Supportive Care in Cancer

, Volume 19, Issue 5, pp 703–710

Segmental measurement of breast cancer-related arm lymphoedema using perometry and bioimpedance spectroscopy

  • Sharon A. Czerniec
  • Leigh C. Ward
  • Mi-Joung Lee
  • Kathryn M. Refshauge
  • Jane Beith
  • Sharon L. Kilbreath
Original Article

DOI: 10.1007/s00520-010-0896-8

Cite this article as:
Czerniec, S.A., Ward, L.C., Lee, MJ. et al. Support Care Cancer (2011) 19: 703. doi:10.1007/s00520-010-0896-8

Abstract

Purpose

To determine if bioimpedance spectroscopy (BIS) could detect localised lymphoedema of the arm and to compare BIS measurements with equivalent measures of limb volume by perometry.

Methods

Women with mild to severe upper limb lymphoedema (n = 29) and women with no history of lymphoedema (n = 11) participated. Commencing at the ulnar styloid of the wrist, 4 × 10 cm segment measurements were made of each arm using both BIS and perometry.

Results

Average BIS inter-limb ratios for the total arm and each arm segment were higher than comparable perometry measures in women with lymphoedema, but similar to perometry measures for women without lymphoedema. Limits of agreement analysis showed that the mean difference between methods varied according to segment measured, ranging from 8.5% for the uppermost segment of the arm to 16.6% for the forearm segment just below the elbow. For all limb segments, there was a positive bias towards BIS measurements, which increased as lymphoedema severity increased.

Conclusion

BIS can be used for localised measurement of lymphoedema. Because it is specific to extracellular fluid, BIS is more sensitive to localised lymphoedema than perometry.

Keywords

Swelling Diagnosis Early detection Localised lymphoedema Limb volume 

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Sharon A. Czerniec
    • 1
  • Leigh C. Ward
    • 2
  • Mi-Joung Lee
    • 1
  • Kathryn M. Refshauge
    • 1
  • Jane Beith
    • 3
  • Sharon L. Kilbreath
    • 1
  1. 1.Faculty of Health SciencesUniversity of SydneyLidcombe, SydneyAustralia
  2. 2.School of Molecular and Microbial SciencesUniversity of QueenslandBrisbaneAustralia
  3. 3.Sydney Cancer CentreRoyal Prince Alfred HospitalSydneyAustralia

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