Three-dimensional stereophotogrammetry as an accurate tool for analyzing lymphedema of the hand

Hoevenaren, Inge A.; Verhulst, Arico C.; Hameeteman, Marijn; Vreeken, Rinaldo D.; Maal, T.J.J.; Ulrich, Dietmar

doi:10.1016/j.jpra.2016.07.002

Cited by 13 publications

(13 citation statements)

References 26 publications

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“…More recently, we however started measuring lymphedema volumes with 3D stereo photogrammetry in our institution. This may measure lymphedema volumes more accurate and may become the first choice diagnostic tool for lymphedema volume assessment [ 32 – 34 ]. The effect of limb dominance on arm volume is known to be statistically significant but small and was not taken into account in this study [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

The efficacy of lymphaticovenular anastomosis in breast cancer-related lymphedema

Winters

Tielemans

Hameeteman

et al. 2017

Breast Cancer Res Treat

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IntroductionLymphedema can be a debilitating condition, causing a great decrease in a person’s quality of life (QoL). Treatment with lymphaticovenular anastomosis (LVA), in which an anastomosis is created between the lymphatic and venous system, may attenuate lymphedema symptoms and reduce swelling. In this study, we share the results using LVA to treat breast cancer-related lymphedema (BCRL) at our institution.Materials and methodsPatients were eligible for inclusion if they suffered from unilateral BCRL, if functional lymphatics were available, if compression therapy was used for at least 6 months, and if the follow-up was 12 months at minimum. Lymph vessel functionality was assessed preoperatively using indocyanine green (ICG). During surgery, 1–3 anastomoses were created and shunt patency was confirmed using ICG. Arm volumes were measured before surgery and at 6- and 12-month follow-up. QoL was measured before surgery and at 6-month follow-up. Arm volume differences between the healthy arm and affected arm were compared between the time points.ResultsTwenty-nine consecutive female patients with unilateral BCRL were included. The preoperative mean difference in arm volumes was 701 ± 435 ml (36.9%). This was reduced to 496 ± 302 ml (24.7%) at 6-month follow-up (p = 0.00). At 12-month follow-up, the mean difference in arm volume was 467 ± 303 ml (23.5%) (p = 0.02). The overall perceived QoL was increased from 5.8 ± 1.1 to 7.4 ± 0.7 (p = 0.00). The functionality score decreased from 2.2 to 1.8 (p = 0.00), the appearance score decreased from 2.6 to 1.9 (p = 0.00), the symptoms score decreased from 2.8 to 1.8 (p = 0.00), and the mood score decreased from 2.7 to 1.5 (p = 0.00). Fifteen patients (53.6%) were able to discontinue the use of compression garment.ConclusionTreatment with LVAs is effective in reducing arm volume difference in patients suffering from BCRL. Although no complete reduction of the edema was achieved at 12-month follow-up, the procedure significantly increased the patients’ QoL.

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Section: Discussionmentioning

confidence: 99%

The efficacy of lymphaticovenular anastomosis in breast cancer-related lymphedema

Winters

Tielemans

Hameeteman

et al. 2017

Breast Cancer Res Treat

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“…Early detection and treatment of lymphoedema could restrict irreversible tissue damage. 8 Furthermore, Soran et al . showed a decline in the incidence of breast cancer related lymphoedema due to early and constant monitoring of lymphoedema.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies that have used 3D cameras were merely interested in finding accurate volume measurements without analysing shape further in depth. 1 , 8 , 12 , 13 , 18 Thus, due to the lack of information and tools available to analyse shape of oedemic limbs, a factor contributing to change in volume, we provide a cost-effective method and the tools necessary for creating metrics that could be used to monitor lymphoedema.…”

Section: Introductionmentioning

confidence: 99%

Investigation of Shape with Patients Suffering from Unilateral Lymphoedema

et al. 2017

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This study investigates the use of a 3D depth sensing camera for analysing the shape of lymphoedematous arms, and seeks to identify suitable metrics for monitoring lymphoedema clinically. A fast, simple protocol was developed for scanning upper limb lymphoedema, after which a robust data pre- and post-processing framework was built that consistently and quickly identifies arm shape and volume. The framework was then tested on 24 patients with mild unilateral lymphoedema, who were also assessed using tape measurements. The scanning protocol developed led to scanning times of about 20–30 s. Shape related metrics such as circumference and circularity were used to distinguish between affected and healthy arms (p ≤ 0.05). Swelling maps were also derived to identify the distribution of oedema on arms. Topology and shape could be used to monitor or even diagnose lymphoedema using the provided framework. Such metrics provide more detailed information to a lymphoedema specialist than solely volume. Although tested on a small cohort, these results show promise for further research into better diagnostics of lymphoedema and for future adoption of the proposed methods across lymphoedema clinics.

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“…3D depth-sensing imaging has been established as a novel tool to screen for BCRL (75)(76)(77)(78). One method of 3D imaging, stereophotogrammetry, uses a 5-pod setup of 15 cameras to capture visual information from the entire arm, capturing the lower and upper arm separately (75).…”

Section: Three-dimensional (3d) Optical Imagingmentioning

confidence: 99%

Use of technology to facilitate a prospective surveillance program for breast cancer-related lymphedema at the Massachusetts General Hospital

Havens

Brunelle

Gillespie

et al. 2021

mHealth

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Breast cancer-related lymphedema (BCRL) is a negative sequela of breast cancer (BC) caused by trauma to the lymphatic system during surgery or radiation to the axillary lymph nodes. BCRL affects approximately one in five patients treated for BC, and patients are at a lifelong risk for BCRL after treatment. Early diagnosis of BCRL may prevent its progression and reduce negative effects on quality of life, necessitating comprehensive prospective screening. This paper provides an overview of technology that may be used as part of a BCRL screening program, including objective measures such as perometry, bioimpedance spectroscopy, tissue tonometry, and three-dimensional optical imaging. Furthermore, this paper comprehensively reviews the technology incorporated into the established prospective screening program at Massachusetts General Hospital. Our prospective screening program consists of longitudinal measurements via perometry, symptoms assessment, and clinical examination by a certified lymphedema therapist (CLT) as needed. Discussion about use of perometry within the screening program and incorporation of arm volume measurements into equations to determine change over time and accurate diagnosis is included [relative volume change (RVC) and weight-adjusted change (WAC) equations]. Use of technology throughout the program is discussed, including a HIPPA-compliant online research database, the patient's electronic medical record, and incorporation of BCRL-related symptoms [BC and lymphedema symptom experience index (BCLE-SEI) survey]. Ultimately, both subjective and objective data are usedto inform BCRL diagnosis and treatment by the CLT. In conclusion, the role of technology in facilitating BCRL screening is indispensable, and the continued development of objective assessment methods that are not only reliable and valid, but also cost-effective and portable will help establish BCRL screening as the standard of care for patients treated for BC.

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Three-dimensional stereophotogrammetry as an accurate tool for analyzing lymphedema of the hand

Cited by 13 publications

References 26 publications

The efficacy of lymphaticovenular anastomosis in breast cancer-related lymphedema

The efficacy of lymphaticovenular anastomosis in breast cancer-related lymphedema

Investigation of Shape with Patients Suffering from Unilateral Lymphoedema

Use of technology to facilitate a prospective surveillance program for breast cancer-related lymphedema at the Massachusetts General Hospital

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