Stress-lymphoscintigraphy evaluates the effects of exercise on lymph drainage. Results may predict outcomes of complex physical therapy as a first-line lymphedema treatment. Microsurgical approaches are best in patients with lymphangectasia or dermal backflow. Lymphatic pathway mapping helps plan lympho-venous anastomoses. For improved lymphatic visualization, we suggest a scan at rest, after a quick exercise (stepping or weight lifting for 2 min) and delayed scanning after prolonged symptom limited exercise (walking or hand squeezing for 30-40 min). In advanced lymphedema, identification of lymph pathways and residual regional lymph nodes might be difficult. In these patients, lymph node transplant is suggested.

Tartaglione, G., Visconti, G., Bartoletti, R., Gentileschi, S., Ieria, F. P., Colletti, P. M., Rubello, D., Salgarello, M., Intradermal-Stress-Lymphoscintigraphy in Early Detection and Clinical Management of Secondary Lymphedema: A Pictorial Essay, <<CLINICAL NUCLEAR MEDICINE>>, 2019; 44 (8): 669-673. [doi:10.1097/RLU.0000000000002560] [http://hdl.handle.net/10807/142016]

Intradermal-Stress-Lymphoscintigraphy in Early Detection and Clinical Management of Secondary Lymphedema: A Pictorial Essay

Visconti G.;Gentileschi S.;Ieria F. P.;Salgarello M.
2019

Abstract

Stress-lymphoscintigraphy evaluates the effects of exercise on lymph drainage. Results may predict outcomes of complex physical therapy as a first-line lymphedema treatment. Microsurgical approaches are best in patients with lymphangectasia or dermal backflow. Lymphatic pathway mapping helps plan lympho-venous anastomoses. For improved lymphatic visualization, we suggest a scan at rest, after a quick exercise (stepping or weight lifting for 2 min) and delayed scanning after prolonged symptom limited exercise (walking or hand squeezing for 30-40 min). In advanced lymphedema, identification of lymph pathways and residual regional lymph nodes might be difficult. In these patients, lymph node transplant is suggested.
Inglese
http://journals.lww.com/nuclearmed/pages/default.aspx
Tartaglione, G., Visconti, G., Bartoletti, R., Gentileschi, S., Ieria, F. P., Colletti, P. M., Rubello, D., Salgarello, M., Intradermal-Stress-Lymphoscintigraphy in Early Detection and Clinical Management of Secondary Lymphedema: A Pictorial Essay, <>, 2019; 44 (8): 669-673. [doi:10.1097/RLU.0000000000002560] [http://hdl.handle.net/10807/142016]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/142016
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