an interesting sequence of events that range from the development of biophysical models to address applications in the estimation of pulsatile blood flow 2-4 to assessment of body composition.

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Section: O R E S O F T T Is S U E S L E S S S O F T T Is S U E Smentioning

confidence: 99%

Evolution of bioimpedance: a circuitous journey from estimation of physiological function to assessment of body composition and a return to clinical research

2013

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“…This method can detect volume changes in breast cancer survivors as little as 3% (Czerneic et al, 2010). Water displacement measurements are taken by immersing the limb in a large cylinder and determining the volume of water displaced, or pushed out of the cylinder.…”

Section: Diagnosis Of Lymphedemamentioning

confidence: 99%

“…Additional training may be required for specialists treating facial, truncal, and genital lymphedema and patients with complex diseases or illnesses (Farrow, 2010b;Czerneic et al, 2010).…”

Section: Non-invasive Management Techniquesmentioning

confidence: 99%

“…Cracks and dry skin are entry points for these pathogens and it is recommended that patients use low pH moisturizers to hydrate the skin and alleviate drying and cracking, which can lead to infections and wounds (Vaillant, 2002;Mallon, 1994). Typical infection of the skin is known as cellulitis and, ultimately, requires antibiotic treatment in people with lymphedema (Czerneic et al, 2010;Al Niaimi et al, 2009;Cooper et al, 2009;Godoy et al, 2007).…”

Section: Non-invasive Management Techniquesmentioning

confidence: 99%

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Arm Lymphedema as a Consequence of Breast Cancer Therapy

Wernicke¹,

Goltser²

2012

Novel Strategies in Lymphedema

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Lymphedema is a swelling caused by the abnormal accumulation of lymphatic fluid in the skin. Lymphedema can be caused by burns, injury, surgery, radiation therapy or cancer treatment that cancer survivors undergo. Risk of developing lymphedema is high especially in those with breast or prostate cancer. It is hereditary and can appear without warning at any time of life and is related to obesity and circulatory problems. If not treated, lymphedema can be painful and lead to life-threatening infections. This book will help physicians who deal with lymphedema. It will help you understand how the lymphatic system works, how lymphedema is diagnosed, how to cope with the challenges of lymphedema, how to find treatment, and how to deal with insurance issues.Novel Strategies in Lymphedema is for those with, or at risk of, developing lymphedema, and the healthcare professionals who care for them.

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“…Recently, interest has grown in attempts at quantitative assessment of tissue hydration using BIS in many disease states [1,2,3]. In addition, the tissue response to stress in the setting of edema has recently been the subject of study as a quantitative tool for edema assessment [4,5,6]. The examination for early stage/pitting peripheral edema has been performed for centuries by grasping and pressing on the patient's extremity.…”

Section: Introductionmentioning

confidence: 99%

The feasibility of using compression bioimpedance measurements to quantify peripheral edema

Koziol

Pitre

Bull

et al. 2014

Journal of Electrical Bioimpedance

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The accurate assessment of body fluid volume is important in many clinical situations, especially in the determination of "dry weight" in a dialysis setting. Currently, no clinically applicable diagnostic system exists to determine the mechanical properties that accurately characterize peripheral edema in an objective and quantitative manner. We have developed a method for quantifying the impact of compression on the electrical properties of tissue by measuring stress-induced changes in bioimpedance (BIS). Using this method, we simultaneously measured the impedance and mechanical response of a tissue mimicking material (tofu) under both quasi-static and dynamic loading conditions. Our results demonstrate a temporal quantification of viscoelastic properties using a viscoelastic phantom tissue model.

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Segmental measurement of breast cancer-related arm lymphoedema using perometry and bioimpedance spectroscopy

Abstract: BIS can be used for localised measurement of lymphoedema. Because it is specific to extracellular fluid, BIS is more sensitive to localised lymphoedema than perometry.

Cited by 73 publications

References 24 publications

Evolution of bioimpedance: a circuitous journey from estimation of physiological function to assessment of body composition and a return to clinical research

Evolution of bioimpedance: a circuitous journey from estimation of physiological function to assessment of body composition and a return to clinical research

Arm Lymphedema as a Consequence of Breast Cancer Therapy

The feasibility of using compression bioimpedance measurements to quantify peripheral edema

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