Novel Lymphatic Imaging Techniques

The lymphatic system plays an important role in immune regulation, transport of metabolites, and fluid balance. The key circulatory role of the lymphatic system is to transport fluid from tissue back into the venous system via lymphovenous connections. Despite the centuries-old recognition of this k...

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Published inTechniques in vascular and interventional radiology Vol. 19; no. 4; pp. 255 - 261
Main Author Dori, Yoav, MD, PhD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.12.2016
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Abstract The lymphatic system plays an important role in immune regulation, transport of metabolites, and fluid balance. The key circulatory role of the lymphatic system is to transport fluid from tissue back into the venous system via lymphovenous connections. Despite the centuries-old recognition of this key role, there has been poor understanding of lymphatic flow pathophysiology because of a lack of a simple reliable noninvasive clinical lymphatic imaging method. This lack of clinical imaging has limited the treatment options for patients with lymphatic flow disorders. Recent development of noncontrast magnetic resonance (MR) lymphangiogram and dynamic contrast MR lymphangiography make it possible to visualize central lymphatic anatomy and flow dynamics with high spatial and temporal resolution. Dynamic contrast MR lymphangiography has provided insight into understanding the pathophysiology of several pulmonary lymphatic flow disorders and provides guidance for interventional procedures. Another important development has been intranodal lymphangiogram, which has now replaced pedal lymphangiogram as the main lymphatic interventional modality, and which provides quick and reliable access to the central lymphatic ducts for interventional procedures. These new techniques have led to a resurgence in interest in the lymphatic system and the development of new treatments for patients with lymphatic flow disorders.
AbstractList The lymphatic system plays an important role in immune regulation, transport of metabolites, and fluid balance. The key circulatory role of the lymphatic system is to transport fluid from tissue back into the venous system via lymphovenous connections. Despite the centuries-old recognition of this key role, there has been poor understanding of lymphatic flow pathophysiology because of a lack of a simple reliable noninvasive clinical lymphatic imaging method. This lack of clinical imaging has limited the treatment options for patients with lymphatic flow disorders. Recent development of noncontrast magnetic resonance (MR) lymphangiogram and dynamic contrast MR lymphangiography make it possible to visualize central lymphatic anatomy and flow dynamics with high spatial and temporal resolution. Dynamic contrast MR lymphangiography has provided insight into understanding the pathophysiology of several pulmonary lymphatic flow disorders and provides guidance for interventional procedures. Another important development has been intranodal lymphangiogram, which has now replaced pedal lymphangiogram as the main lymphatic interventional modality, and which provides quick and reliable access to the central lymphatic ducts for interventional procedures. These new techniques have led to a resurgence in interest in the lymphatic system and the development of new treatments for patients with lymphatic flow disorders.
Author Dori, Yoav, MD, PhD
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Issue 4
Keywords Dynamic contrast MR lymphangiography
Lymphatic leaks
Pulmonary lymphatic perfusion syndrome
Lymphangiography
Lymphatic flow disorders
Language English
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Snippet The lymphatic system plays an important role in immune regulation, transport of metabolites, and fluid balance. The key circulatory role of the lymphatic...
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SubjectTerms Contrast Media - administration & dosage
Dynamic contrast MR lymphangiography
Hematology, Oncology and Palliative Medicine
Humans
Lymphangiography
Lymphatic Diseases - diagnostic imaging
Lymphatic Diseases - physiopathology
Lymphatic Diseases - therapy
Lymphatic flow disorders
Lymphatic leaks
Lymphatic System - diagnostic imaging
Lymphatic System - physiopathology
Lymphography - methods
Lymphoscintigraphy - methods
Magnetic Resonance Imaging
Predictive Value of Tests
Prognosis
Pulmonary lymphatic perfusion syndrome
Radiology
Single Photon Emission Computed Tomography Computed Tomography
Title Novel Lymphatic Imaging Techniques
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https://dx.doi.org/10.1053/j.tvir.2016.10.002
https://www.ncbi.nlm.nih.gov/pubmed/27993320
https://search.proquest.com/docview/1851303163
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