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

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.

journal_name

Clin Nucl Med

authors

Tartaglione G,Visconti G,Bartoletti R,Gentileschi S,Ieria FP,Colletti PM,Rubello D,Salgarello M

doi

10.1097/RLU.0000000000002560

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

669-673

issue

8

eissn

0363-9762

issn

1536-0229

pii

00003072-201908000-00016

journal_volume

44

pub_type

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