Non-contrast magnetic resonance lymphography (NCMRL) in cancer-related secondary lymphedema: acquisition technique and imaging findings.


Journal

La Radiologia medica
ISSN: 1826-6983
Titre abrégé: Radiol Med
Pays: Italy
ID NLM: 0177625

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 07 06 2021
accepted: 04 08 2021
pubmed: 12 8 2021
medline: 19 11 2021
entrez: 11 8 2021
Statut: ppublish

Résumé

Cancer-related secondary lymphedema (LE) is a widespread issue, which markedly affects patients' quality of life. Its diagnosis is mainly clinical since there is no consensus on the best imaging technique that should be used to assess this pathology. Even if lymphedema treatment has been traditionally conservative and mainly based on compressive bandages and decongestive therapy, new surgical techniques are proving their effectiveness in the management of the disease and made proper assessment and characterization of lymphedema necessary. In this scenario, non-contrast magnetic resonance lymphography (NCMRL) is acquiring an increasing role, as a non-invasive imaging technique, useful for the analysis of LE. NCMRL is an effective tool in diagnosis confirmation, in providing information about the structural changes of the affected limbs, in grading this disorder, and provides a guide for LE management and treatment planning. This article aims to provide an overview of the literature regarding this examination, analyzing the acquisition technique, the interpretation of the imaging findings and their usefulness, the advantages and limits of this technique, to help the radiologist approach this relatively new investigation in cases of cancer-related LE.

Identifiants

pubmed: 34379302
doi: 10.1007/s11547-021-01410-3
pii: 10.1007/s11547-021-01410-3
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1477-1486

Informations de copyright

© 2021. Italian Society of Medical Radiology.

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Auteurs

Michaela Cellina (M)

Department of Radiology, ASST Fatebenefratelli Sacco, Ospedale Fatebenefratelli, Piazza Principessa Clotilde 3, 20121, Milan, Italy. michaela.cellina@asst-fbf-sacco.it.

Daniele Gibelli (D)

Dipartimento Di Scienze Biomediche Per La Salute, Università Degli Studi Di Milano, Via Mangiagalli 31, 20133, Milan, Italy.

Carlo Martinenghi (C)

Department of Radiology, Ospedale San Raffaele, Via Olgettina 60, 20121, Milan, Italy.

Denisa Giardini (D)

Lymphedema Center, Nursing Home "La Madonnina", Via Quadronno, 29, 20122, Milan, Italy.

Massimo Soresina (M)

Lymphedema Center, Nursing Home "La Madonnina", Via Quadronno, 29, 20122, Milan, Italy.

Andrea Menozzi (A)

Lymphedema Center, Nursing Home "La Madonnina", Via Quadronno, 29, 20122, Milan, Italy.

Giancarlo Oliva (G)

Department of Radiology, ASST Fatebenefratelli Sacco, Ospedale Fatebenefratelli, Piazza Principessa Clotilde 3, 20121, Milan, Italy.

Gianpaolo Carrafiello (G)

Department of Radiology, Policlinico Di Milano Ospedale Maggiore | Fondazione IRCCS Ca' Granda, Via Francesco Sforza, 35, 20122, Milan, Italy.

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