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Intranodal cone-beam computed tomographic lymphangiography with water-soluble iodinated contrast agent for evaluating chylothorax in infants — preliminary experience at a single institution

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Abstract

This brief report demonstrates the diagnostic utility of cone-beam CT lymphangiography (CBCTL) with intranodal injection of water-soluble iodinated contrast agent for assessing lymphatic disorders in two infants who were contraindicated for MRI and oil-based contrast agent. Both infants had dextro-transposition of the great arteries (d-TGA) and presented with high-output chylothoraces that were recalcitrant to conservative medical therapy. Both infants were diagnosed with central lymphatic flow disorder based on the CBCTL findings.

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Acknowledgement

Dicken Wong and Kin Fen Kevin Fung contributed equally to this work.

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    Authors and Affiliations

    1. Department of Diagnostic and Interventional Radiology, Kwong Wah Hospital, Hong Kong, Hong Kong

      Dicken Wong

    2. Department of Radiology, Hong Kong Children’s Hospital, 2/F, Block B, 1 Shing Cheong Road, Kowloon Bay, Hong Kong, Hong Kong

      Kin Fen Kevin Fung & Yee Ling Elaine Kan

    3. Division of Paediatric Cardiology, Department of Paediatrics and Adolescent Medicine, Hong Kong Children’s Hospital, Hong Kong, Hong Kong

      Hay-son Robin Chen & Kin Sing Lun

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    1. Dicken Wong
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    2. Kin Fen Kevin Fung
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    3. Hay-son Robin Chen
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    4. Kin Sing Lun
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    5. Yee Ling Elaine Kan
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    Correspondence to Kin Fen Kevin Fung.

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    Wong, D., Fung, K.F.K., Chen, Hs.R. et al. Intranodal cone-beam computed tomographic lymphangiography with water-soluble iodinated contrast agent for evaluating chylothorax in infants — preliminary experience at a single institution. Pediatr Radiol 53, 179–183 (2023). https://doi.org/10.1007/s00247-022-05441-4

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    • DOI: https://doi.org/10.1007/s00247-022-05441-4

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