Shaikh Raja, Biko David M, Lee Edward Y
Division of Interventional Radiology, Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Department of Radiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Magn Reson Imaging Clin N Am. 2019 May;27(2):373-385. doi: 10.1016/j.mric.2019.01.011.
Recent advances in understanding lymphatic disorders have significantly improved noninvasive imaging of the lymphatic circulation, especially in pediatric patients. The ability to obtain high-quality MR imaging using 3-dimensional reconstruction has transformed the display of the lymph vessels and substantially enhanced the ability to diagnose various pediatric lymphatic disorders. Real-time dynamic imaging adds functional information to the assessment. MR imaging is increasingly used, not only to assess but also as a follow-up after lymphatic disorder treatment. This article discusses up-to-date imaging techniques and clinical applications of dynamic magnetic resonance lymphangiography for assessing central conducting lymphatic anomalies.
近年来,在淋巴系统疾病认识方面的进展显著改善了淋巴循环的无创成像,尤其是在儿科患者中。利用三维重建获得高质量磁共振成像的能力改变了淋巴管的显示方式,并大大增强了诊断各种儿科淋巴系统疾病的能力。实时动态成像为评估增添了功能信息。磁共振成像不仅越来越多地用于评估,还用于淋巴系统疾病治疗后的随访。本文讨论了用于评估中央传导性淋巴异常的动态磁共振淋巴管造影的最新成像技术和临床应用。