Relationship between perimetric increase and fluoroscopic pattern type in secondary upper limb lymphedema observed by Indocyanine green lymphography
| Autor: | Jesús María González-Martín, Antonio Mena-Rodríguez, Esther Mª Medrano-Sánchez, María de-la-Casa-Almeida, María Elena Medina-Rodríguez |
|---|---|
| Přispěvatelé: | Universidad de Sevilla. Departamento de Fisioterapia |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Indocyanine Green Elbow Observational Study Breast Neoplasms Wrist Perimeter lymphatic vessels Upper Extremity 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine Humans 030212 general & internal medicine Aged business.industry Lymphography General Medicine lymphedema Middle Aged medicine.disease Indocyanine green body regions medicine.anatomical_structure Lymphedema chemistry Evaluation Studies as Topic Spain 030220 oncology & carcinogenesis Case-Control Studies Fluoroscopy Upper limb Visual Field Tests Female Pattern type Epicondyle business Nuclear medicine lymphography Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | To ascertain the relationship between the perimetric differences obtained between the limbs and the type of fluoroscopic pattern observed by Indocyanine green (ICG) lymphography in patients with upper limb lymphedema. A correlational descriptive study was carried out in 19 patients with upper limb lymphedema secondary to breast cancer. The perimetric increase was recorded in 11 anatomical regions after ICG injection, fluoroscopic patterns were identified using an infrared camera. The ICG patterns were categorized into worse (stardust, diffuse) or better (linear, splash) patterns. The pattern coincidence between the anterior and posterior regions of the edematous extremities was 45%. At the wrist level, a difference of 2 cm was associated with the presence of a worse fluoroscopic pattern, whereas perimeter differences of 4.25 cm in the elbow and 2.25 cm in the arm (12 cm from the epicondyle) were associated with the presence of a better fluoroscopic pattern. The perimetric differences observed between the healthy and affected upper limbs in 4 specific anatomical areas allowed us to predict the type of fluoroscopic pattern. ICG lymphography has facilitated the study of the posterior regions of edema, which are difficult to visualize using other imaging techniques. |
| Databáze: | OpenAIRE |
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