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Lymphedema pp 155–165Cite as

Duplex Ultrasonography

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Abstract

Diagnosis of lymphedema (LYM) of upper and lower limbs currently relies upon the clinical assessment and upon lymphoscintigraphy in most cases. Color-duplex ultrasound (CDU) is an extremely reliable diagnostic technology for arterial and venous investigation, and the application of ultrasound investigation in LYM diagnostics has been reported since 1986,1,2 to complement these imaging modalities. The exploitation of this safe, easily repeatable, quite reproducible, and relatively inexpensive technology for lymphatic disorders has resulted in the possibility of collecting some useful information before, during, and after any LYM treatment.

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References

  1. Franceschi C, Franco G, Luizy F, Tanitte M. Precis d’echotomographie vasculaire. Paris: Ed.Vigot; 1986.

    Google Scholar 

  2. Tsyb AF, Mukhamedzhanov IKh. Ultrasound tomography of soft tissues and venous vessels in secondary edema of the upper limbs. Vestn Rentgenol Radiol. 1989;1:52-57.

    PubMed  Google Scholar 

  3. Cammarota T et al. Current uses of diagnostic high-frequency US in dermatology. Eur J Radiol. 1998;27:215-223.

    Article  Google Scholar 

  4. Schadeck M, Cavezzi A, Michelini S. Limb oedema ultrasonographic diagnostics in Phlebolymphoedema, from diagnosis to therapy. Bologna P.R. Communications, 1998;47-53.ISBN 88-900300-1-1.

    Google Scholar 

  5. Cavezzi A. Echo-colour-Doppler diagnostics in lymphedema of extremities. UIP World Congress. 1998; Sydney. Abstract Book p. 213.

    Google Scholar 

  6. Gallenkemper G. Visualisation of lymph vessels by high resolution colour-coded duplex sonography. UIP World Congress of Dermatology. 1998; Sydney. Abstract Book p. 246.

    Google Scholar 

  7. Matter D, Grosshans E, Muller J, et al. Apport de l’échographie à l’imagerie des vaisseaux lymphatiques par rapport aux autres méthodes. J Radiol. 2002;83:599-609.

    PubMed  CAS  Google Scholar 

  8. Franco A, N’Guyen Khac G. Comment explorer les lymphoedemes des membres: intérêt de l’écographie-Doppler. Sang. 1990;2:213-216.

    Google Scholar 

  9. Passariello F, Carbone R, Mancini A. Semeiotica ultrasonografica delle alterazioni linfatiche nell’ arto inferiore. Min Angiol. 1991;16(suppl 1 al n. 2):453-457.

    Google Scholar 

  10. Vettorello GF, Gasbarro V, et al. L’ecotomografia dei tessuti molli degli arti inferiori nella diagnostica non invasiva del linfedema. Minerva Angiol. 1992;17:23-25.

    Google Scholar 

  11. Doldi SB, Lattuada E, Zappa MA, Pieri G, Favara A, Micheletto G. Ultrasonography of extremity lymphedema. Lymphology. 1992;25(3):129-133.

    PubMed  CAS  Google Scholar 

  12. Schadeck M. Duplex and Phlebology. Naples: Ed. Gnocchi; 1994:73-76.

    Google Scholar 

  13. Fumiere E, Leduc O, Fourcade S, et al. MR imaging, proton MR spectroscopy, ­ultrasonographic, histologic findings in patients with chronic lymphedema. Lymphology. 2007;40(4):157-162.

    PubMed  CAS  Google Scholar 

  14. Tassenoy A, Vermeiren K, van der Veen P, et al. Demonstration of tissue alterations by ­ultrasonography, magnetic resonance imaging and spectroscopy, and histology in breast cancer patients without lymphedema after axillary node dissection. Lymphology. 2006;39(3):118-126.

    PubMed  CAS  Google Scholar 

  15. Cavezzi A, Schadeck M. Venous system changes in lymphedema of lower limbs. Eur J Lymphol Relat Probl. 1996;6(Sp. Co. I):13.

    Google Scholar 

  16. Gruffaz J. Venous component in lymphedema of the upper extremity after radio-surgical therapy of cancer of the breast. Phlebologie. 1986;39(3):517-525.

    PubMed  CAS  Google Scholar 

  17. Pain SJ, Vowler S, Purushotham AD. Axillary vein abnormalities contribute to development of lymphoedema after surgery for breast cancer. Br J Surg. 2005;92(3):311-315.

    Article  PubMed  CAS  Google Scholar 

  18. Svensson WE, Mortimer PS, Tohno E, Cosgrove DO. Colour Doppler demonstrates venous flow abnormalities in breast cancer patients with chronic arm swelling. Eur J Cancer. 1994;30A(5):657-660.

    Article  PubMed  CAS  Google Scholar 

  19. Svensson WE, Mortimer PS, Tohno E, Cosgrove DO. Increased arterial inflow demonstrated by Doppler ultrasound in arm swelling following breast cancer treatment. Eur J Cancer. 1994;30A(5):661-664.

    Article  PubMed  CAS  Google Scholar 

  20. Tschammler A, Wirkner H, Ott G, Hahn D. Vascular patterns in reactive and malignant lymphadenopathy. Eur Radiol. 1996;6(4):473-480.

    Article  PubMed  CAS  Google Scholar 

  21. Amaral F, Dreyer G, Figueredo-Silva J, et al. Live adult worms detected by ultrasonography in human Bancroftian filariasis. Am J Trop Med Hyg. 1994;50(6):753-757.

    PubMed  CAS  Google Scholar 

  22. Dreyer G, Santos A, Noroes J, Addiss D. Proposed panel of diagnostic criteria, including the use of ultrasound, to refine the concept of ‘endemic normals’ in lymphatic filariasis. Trop Med Int Health. 1999;4(8):575-579.

    Article  PubMed  CAS  Google Scholar 

  23. Shenoy RK, Suma TK, Kumaraswami V, et al. Doppler ultrasonography reveals adult-worm nests in the lymph vessels of children with brugian filariasis. Ann Trop Med Parasitol. 2007;101(2):173-180.

    Article  PubMed  CAS  Google Scholar 

  24. Wheatley DC, Wastie ML, Whitaker SC, Perkins AC, Hopkinson BR. Lymphoscintigraphy and colour Doppler sonography in the assessment of leg oedema of unknown cause. Br J Radiol. 1996;69(828):1117-1124.

    Article  PubMed  CAS  Google Scholar 

  25. Gniadecka M. Localization of dermal edema in lipodermatosclerosis, lymphedema and cardiac insufficiency: high-frequency ultrasound examination of intradermal echogenicity. J Am Acad Dermatol. 1996;35:37-41.

    Article  PubMed  CAS  Google Scholar 

  26. Cavezzi A. Have ultrasonographic contrast agents a future in lymphedema investigation? Eur J Lymphology Relat Probl. 2000;8(31):62.

    Google Scholar 

  27. Balzarini A, Milella M, Civelli E, Sigari C, De Conno F. Ultrasonography of arm edema after axillary dissection for breast cancer: a preliminary study. Lymphology. 2001;34(4):152-155.

    PubMed  CAS  Google Scholar 

  28. International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema. 2009 Consensus Document of the International Society of Lymphology. Lymphology. 2009;42:51-60.

    Google Scholar 

  29. Mellor RH, Bush NL, Stanton AW, Bamber JC, Levick JR, Mortimer PS. Dual-frequency ultrasound examination of skin and subcutis thickness in breast cancer-related lymphedema. Breast J. 2004;10(6):496-503.

    Article  PubMed  Google Scholar 

  30. Kim W, Chung SG, Kim TW, Seo KS. Measurement of soft tissue compliance with pressure using ultrasonography. Lymphology. 2008;41(4):167-177.

    PubMed  CAS  Google Scholar 

  31. Tsubai M, Fukuda O, Ueno N, Horie T, Muraki S. Development of an ultrasound system for measuring tissue strain of lymphedema. Conf Proc IEEE Eng Med Biol Soc. 2008;2008:5294-5297.

    PubMed  Google Scholar 

  32. Marshall M, Wagner AD. Nichtinvasive Diagnostik des Lymph- und Lipodems. Perfusion. 1995;9:17-22.

    Google Scholar 

  33. Naouri M, Samimi M, Atlan M, et al. High-resolution cutaneous ultrasonography to differentiate lipoedema from lymphoedema. Br J Dermatol. 2010;163(2):296-301. Epub 2010 Apr 16.

    Article  PubMed  CAS  Google Scholar 

  34. Franceschi C. Pathologie du canal thoracique: intérêt de l‘échographie Doppler. Sang Thrombose Vaiss. 2004;16(1):61-63.

    Google Scholar 

  35. Gramiak R, Shah PM, Kramer DH. Ultrasound cardiography contrast studies in anatomy and function. Radiology. 1969;92:939.

    PubMed  CAS  Google Scholar 

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Acknowledgments

Thanks to Dr. E. Concettina for her contribution and to Prof. B.B. Lee for his patience and continuous stimulus to our scientific work.

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Cavezzi, A. (2011). Duplex Ultrasonography. In: Lee, BB., Bergan, J., Rockson, S. (eds) Lymphedema. Springer, London. https://doi.org/10.1007/978-0-85729-567-5_20

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  • DOI: https://doi.org/10.1007/978-0-85729-567-5_20

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  • Print ISBN: 978-0-85729-566-8

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