Chandrappa Ashok Basur, Batth Ritu, Vasudevan Srikanth, N Anantheswar Yellambalase, Sreekumar Dinkar
Department of Plastic and Reconstructive Surgery, Manipal Hospital, Bangalore, India.
Indian J Plast Surg. 2020 Dec;53(3):377-380. doi: 10.1055/s-0040-1716436. Epub 2020 Nov 19.
Indocyanine green (ICG) lymphangiography is being increasingly employed to assess the severity of lymphedema, locate the areas of patent linear lymphatics and dermal backflow and plan treatment. This study suggests a novel method of reporting ICG findings in extremities to enable easy understanding among surgeons and physiotherapists and avoid repeat testing when a patient visits a disparate lymphedema center or clinician. A reporting protocol was developed in the lymphedema clinic of the plastic surgery department, and patients were asked to bring along the report in every subsequent review. The ICG findings were recorded on the fluorescence imaging system as well. The report was prepared by one and analyzed by two different clinicians without repeating the test on 10 consecutive patients. The interrater reliability of findings in the report was found to be 98.7% among the three clinicians. The reporting system was found to be illustratable and reproducible.
吲哚菁绿（ICG）淋巴管造影术越来越多地用于评估淋巴水肿的严重程度、定位线性淋巴管和真皮反流的通畅区域以及规划治疗方案。本研究提出了一种在四肢报告ICG检查结果的新方法，以便外科医生和物理治疗师易于理解，并避免患者前往不同的淋巴水肿中心或临床医生处就诊时重复进行检查。在整形外科的淋巴水肿诊所制定了一份报告方案，并要求患者在随后的每次复查时携带报告。ICG检查结果也记录在荧光成像系统上。该报告由一名临床医生编写，由两名不同的临床医生进行分析，对10名连续患者未重复进行检查。在三名临床医生中，报告中检查结果的评分者间信度为98.7%。该报告系统具有可说明性和可重复性。
