筛选淋巴超声检测淋巴功能障碍。

IF 1.9 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Lymphatic research and biology Pub Date : 2025-04-01 Epub Date: 2025-01-08 DOI:10.1089/lrb.2024.0064
Hisako Hara, Makoto Mihara
{"title":"筛选淋巴超声检测淋巴功能障碍。","authors":"Hisako Hara, Makoto Mihara","doi":"10.1089/lrb.2024.0064","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Background:</i></b> We currently perform noncontrast lymphatic ultrasound, which has a higher resolution and is less invasive than contrast lymphatic ultrasound. This study aimed to clarify the usefulness of screening lymphatic ultrasound (SLUS) to evaluate lymphatic function. <b><i>Methods:</i></b> A retrospective study was conducted on 22 patients with leg lymphedema. We performed SLUS by dividing the leg into four areas (thigh and calf, lateral and medial) and the dorsum of the foot. Lymphatic findings were recorded according to NECST (Normal, Ectasis, Contraction, and Sclerosis type) classification. If no lymphatics were found, we recorded them as \"not found.\" To differentiate between lymphatic vessels and veins, we referred to D-CUPS (Doppler, Crossing, Uncollapsible, Parallel, and Superficial fascia). The time required for SLUS was recorded. Indocyanine green (ICG) lymphography was also performed in 10 patients. <b><i>Results:</i></b> The mean age of the 22 patients was 63.9 years (range 50-86 years). The average time required for SLUS was 6 minutes 45 seconds for both legs. The identification rate of the lymphatic vessels was 95.5% for the medial thigh and medial calf, but decreased in the lateral calf and dorsum of the foot. When examining the distribution of the NECST classification, the ectasis type tended to be more common on the medial side than on the lateral side. Combined with the ICG lymphographic findings, dermal backflow (DB)-positive areas had significantly more ectasis type, and DB-negative areas had significantly more normal type and were not found (<i>p</i> < 0.01). <b><i>Conclusion:</i></b> SLUS should be useful for screening lymphatic vessel function.</p>","PeriodicalId":18168,"journal":{"name":"Lymphatic research and biology","volume":" ","pages":"64-70"},"PeriodicalIF":1.9000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Screening Lymphatic Ultrasound to Detect Lymphatic Dysfunction.\",\"authors\":\"Hisako Hara, Makoto Mihara\",\"doi\":\"10.1089/lrb.2024.0064\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b><i>Background:</i></b> We currently perform noncontrast lymphatic ultrasound, which has a higher resolution and is less invasive than contrast lymphatic ultrasound. This study aimed to clarify the usefulness of screening lymphatic ultrasound (SLUS) to evaluate lymphatic function. <b><i>Methods:</i></b> A retrospective study was conducted on 22 patients with leg lymphedema. We performed SLUS by dividing the leg into four areas (thigh and calf, lateral and medial) and the dorsum of the foot. Lymphatic findings were recorded according to NECST (Normal, Ectasis, Contraction, and Sclerosis type) classification. If no lymphatics were found, we recorded them as \\\"not found.\\\" To differentiate between lymphatic vessels and veins, we referred to D-CUPS (Doppler, Crossing, Uncollapsible, Parallel, and Superficial fascia). The time required for SLUS was recorded. Indocyanine green (ICG) lymphography was also performed in 10 patients. <b><i>Results:</i></b> The mean age of the 22 patients was 63.9 years (range 50-86 years). The average time required for SLUS was 6 minutes 45 seconds for both legs. The identification rate of the lymphatic vessels was 95.5% for the medial thigh and medial calf, but decreased in the lateral calf and dorsum of the foot. When examining the distribution of the NECST classification, the ectasis type tended to be more common on the medial side than on the lateral side. Combined with the ICG lymphographic findings, dermal backflow (DB)-positive areas had significantly more ectasis type, and DB-negative areas had significantly more normal type and were not found (<i>p</i> < 0.01). <b><i>Conclusion:</i></b> SLUS should be useful for screening lymphatic vessel function.</p>\",\"PeriodicalId\":18168,\"journal\":{\"name\":\"Lymphatic research and biology\",\"volume\":\" \",\"pages\":\"64-70\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Lymphatic research and biology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1089/lrb.2024.0064\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Lymphatic research and biology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/lrb.2024.0064","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/8 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0

摘要

背景:我们目前使用的是非造影剂淋巴超声,它比造影剂淋巴超声具有更高的分辨率和更小的侵入性。本研究旨在阐明筛检淋巴超声(SLUS)对评估淋巴功能的有用性。方法:对22例下肢淋巴水肿患者进行回顾性分析。我们通过将腿分为四个区域(大腿和小腿,外侧和内侧)和足背来进行SLUS。根据NECST(正常、扩张、收缩和硬化型)分类记录淋巴结果。如果没有发现淋巴管,我们将其记录为“未发现”。为了区分淋巴管和静脉,我们参考了D-CUPS(多普勒、交叉、不可折叠、平行和浅筋膜)。记录SLUS所需的时间。10例患者行吲哚菁绿(ICG)淋巴造影。结果:22例患者平均年龄63.9岁(范围50 ~ 86岁)。双腿SLUS所需的平均时间为6分45秒。大腿内侧和小腿内侧的淋巴管检出率为95.5%,小腿外侧和足背的淋巴管检出率较低。当检查NECST分类的分布时,扩张型在内侧比外侧更常见。结合ICG淋巴显像,真皮回流(DB)阳性区明显多于扩张型,而真皮回流(DB)阴性区明显多于正常型且未发现(p < 0.01)。结论:SLUS可用于筛选淋巴管功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Screening Lymphatic Ultrasound to Detect Lymphatic Dysfunction.

Background: We currently perform noncontrast lymphatic ultrasound, which has a higher resolution and is less invasive than contrast lymphatic ultrasound. This study aimed to clarify the usefulness of screening lymphatic ultrasound (SLUS) to evaluate lymphatic function. Methods: A retrospective study was conducted on 22 patients with leg lymphedema. We performed SLUS by dividing the leg into four areas (thigh and calf, lateral and medial) and the dorsum of the foot. Lymphatic findings were recorded according to NECST (Normal, Ectasis, Contraction, and Sclerosis type) classification. If no lymphatics were found, we recorded them as "not found." To differentiate between lymphatic vessels and veins, we referred to D-CUPS (Doppler, Crossing, Uncollapsible, Parallel, and Superficial fascia). The time required for SLUS was recorded. Indocyanine green (ICG) lymphography was also performed in 10 patients. Results: The mean age of the 22 patients was 63.9 years (range 50-86 years). The average time required for SLUS was 6 minutes 45 seconds for both legs. The identification rate of the lymphatic vessels was 95.5% for the medial thigh and medial calf, but decreased in the lateral calf and dorsum of the foot. When examining the distribution of the NECST classification, the ectasis type tended to be more common on the medial side than on the lateral side. Combined with the ICG lymphographic findings, dermal backflow (DB)-positive areas had significantly more ectasis type, and DB-negative areas had significantly more normal type and were not found (p < 0.01). Conclusion: SLUS should be useful for screening lymphatic vessel function.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Lymphatic research and biology
Lymphatic research and biology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.10
自引率
7.10%
发文量
85
审稿时长
>12 weeks
期刊介绍: Lymphatic Research and Biology delivers the most current peer-reviewed advances and developments in lymphatic biology and pathology from the world’s leading biomedical investigators. The Journal provides original research from a broad range of investigative disciplines, including genetics, biochemistry and biophysics, cellular and molecular biology, physiology and pharmacology, anatomy, developmental biology, and pathology. Lymphatic Research and Biology coverage includes: -Vasculogenesis and angiogenesis -Genetics of lymphatic disorders -Human lymphatic disease, including lymphatic insufficiency and associated vascular anomalies -Physiology of intestinal fluid and protein balance -Immunosurveillance and immune cell trafficking -Tumor biology and metastasis -Pharmacology -Lymphatic imaging -Endothelial and smooth muscle cell biology -Inflammation, infection, and autoimmune disease
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信