Lymphology最新文献_第2页

Returning the Central Lymphatic System to the Center of Lymphology. 让中央淋巴系统回归淋巴学的中心。

Lymphology Pub Date : 2024-01-01

M H Witte

{"title":"Returning the Central Lymphatic System to the Center of Lymphology.","authors":"M H Witte","doi":"","DOIUrl":"","url":null,"abstract":"After the introduction of conventional oil contrast lymphography and the founding of the discipline of lymphology, great impetus was given to investigating central lymphatic system and its disorders along with lymphatic involvement and specifically lymphostasis in common diseases of major organs such as the liver (cirrhosis) and heart (heart failure). Gradually interest shifted to more peripheral disorders such as limb lymphedema and its treatment by physical and surgical measures. At the same time, basic lymphology turned to the study of isolate-ed ex vivo and in vitro, including lymphatic endothelial models and more recently, molecular lymphology focusing on lymphatic growth and modulating factors, genes and proteins under-lying primary lymphedema, and more potential biomarkers of lymphatic disease have gained prominence. However, it has been advances in lymphatic imaging, namely lymphoscintigraphy with SPECT-CT high resolution 3-D pictures and magnetic resonance imaging (contrast and non-contrast) of the peripheral and particularly central lymphatic system by more invasive means combined with endovascular interventional techniques to treat complex and life-threatening lymphatic disorders that has returned the central lymphatic system to the center of lymphology, where the journey began.","PeriodicalId":94343,"journal":{"name":"Lymphology","volume":"57 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In Memoriam: Iwona Swedborg; 1936-2024.

Lymphology Pub Date : 2024-01-01

K Johansson, H Brorson

引用次数: 0

Validation of a New Measurement Device (Perikit®) For Perimetry and Volumetry of The Lower Limb: Metrological and Intra-Observer Comparative Study.

Lymphology Pub Date : 2024-01-01

M Louys, M Mathieu, S Harnie, N Adriaenssens

{"title":"Validation of a New Measurement Device (Perikit®) For Perimetry and Volumetry of The Lower Limb: Metrological and Intra-Observer Comparative Study.","authors":"M Louys, M Mathieu, S Harnie, N Adriaenssens","doi":"","DOIUrl":"","url":null,"abstract":"Accurate quantitative assessments are crucial to understanding development of diseases and their effective treatments. Various validated perimetry and volumetry measurement methods for patients with lymphedema exist and each has its own advantages and limitations and choosing the right instrument is essential. PeriKit® (PK) is a new measurement device that requires validation. This single-blind, cross-sectional study compared three assessment methods for perimetry and volumetry of the lower limb: conventional tape measure (CTM); optoelectronic infrared volumeter (Perometer®) (OS) as the gold standard); and PK. Correlation coefficients between measurements were \"strong\" to \"very strong\". The ICC of the lower limb was the highest for PK (0.995), followed by the CTM (0.986) and the OS (0.974). PK had the lowest dispersion of results for all segments. Despite its poor reliability, CTM is widely used because of its low cost and portability. The OS is simple, ergonomic, and doesn't require calibration, but suffers from imperfections such as the absence of distal extremities (i.e. feet, hands, fingers, etc.) as well as cost. PK has succeeded in reducing many of the problems associated with measurement thanks to its standardized methodology which offers high repeatability. PK can replace OS and CTM, but OS or CTM can't replace PeriKit® because they are more dispersed and less accurate.","PeriodicalId":94343,"journal":{"name":"Lymphology","volume":"57 3","pages":"116-131"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physiology and Functional Pathology of the Lymphatic System with Implications for the Fontan Patient. 淋巴系统的生理学和功能病理学及其对丰坦患者的影响。

Lymphology Pub Date : 2024-01-01

V Hjortdal

引用次数: 0

Classification of Breast Lymphedema in a Racially Diverse Cohort. 不同种族队列中的乳腺淋巴水肿分类

Lymphology Pub Date : 2024-01-01

J G Chen, C B Perez, A Coogan, T Kim, L Sanchez-Johnsen, K Ohara, C Nelson, D M Rizzo, J Matt, E J Watson, M M Sowden, T P Ahern

{"title":"Classification of Breast Lymphedema in a Racially Diverse Cohort.","authors":"J G Chen, C B Perez, A Coogan, T Kim, L Sanchez-Johnsen, K Ohara, C Nelson, D M Rizzo, J Matt, E J Watson, M M Sowden, T P Ahern","doi":"","DOIUrl":"","url":null,"abstract":"Breast lymphedema is a common sequela of breast conservation that delays healing and reduces quality of life. No rigorous classification system exists for this condition. We explored approaches for classifying breast lymph-edema based on breast ultrasound, physical exam, and patient-reported outcomes. We enrolled 80 patients from two institutions. Each site enrolled 30 invasive breast cancer patients treated with breast conservation and radiotherapy, and 10 control patients evaluated for benign breast complaints. All patients underwent bilateral breast ultrasound to measure dermal thickness and were assessed for physical signs of breast lymphedema. Patients reported quality of life impacts on standard questionnaires. We derived breast lymphedema classifiers using (1) a simple ultrasound-based metric of dermal thickness difference, and (2) a multiparameter machine learning classifier based on dermal thickness difference, physical exam, and patient-reported impacts. Ultrasound-defined breast lymphedema was present in 72% (95% CI: 59 to 82%) of invasive breast cancer patients. The multiparameter classifier identified three distinct patient groups: one with little evidence of breast lymph-edema, and two with increasingly severe breast lymphedema. A simple ultrasound-based measure and a novel multiparameter classifier both show promise for rigorous classification of breast lymphedema and warrant further development in larger patient cohorts.","PeriodicalId":94343,"journal":{"name":"Lymphology","volume":"57 2","pages":"84-96"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Looking Backward and Looking Forward: Revisiting "Clinical Usefulness of Thoracic Duct Cannulation". 回顾过去，展望未来：重新审视 "胸导管置管的临床实用性"。

Lymphology Pub Date : 2024-01-01

M H Witte

引用次数: 0

In Memoriam: Jacques Aime Gruwez March 24, 1927-July 9, 2024; Vive le (ISL) Présidente!

Lymphology Pub Date : 2024-01-01

M H Witte

引用次数: 0

Brain Lymphatics: Rediscovery and New Insights into Lymphatic Involvement in Diseases of Human Brains. 脑淋巴管：脑淋巴管：人脑疾病中淋巴管参与的再发现和新见解》（Rediscovery and New Insights into Lymphatic Involvement in Diseases of Human Brains）。

Lymphology Pub Date : 2024-01-01

M J Bartlett, R P Erickson, E B Hutchinson, R S Witte, M H Witte