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淋巴闪烁显像术在四肢淋巴水肿诊断中的应用:关于方案、解读和临床应用的当前争议。

Lymphoscintigraphy for the diagnosis of extremity lymphedema: Current controversies regarding protocol, interpretation, and clinical application.

机构信息

Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, College of Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

Division of Plastic and Reconstructive Surgery, Department of Surgical, Oncological, and Oral Sciences, University of Palermo, Palermo, Italy.

出版信息

J Surg Oncol. 2020 Jan;121(1):37-47. doi: 10.1002/jso.25526. Epub 2019 Jun 18.

DOI:10.1002/jso.25526
PMID:31209893
Abstract

Appropriate diagnosis, staging and a further selection of the best treatment are fundamental for the management of patients with extremity lymphedema. Several clinical and imaging tools have been described for these purposes. Lymphoscintigraphy is still considered the gold standard imaging modality for diagnosing lymphedema. However, protocol variability and poor image resolution can make the interpretation challenging. Here, we reviewed technical aspects of lymphoscintigraphy, interpretation of the lymphoscintigraphy findings, staging, and its clinical application.

摘要

适当的诊断、分期和进一步选择最佳治疗方法是治疗四肢淋巴水肿患者的基础。为此,已经描述了几种临床和影像学工具。淋巴闪烁显像术仍然被认为是诊断淋巴水肿的金标准影像学方法。然而,方案的可变性和图像分辨率差可能使解释具有挑战性。在这里,我们回顾了淋巴闪烁显像术的技术方面、淋巴闪烁显像术结果的解释、分期及其临床应用。

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