Role of contrast enhanced MRI lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedema
Objective: Evaluating the role of MRI lymphangiography with the intracutaneous injection of gadolinium in the assessment of the lower extremity lymphatic vessels in primary lymphedema. Patients and methods: The study was conducted on 20 patients (had 26 affected extremities) with primary lymphedema....
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-09-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X18301505 |
| _version_ | 1818129070825668608 |
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| author | Ahmed A. Baz Talaat A. Hassan A.T. Atta Mohamed S. El kholy |
| author_facet | Ahmed A. Baz Talaat A. Hassan A.T. Atta Mohamed S. El kholy |
| author_sort | Ahmed A. Baz |
| collection | DOAJ |
| description | Objective: Evaluating the role of MRI lymphangiography with the intracutaneous injection of gadolinium in the assessment of the lower extremity lymphatic vessels in primary lymphedema. Patients and methods: The study was conducted on 20 patients (had 26 affected extremities) with primary lymphedema. All were evaluated by MRI lymphangiography with the intracutaneous injection of gadolinium in the digital web spaces of the feet. Results: The patterns of the lymphatic pathways in the affected lower limbs were classified in this study into five patterns. Pattern (I) was seen in 53.84% (n = 14), pattern (II) was seen in 26.92% (n = 7), pattern (III) was seen in7.69% (n = 2), pattern (IV) was seen in 3.84% (n = 1) and pattern (V) was seen in 7.69% (n = 2) of the affected extremities. Conclusions: MRI lymphangiography with the intracutaneous injection of gadolinium had the potentiality for being the main diagnostic modality in primary lymphedema patients especially those who are candidates for microsurgical reconstruction through providing better visualization of the precise lymphatic anatomy by a feasible, minimally invasive and safe technique. Keywords: Primary lymphedema, MRI lympahngiography |
| first_indexed | 2024-12-11T07:43:18Z |
| format | Article |
| id | doaj.art-bad89d2e50ff40948fcdb028f58a8de5 |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-11T07:43:18Z |
| publishDate | 2018-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-bad89d2e50ff40948fcdb028f58a8de52022-12-22T01:15:31ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2018-09-01493776781Role of contrast enhanced MRI lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedemaAhmed A. Baz0Talaat A. Hassan1A.T. Atta2Mohamed S. El kholy3Radiology Department, Faculty of Medicine, Cairo University, Egypt; Corresponding author.Radiology Department, Faculty of Medicine, Cairo University, EgyptGeneral and Plastic Surgery Department, Faculty of Medicine, Cairo University, EgyptGeneral and Plastic Surgery Department, El Sheikh Zayed Al Nahyan Hospital, Ministry of Health, EgyptObjective: Evaluating the role of MRI lymphangiography with the intracutaneous injection of gadolinium in the assessment of the lower extremity lymphatic vessels in primary lymphedema. Patients and methods: The study was conducted on 20 patients (had 26 affected extremities) with primary lymphedema. All were evaluated by MRI lymphangiography with the intracutaneous injection of gadolinium in the digital web spaces of the feet. Results: The patterns of the lymphatic pathways in the affected lower limbs were classified in this study into five patterns. Pattern (I) was seen in 53.84% (n = 14), pattern (II) was seen in 26.92% (n = 7), pattern (III) was seen in7.69% (n = 2), pattern (IV) was seen in 3.84% (n = 1) and pattern (V) was seen in 7.69% (n = 2) of the affected extremities. Conclusions: MRI lymphangiography with the intracutaneous injection of gadolinium had the potentiality for being the main diagnostic modality in primary lymphedema patients especially those who are candidates for microsurgical reconstruction through providing better visualization of the precise lymphatic anatomy by a feasible, minimally invasive and safe technique. Keywords: Primary lymphedema, MRI lympahngiographyhttp://www.sciencedirect.com/science/article/pii/S0378603X18301505 |
| spellingShingle | Ahmed A. Baz Talaat A. Hassan A.T. Atta Mohamed S. El kholy Role of contrast enhanced MRI lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedema The Egyptian Journal of Radiology and Nuclear Medicine |
| title | Role of contrast enhanced MRI lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedema |
| title_full | Role of contrast enhanced MRI lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedema |
| title_fullStr | Role of contrast enhanced MRI lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedema |
| title_full_unstemmed | Role of contrast enhanced MRI lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedema |
| title_short | Role of contrast enhanced MRI lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedema |
| title_sort | role of contrast enhanced mri lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedema |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X18301505 |
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