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Lymphatic System

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Abdominal and Pelvic MRI

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Magnetic resonance imaging (MRI) is noninvasive, well tolerated, rather simple to perform, and capable of direct imaging of the retroperitoneal area, including retroperitoneal nodal areas. Theoretically MRI has several advantages, including the ability to display vascular anatomy without the need for intravascular contrast agents. Other general advantages of MRI include multiplanar imaging capability and superior soft tissue contrast resolution. Poorer spatial resolution may, however, compromise the visualization of normal structures (e.g., differentiation of normal lymph nodes from bowel loops and vessels). Oral contrast agents for MRI are not yet routinely used, and differentiating lymphadenopathy from bowel loops is a challenge. Continuous technical improvements, however, are reducing the acquisition times needed for imaging, improving resolution, and decreasing artifacts from patient movement and peristaltic and respiratory motion. Finally, the availability of MRI is increasing. For these reasons MRI will attract greater interest for the evaluation of the retroperitoneal space and retroperitoneal disease processes. In this chapter only more frequent diseases of the retroperitoneal lymphatic system will be discussed.

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References

  • Abdel-Reheim FA, Koss W, Rappaport ES, Arber DA (1996) Coexistence of Hodgkin’s disease and giant lymph node hyperplasia of plasma-cell type. Arch Pathol Lab Med 120:91–96

    PubMed  CAS  Google Scholar 

  • Amis ES (1991) Retroperitoneal fibrosis. Am J Roentgenol 157:321–329

    Google Scholar 

  • Arrive L, Hricak H, Tavares NJ, Miller TR (1989) Malignant versus non-malignant retroperitoneal fibrosis: differentiation with MR imaging. Radiology 172:139–143

    PubMed  CAS  Google Scholar 

  • Barentsz JO, Jager GJ, van Vierzen PBJ, et al. (1996) Staging urinary bladder cancer after transurethral biopsy: value of fast dynamic contrast-enhanced MR imaging. Radiology 201:185–193

    PubMed  CAS  Google Scholar 

  • Bengele HH, Palmacci S, Rogers J, Jung CW, Crenshaw J, Josephson L (1994) Biodistribution of an ultrasmall superparamagnetic iron oxide colloid, BMS 180549, by different routes of administration. Magn Reson Imaging 12:433–442

    Article  PubMed  CAS  Google Scholar 

  • Bonhomme A, Broeders A, Oyen RH, Stas M, De Wever I, Baert AL (1997) Cystic lymphangioma of the retroperitoneum: case report. Br J Radiol (to be published)

    Google Scholar 

  • Buckwalter KA, Ellis JH, Baker DE, Borello JA, Glazer GM (1992) Pitfall in MR imaging of lymphadenopathy after lymphangiography. Radiology 161:831–832

    Google Scholar 

  • Case TC, Unger E, Bernas MJ, et al. (1992) Lymphatic imaging in experimental filariasis using magnetic resonance. Invest Radiol 27:293–297

    Article  PubMed  CAS  Google Scholar 

  • Castellino RA (1991) Diagnostic imaging evaluation of Hodgkin’s disease and non-Hodgkin’s lymphoma. Cancer 67:1177–1180

    Article  PubMed  CAS  Google Scholar 

  • Cohen-Haguenauer O, Brice P, Gaci M, et al. (1993) Gallium-67 scintigraphy in malignant lymphoma. Press Med 22: 521–525

    CAS  Google Scholar 

  • Deutch SJ, Sandier MA, Alpern MA (1987) Abdominal lymphadenopathy in benign diseases: CT detection. Radiology 163: 335–338

    PubMed  CAS  Google Scholar 

  • Ellis HH (1984) Comparison of NMR and CT imaging in the evaluation of metastatic retroperitoneal lymphadenopathy from testicular carcinoma. J Comput Assist Tomogr 8: 709–719

    Article  PubMed  CAS  Google Scholar 

  • Federle MP, Nyberg DA, Hulnick DH, Jeffrey RB (1988) Malignant neoplasms: Kaposi’s sarcoma, lymphoma, and other diseases with similar radiographic features. In: Federle MP, Megibow AJ, Naidich DP (eds) Radiology of AIDS. Raven Press, New York, p 107

    Google Scholar 

  • Fields S, Bar-Ziv J, Portnoy O, Sasson T, Sherman Y, Libson E (1995) Radiologic spectrum of localized Castleman’s disease. Isr J Med Sci 31:660–669

    PubMed  CAS  Google Scholar 

  • Fisher D, Hiller N (1994) Case report: giant tuberculous cystic lymphangioma of posterior mediastinum, retroperitoneum and groin. Clin Radiol 49:215–216

    Article  PubMed  CAS  Google Scholar 

  • Frick MP, Salomonowitz E, Hanto DW, Gedgaudas-McClees K (1984) CT of abdominal lymphoma after renal transplantation. Am J Roentgenol 142:97–99

    CAS  Google Scholar 

  • Graf D, Pfister J, Streuli HK (1993) Multiple retroperitoneal and mediastinal lymph cysts in primary ectatic lymph vessels. Helv Chir Acta 60:27–30

    PubMed  CAS  Google Scholar 

  • Guimaraes R, Clement O, Bittoun J, Carnot F, Frija G (1994) MR lymphography with supermagnetic iron nanoparticles in rats: pathologic basis for contrast enhancement. Am J Roentgenol 162:201–207

    CAS  Google Scholar 

  • Hamm B, Taupitz M, Hussmann P, Wagner S, Wolf KJ (1992) MR lymphography with iron oxide particles: dose response studies and pulse sequence optimization in rabbits. Am J Roentgenol 158:183–190

    CAS  Google Scholar 

  • Harika L, Weissleder R, Poss K, Papisov MI (1996) Macromolecular intravenous contrast agent for MR lymphography: characterization and efficacy studies. Radiology 198:365–370

    PubMed  CAS  Google Scholar 

  • Havard AC, Collins DJ, Guy RL, Husband JE (1992) Magnetic resonance behaviour of lipiodol. Clin Radiol 45:198–200

    Article  PubMed  CAS  Google Scholar 

  • Hill M, Cunningham D, MacVicar D, et al. (1993) Role of magnetic resonance imaging in predicting relapse in residual masses after treatment of lymphoma. J Clin Oncol 11:2273–2278

    PubMed  CAS  Google Scholar 

  • Hoane BR, Shields AF, Porter BA, Borrow JW (1994) Comparison of initial lymphoma staging using computed tomography and magnetic resonance imaging. Am J Hematol 47:100–105

    Article  PubMed  CAS  Google Scholar 

  • Kuhlman JE, Browne D, Shermak M, Hamper UM, Zerhouni EA, Fishman EK (1991) Retroperitoneal and pelvic CT of patients with AIDS: primary and secondary involvement of the genitourinary tract. Radiographies 11:473

    CAS  Google Scholar 

  • Lonnemark M (1991) Superparamagnetic particles as oral contrast medium in MR imaging of malignant lymphoma. Acta Radiol 32:232–238

    Article  PubMed  CAS  Google Scholar 

  • Menke DM, Tiemann M, Camoriano JK, et al. (1996) Diagnosis of Castleman’s disease by identification of an immunophenotypically aberrant population of mantle zone B lymphocytes in paraffin-embedded lymph node biopsies. Am J Clin Pathol 105:268–276

    PubMed  CAS  Google Scholar 

  • Merine D, Fishman EK, Siegelman SS (1987) Renal xanthogranulomatosis: radiological, clinical and pathological features in two cases. J Comput Assist Tomogr 11:785–789

    Article  PubMed  CAS  Google Scholar 

  • Montalban C, Rodriguez-Garcia JL, Mazairas L, Ayala I, Marcos-Robles J (1992) Magnetic resonance imaging for the assessment of residual masses after treatment of non-Hodgkin’s lymphomas. Postgrad Med J 68:643–647

    Article  PubMed  CAS  Google Scholar 

  • Moon WK, Im JG, Han MC (1994) Castleman’s disease of the mediastinum: MR imaging features. Clin Radiol 49:466–468

    Article  PubMed  CAS  Google Scholar 

  • Muhle C, Asmus R, Spielmann RP (1992) Magnetic resonance tomographic characteristics and follow-up observation in a case of cystic lymphangiomas in the left lower extremity, the retroperitoneum and the mediastinum. Aktuel Radiol 2:159–161

    CAS  Google Scholar 

  • Nuzzo G, Lemmo G, Trischitta MM, Boldrini G, Giovannini I (1996) Retroperitoneal cystic lymphangioma. J Surg Oncol 61:234–237

    Article  PubMed  CAS  Google Scholar 

  • Okuhata Y (1992) An experimental study on MR lymphography with various iron colloid agents. Nippon Igaku Hoshasen Gakkai Zasshi 25:1148–1160

    Google Scholar 

  • Okuhata Y, Xia T, Urahashi S (1994) Inhalation MR lymphography: a new method for selective enhancement of the lung hilar and mediastinal lymph nodes. Magn Reson Imaging 12:1135–1138

    Article  PubMed  CAS  Google Scholar 

  • Oyen RH, Van Poppel HP, Ameye FE, Van de Voorde WA, Baert AL, Baert LV (1994) Lymph node staging of localized prostatic carcinoma with CT and CT-guided fine-needle aspiration biopsy: a prospective study of 285 patients. Radiology 190:315–322

    PubMed  CAS  Google Scholar 

  • Radin DR, Baker EL, Klatt EC (1990) Visceral and nodal calcifications in patients with AIDS-related Pneumocystis carinii infection. Am J Roentgenol 154:27

    CAS  Google Scholar 

  • Rahmouni A, Tempany C, Jones R, Mann R, Yang A, Zerhouni E (1993) Lymphoma: monitoring tumor size and signal intensity with MR imaging. Radiology 188:445–451

    PubMed  CAS  Google Scholar 

  • Skillings JR, Bramwell V, Nicholson RL, Prato FS, Wells G (1991) A prospective study of magnetic resonance imaging in lymphoma staging. Cancer 67:1838–1843

    Article  PubMed  CAS  Google Scholar 

  • Soo CS, Bernardino ME, Chuang VP, Ordonez N (1981) Pitfalls of CT findings in post-therapy testicular carcinoma. J Comput Assist Tomogr 5:39–41

    Article  PubMed  CAS  Google Scholar 

  • Tanoura T, Bernas M, Darkazanli A, Elam E, Unger E, Witte MH, Green A (1992) MR lymphography with iron oxide compound AMI-227: studies in ferrets with filariasis. Am J Roentgenol 159:875–881

    CAS  Google Scholar 

  • Taupitz M, Wagner S, Hamm B, Binder A, Pfefferer D (1993a) Interstitial MR lymphography with iron particles: results in tumor-free and VX2 tumor-bearing rabbits. Am J Roentgenol 161:193–200

    CAS  Google Scholar 

  • Taupitz M, Wagner S, Hamm B, Dienemann D, Lawaczeck R, Wolf KJ (1993b) MR lymphography using iron oxide particles. Detection of lymph node metastases in the VX2 rabbit tumor model. Acta Radiol 34:10–15

    CAS  Google Scholar 

  • Van Hoe L, Oyen R, Gryspeerdt S, Baert AL, Bobbaers H, Baert L (1995) Pseudotumoral pelvic retroperitoneal fibrosis associated with orbital fibrosis. Case report. Br J Radiol 68:421–423

    Google Scholar 

  • Vassallo P, Matei C, Heston WD, McLachlan SJ, Koutcher JA, Castellino RA (1994) AMI-227-enhanced MR lymphography: usefulness for differentiating reactive from tumorbearing lymph nodes. Radiology 193:501–506

    PubMed  CAS  Google Scholar 

  • Wagner S (1994) Benign lymph node hyperplasia and lymph node metastases in rabbits. Animal models for magnetic resonance lymphography. Invest Radiol 29:364–371

    CAS  Google Scholar 

  • Weissleder R, Heautot JF, Schaffer BK, Nossiff N, Papisov MI, Bogdanov A Jr, Brady TJ (1994) MR lymphography: study of a high-efficiency lymphotropic agent. Radiology 191: 225–230

    PubMed  CAS  Google Scholar 

  • Yamakita N, Sugimoto M, Takeda N, et al. (1992) Pseudoadrenal incidentaloma: magnetic resonance imaging in a patient with para-adrenal Castleman’s disease. Urol Int 49:171–174

    Article  PubMed  CAS  Google Scholar 

  • Yamashita Y, Hirai T, Matsukawa T, Ogata I, Takahashi M (1993) Radiological presentations of Castleman’s disease. Comput Med Imaging Graph 17:107–117

    Article  PubMed  CAS  Google Scholar 

  • Younathan CM, Kaude JV (1992) Renal peripelvic cysts (lymphangiomas) associated with generalized lymphangiomatosis. Urol Radiol 14:161–164

    Article  PubMed  CAS  Google Scholar 

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© 2000 Springer-Verlag Berlin Heidelberg

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Oyen, R.H. (2000). Lymphatic System. In: Heuck, A., Reiser, M. (eds) Abdominal and Pelvic MRI. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18194-8_13

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  • DOI: https://doi.org/10.1007/978-3-642-18194-8_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-67216-6

  • Online ISBN: 978-3-642-18194-8

  • eBook Packages: Springer Book Archive

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