Skip to main content
SpringerLink
Log in

Radiologische Diagnostik

  • Chapter
  • First Online:
Angewandte Lymphologie

  • 536 Accesses

Zusammenfassung

In den vergangenen Jahren hat sich die Bildgebung in der lymphologischen Diagnostik jedoch rasant entwickelt. Insbesondere die MR-Lymphangiographie ermöglicht hochauflösende und dynamische Analyse von Struktur und Funktion des kompletten drainierenden Lymphgefäßsystems inkl. regionärer Lymphknoten. Das sind zwei bemerkenswerte Stärken, die sich ganz sicher bei der Visualisierung dysontogenetischer Malformationen voll entfalten. Von den traditionellen Bildgebungsmodalitäten wird die direkte Röntgen-Lymphangiografie (mit öligem Kontrastmittel) für spezifische Situationen in der Diagnostik und Therapie z. B. von Lymphleckagen eingesetzt.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Arrivé L, Derhy S, El Mouhadi S, Monnier-Cholley L, Menu Y, Becker C (2016) Noncontrast magnetic resonance lymphography. J ReconstrMicrosurg 32:80–86

    Google Scholar 

  • Choo JC, Foley PT, Lyon SM (2009) Percutaneous management of high-output chylothorax: case reviews. Cardiovasc Intervent Radiol 32(4):828–832

    Article  PubMed  Google Scholar 

  • Cope C (1998) Diagnosis and treatment of postoperative chyle leakage via percutaneous transabdominal catheterization of the cisterna chyli: a preliminary study. J Vasc Interv Radiol 9(5):727–734

    Article  CAS  PubMed  Google Scholar 

  • Deso S, Ludwig B, Kabutey NK, Kim D, Guermazi A (2012) Lymphangiography in the diagnosis and localization of various chyle leaks. Cardiovasc Intervent Radiol 35(1):117–126

    Article  PubMed  Google Scholar 

  • Dominok GW (1964) Die histologischen Veränderungen menschlicher Lymphknoten nach Lymphographien. Virchow’s Arch path Anat 338(1):143–149

    Article  CAS  Google Scholar 

  • Furukawa H, Osawa M, Saito A, Hayashi T, Funayama E, Oyama A et al. (2011) Microsurgical lymphaticovenous implantation targeting dermal lymphatic backflow using indocyanine green fluorescence lymphography in the treatment of postmastectomy lymphedema. PlastReconstrSurg 127:1804–1811

    CAS  Google Scholar 

  • Fyfe NC, Rutt DL, Edwards JM, Kinmonth JB (1982) Intralymphatic steroid therapy for lymphoedema: preliminary studies. Lymphology 15(1; Mar):23–28

    Google Scholar 

  • Gough MH (1964) Lymphangiography in children. Arch Dis Child 39(Apr):177–181

    Google Scholar 

  • Guez D, Nadolski GJ, Pukenas BA, Itkin M (2014) Transhepatic lymphatic embolization of intractable hepatic lymphorrhea. J Vasc Interv Radiol 25(1):149–150

    Article  PubMed  Google Scholar 

  • Itkin M, Piccoli DA, Nadolski G et al. (2017) Protein-Losing enteropathy in patients with congenital heart disease. J Am Coll Cardiol 69(24):2929–2937

    Article  CAS  PubMed  Google Scholar 

  • Kariya S, Nakatani M, Yoshida R, Ueno Y, Komemushi A, Tanigawa N (2017) Embolization for thoracic duct collateral leakage in high-output chylothorax after thoracic surgery. Cardiovasc Intervent Radiol 40(1):55–60

    Article  PubMed  Google Scholar 

  • Kaschner GM, Strunk H (2014) Transnodal ultrasound-guided lymphangiography for thoracic duct embolization in chylothorax. Dtsch Med Wochenschr 139(44):2231–2236

    Article  CAS  PubMed  Google Scholar 

  • Kerlan RK, Laberge JM (2012) Intranodal lymphangiography: coming soon to a hospital near you. J Vasc Interv Radiol 23(5):617

    Article  PubMed  Google Scholar 

  • Kleinhans E, Baumeister RG, Hahn D, Siuda S, Büll U, Moser E (1985) Evaluation of transport kinetics in lymphoscintigraphy: follow-up study in patients with transplanted lymphatic vessels. Eur J Nucl Med 10:349–352

    Article  CAS  PubMed  Google Scholar 

  • Koehler PR, Meyers WA, Skelley JF, Schaffer B (1964 May) Body distribution of ethiodol following lymphangiography Radiology. 82:866–871

    Google Scholar 

  • Krishnamurthy R, Hernandez A, Kavuk S, Annam A, Pimpalwar S (2015 Mar) Imaging the central conducting lymphatics: initial experience with dynamic MR lymphangiography. Radiology 274(3):871–878

    Google Scholar 

  • Lee H, Kim SJ, Hur S et al. (2018) The feasibility of mesenteric intranodal lymphangiography: its clinical application for refractory postoperative chylous ascites. J Vasc Interv Radiol 29(9):1290–1292

    Article  PubMed  Google Scholar 

  • Liu NF, Lu Q, Jiang ZH, Wang CG, Zhou JG (2009) Anatomic and functional evaluation of the lymphatics and lymph nodes in diagnosis of lymphatic circulation disorders with contrast magnetic resonance lymphangiography. J VascSurg 49:980–987

    Google Scholar 

  • Liu NF, Lu Q, Liu PA, Wu XF, Wang BS (2010) Comparison of radionuclide lymphoscintigraphy and dynamic magnetic resonance lymphangiography for investigating extremity lymphoedema. Br J Surg 97:359–365

    Article  PubMed  Google Scholar 

  • Lohrmann C, Felmerer G, Foeldi E, Bartholoma JP, Langer M (2008a) MR lymphangiography for the assessment of the lymphatic system in patients undergoing microsurgical reconstructions of lymphatic vessels. Microvasc Res 76:42–45

    Article  PubMed  Google Scholar 

  • Lohrmann C, Felmerer G, Foeldi E, Bartholomä JP, Langer M (2008b) MR lymphangiography for the assessment of the lymphatic system in patients undergoing microsurgical reconstructions of lymphatic vessels. Microvasc Res 76:42–45

    Article  PubMed  Google Scholar 

  • Lohrmann C, Foeldi E, Bartholomä JP, Langer M (2007a) Interstitial MR lymphangiography: a diagnostic imaging method for the evaluation of patients with clinically advanced stages of lymphedema. Acta Trop 104:8–15

    Article  PubMed  Google Scholar 

  • Lohrmann C, Foeldi E, Bartholomae JP, Langer M (2007b) Gadoteridol for MR imaging of lymphatic vessels in lymphoedematous patients: initial experience after intracutaneous injection. Br J Radiol 80:569–573

    Article  CAS  PubMed  Google Scholar 

  • Lohrmann C, Foeldi E, Langer M (2006a) Indirect magnetic resonance lymphangiography in patients with lymphedema preliminary results in humans. Eur J Radiol 59:401–406

    Article  PubMed  Google Scholar 

  • Lohrmann C, Foeldi E, Speck O, Langer M (2006b) High-resolution MR lymphangiography in patients with primary and secondary lymphedema. AJR Am J Roentgenol 187:556–561

    Article  PubMed  Google Scholar 

  • Lu Q, Bui D, Liu NF, Xu JR, Zhao XH, Zhang XF (2012) Magnetic resonance lymphography at 3T: a promising noninvasive approach to characterise inguinal lymphatic vessel leakage. Eur J VascEndovasc Sur 43:106–111

    Article  CAS  Google Scholar 

  • Lu Q, Xu J, Liu N (2010) Chronic lower extremity lymphedema: a comparative study of high-resolution interstitial MR lymphangiography and heavily T2-weighted MRI. Eur J Radiol 73:365–373

    Article  PubMed  Google Scholar 

  • Matsumoto T, Yamagami T, Kato T et al. (2009) The effectiveness of lymphangiography as a treatment method for various chyle leakages. Br J Radiol 82(976):286–290

    Article  CAS  PubMed  Google Scholar 

  • Mazzei FG, Gentili F, Guerrini S, CioffiSquitieri N, Guerrieri D, Gennaro P et al. (2017) MR lymphangiography: a practical guide to perform it and a brief review of the literature from a technical point of view. Biomed Res Int 2017:2598358

    Article  PubMed  PubMed Central  Google Scholar 

  • Misere R et al. A Systematic Review of Magnetic Resonance Lymphography for the Evaluation of Peripheral Lymphedema. J Vasc Surg Venous Lymphat Disord. 2020 May 13; S. 2213-333X(20)30.187–6. https://doi.org/10.1016/j.jvsv.2020.03.007

  • Modi S, Stanton AW, Svensson WE, Peters AM, Mortimer PS, Levick JR (2007) Human lymphatic pumping measured in healthy and lymphoedematous arms by lymphatic congestion lymphoscintigraphy. J Physiol 583:271–285

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nadolski GJ, Itkin M (2012) Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization. J Vasc Interv Radiol 23(5):613–616

    Article  PubMed  Google Scholar 

  • Neligan PC, Kung TA, Maki JH (2017) MR lymphangiography in the treatment of lymphedema. J SurgOncol 115:18–22

    Google Scholar 

  • Notohamiprodjo M, Weiss M, Baumeister RG, Sommer WH, Helck A, Crispin A et al. (2012) MR lymphangiography at 3.0 T: correlation with lymphoscintigraphy. Radiology 264:78–87

    Article  PubMed  Google Scholar 

  • Oehlert W, Weissleder H, Gollasch D (1966) Lymphogramm und histologisches Bild bei normalen und pathologisch veränderten Lymphknoten. Fortschr Röntgenstr 104:751–758

    Article  CAS  Google Scholar 

  • Ogata F, Narushima M, Mihara M, Azuma R, Morimoto Y, Koshima I (2007) Intraoperative lymphography using indocyanine green dye for nearinfrared fluorescence labeling in lymphedema. Ann PlastSurg 59:180–184

    CAS  Google Scholar 

  • Pieper CC, Feißt A, Meyer C, Thomas D, Schild HH (2017) Diameter of the cisterna chyli in patients suffering from liver cirrhosis undergoing transjugular intrahepatic portosystemic shunt creation: a CT-based analysis. J Vasc Interv Radiol 28(2;Supplement):134

    Google Scholar 

  • Pieper CC, Hur S, Sommer CM, Nadolski G, Maleux G, Kim J, Itkin M (2019) Back to the future: lipiodol in lymphography – from diagnostics to theranostics. Invest Radiol [Article in press]

    Google Scholar 

  • Pieper CC (2017) Die Magnet-Resonanz-Lymphangiografie in Diagnostik und Therapie des peripheren Lymphödems. LymphForsch 21(2):78–85

    Google Scholar 

  • Pieper CC (2018) Thoracic lymphatic pathologies with chylous leakages – imaging and interventional treatment. Rofo 190(8):674–679

    PubMed  Google Scholar 

  • Rajebi MR, Chaudry G, Padua HM et al. (2011) Intranodal lymphangiography: feasibility and preliminary experience in children. J Vasc Interv Radiol 22(9):1300–1305

    Article  PubMed  Google Scholar 

  • Rane S, Donahue PM, Towse T, Ridner S, Chappell M, Jordi J et al. (2013) Clinical feasibility of noninvasive visualization of lymphatic flow with principles of spin labeling MR imaging: implications for lymphedema assessment. Radiology 269:893–902

    Article  PubMed  Google Scholar 

  • Ruehm SG, Schroeder T, Debatin JF (2001) Interstitial MR lymphography with gadoteratemeglumine: initial experience in humans. Radiology 220:816–821

    Article  CAS  PubMed  Google Scholar 

  • S2k Leitlinie Diagnostik und Therapie der Lymphödeme. http://www.awmf.org/leitlinien/detail/ll/058-001.html

  • Savla JJ, Itkin M, Rossano JW, Dori Y (2017) Post-operative chylothorax in patients with congenital heart disease. J Am Coll Cardiol 69(19):2410–2422

    Article  PubMed  Google Scholar 

  • Schild HH, Naehle CP, Wilhelm KE, Kuhl CK, Thomas D, Meyer C, Textor J, Strunk H, Willinek WA, Pieper CC (2015) Lymphatic interventions for treatment of chylothorax. Rofo 187(7; Jul):584–588

    Google Scholar 

  • Schild HH, Strassburg CP, Welz A, Kalff J (2013) Treatment options in patients with chylothorax. Dtsch Arztebl Int 110(48):819–826

    PubMed  PubMed Central  Google Scholar 

  • Sheybani A, Gaba RC, Minocha J (2015) Cerebral embolization of ethiodized oil following intranodal lymphangiography. Semin Intervent Radiol. 32(1; Mar):10–13

    Google Scholar 

  • Unno N, Nishiyama M, Suzuki M, Yamamoto N, Inuzuka K, Sagara D et al. (2008) Quantitative lymph imaging for assessment of lymph function using indocyanine green fluorescence lymphography. Eur J VascEndovascSurg 36:230–236

    CAS  Google Scholar 

  • Zeltzer AA, Brussaard C, Koning M, De Baerdemaeker R, Hendrickx B, Hamdi M, de Mey J (2018) MR lymphography in patients with upper limb lymphedema: The GPS for feasibility and surgical planning for lympho-venous bypass. J Surg Oncol 118(3):407–415

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Universitätsklinikum Bonn, Bonn, Deutschland

    Claus Christian Pieper

Authors
  1. Claus Christian Pieper
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Claus Christian Pieper .

Editor information

Editors and Affiliations

  1. Hautarztpraxis, Düsseldorf, Deutschland

    Manuel E. Cornely

  2. Halle (Saale), Deutschland, Berlin, Deutschland

    Wolfgang Ch. Marsch

  3. Medizinische Universität Innsbruck, Innsbruck, Österreich

    Erich Brenner

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Pieper, C. (2023). Radiologische Diagnostik. In: Cornely, M.E., Marsch, W.C., Brenner, E. (eds) Angewandte Lymphologie . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61452-5_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-61452-5_8

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61451-8

  • Online ISBN: 978-3-662-61452-5

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation