Lymphoscintigraphy for differential diagnosis of peripheral edema: Diagnostic yield of different scintigraphic patterns

Infante, J.R.; García, Luis Ruiz; Laguna, P.; Durán, Carmen; Rayo, J.I.; Serrano, J.; Domínguez, M.L.; Sánchez, Ramón Orueta

doi:10.1016/j.remnie.2012.07.018

Cited by 11 publications

(12 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Radionuclide venography has been considered the reference standard for lymphedema [77]. For edema related to lymphatic obstruction, the presence of certain features, such as dermal backflow and lymph node asymmetry, can increase the diagnostic specificity after intradermal injection [78]. Some authors have indicated that differentiating between primary lymphedema and secondary lymphedema, such as that due to venous obstruction, may be limited when using intradermal lymphangiography alone [79].…”

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

ACR Appropriateness Criteria® Suspected Upper Extremity Deep Vein Thrombosis

Desjardins

Hanley

Steigner

et al. 2020

Journal of the American College of Radiology

View full text Add to dashboard Cite

This publication includes the appropriate imaging modalities to assess suspected deep vein thrombosis in the upper extremities. Ultrasound duplex Doppler is the most appropriate imaging modality to assess upper-extremity deep vein thrombosis. It is a noninvasive test, which can be performed at the bedside and used for serial evaluations. Ultrasound can also directly identify thrombus by visualizing echogenic material in the vein and by lack of compression of the vein walls from manual external pressure. It can indirectly identify thrombus from altered blood-flow patterns. It is most appropriate in the evaluation of veins peripheral to the brachiocephalic vein. CT venography and MR venography are not first-line imaging tests, but are appropriate to assess the central venous structures, or to assess the full range of venous structures from the hand to the right atrium. Catheter venography is appropriate if therapy is required. Radionuclide venography and chest radiography are usually not appropriate to assess upper-extremity deep vein thrombosis.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

show abstract

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

ACR Appropriateness Criteria® Suspected Upper Extremity Deep Vein Thrombosis

Desjardins

Hanley

Steigner

et al. 2020

Journal of the American College of Radiology

View full text Add to dashboard Cite

show abstract

“…Given the importance of detecting these factors, lymphoscintigraphy remains the preferred diagnostic method to assess functional lymphatic disorders of the upper limb. 13,14 Only a single subcutaneous tracer injection in the affected extremity is required; the scintigraphy procedure is technically easy to perform, causing minimal discomfort, and is generally without adverse effects for patients. 15 Lymphoscintigraphy provides information about lymph transport, filtration, and reticuloendothelial function.…”

Section: Discussionmentioning

confidence: 99%

Lymphedema of the Upper Limb

Weiss¹,

Baumeister²,

Frick³

et al. 2015

Clinical Nuclear Medicine

View full text Add to dashboard Cite

show abstract

“…5 Lymphoscintigraphy is an important diagnostic method if the technique is standardized. 6 Subclinical changes might be identified by lymphoscintigraphy, and also quantification of the images and thus revealing of the pathological process is possible.…”

Section: Discussionmentioning

confidence: 99%