lymphography

リンパ管造影

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/07/19 17:13:17」(JST)

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Lymphogram
ICD-9-CM	87.08
OPS-301 code	3-62

Lymphography is a medical imaging technique in which a radiocontrast agent is injected, and then an X-ray picture is taken to visualize structures of the lymphatic system, including lymph nodes, lymph ducts, lymphatic tissues, lymph capillaries and lymph vessels. Lymphangiography is the same procedure, used only to visualize the lymph vessels. The X-ray film or image of the vessels and nodes is called a lymphogram or a lymphangiogram.

Radiographs can be taken after injection of a radiopaque contrast medium into small lymphatic vessels (these are made visible by prior subcutaneous injection of patent blue dye). The resulting lymphogram is used to find the locations of large vessels and nodes, and to identify sites of blockage in lymphatic drainage.

Lymph nodes can also be detected via radionuclide imaging after injection of radioactive colloids. Macrophages phagocytose these foreign bodies and sequester in the nodes.

Procedure

• A needle or catheter inserted into a lymphatic channel in either the foot or arm, and a contrast medium is injected into the body at a very slow rate (approximately 60 to 90 minutes for all the contrast medium to be injected).
• A fluoroscope is used to follow the dye as it spreads through the lymphatic system through the legs, into the groin, and along the back of the abdominal cavity.
• Once the contrast medium is injected, the catheter is removed, and the incisions are stitched and bandaged. X-rays are taken of the legs, pelvis, abdomen, and chest areas. The next day, another set of X-rays may be taken.
• If a site of cancer (breast or melanoma) is being studied to evaluate spreading, a mixture of blue dye and a radioactive tracer is injected next to the mass. Special cameras detect the spread of tracer along lymph channels to outlying nodes.
• A surgeon will then use the visible blue dye or radioactivity within nodes to guide biopsy within adjacent tissues (such as the arm pit for breast cancer) to determine possible routes of cancer spread.

Use

This test is not used as often as it once was, because of the adoption of CT scan and the PET scan technologies.

Etymology The name comes from the Greek words : "Λέμφος" ("Lemphos")("lymph"), "water lymph", and "graphien" "Γραφή"("Graphy"), "to write or record".

References

• Guermazi A, Brice P, Hennequin C, Sarfati E (2003). "Lymphography: an old technique retains its usefulness". Radiographics. 23 (6): 1541–58; discussion 1559–60. PMID 14615563. doi:10.1148/rg.236035704.  Full text

External links

• About lymphangiogram (National Library of Medicine and the National Institutes of Health)

UpToDate Contents

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English Journal

• Percutaneous Lymphatic Embolization of Abnormal Pulmonary Lymphatic Flow as Treatment of Plastic Bronchitis in Patients With Congenital Heart Disease.

• Dori Y1, Keller MS2, Rome JJ2, Gillespie MJ2, Glatz AC2, Dodds K2, Goldberg DJ2, Goldfarb S2, Rychik J2, Itkin M2.
• Circulation.Circulation.2016 Mar 22;133(12):1160-70. doi: 10.1161/CIRCULATIONAHA.115.019710. Epub 2016 Feb 10.
• BACKGROUND: Plastic bronchitis is a potentially fatal disorder occurring in children with single-ventricle physiology, and other diseases, as well, such as asthma. In this study, we report findings of abnormal pulmonary lymphatic flow, demonstrated by MRI lymphatic imaging, in patients with plastic
• PMID 26864093

• Trafficking of antigens from gut to sacroiliac joints and spine in reactive arthritis and spondyloarthropathies: Mainly through lymphatics?

• Berthelot JM1, Claudepierre P2.
• Joint, bone, spine : revue du rhumatisme.Joint Bone Spine.2016 Mar 8. pii: S1297-319X(16)00041-5. doi: 10.1016/j.jbspin.2015.10.015. [Epub ahead of print]
• Bacterial trafficking from gut to mesenteric lymph nodes is physiologic only for a few commensal species, like Alcaligenes which produces antimicrobial-substances inhibiting growth of pathogenic bacteria. In reactive arthritis, some living bacteria transiently manage to travel from gut to joints/ent
• PMID 26968111

• Triple assessment of sentinel lymph node metastasis in early breast cancer using preoperative CTLG, intraoperative fluorescence navigation and OSNA.

• Mokhtar M1,2, Tadokoro Y3, Nakagawa M4, Morimoto M4, Takechi H4, Kondo K1, Tangoku A4.
• Breast cancer (Tokyo, Japan).Breast Cancer.2016 Mar;23(2):202-10. doi: 10.1007/s12282-014-0551-1. Epub 2014 Jul 29.
• BACKGROUND: Sentinel lymph node biopsy (SLNB) became a standard surgical procedure for patients with early breast cancer; however, the optimal method of sentinel lymph node (SLN) identification remains controversial. The current study presents the protocol of our institution for preoperative and int
• PMID 25069434

Japanese Journal

• リンパ機能に基づいた慢性リンパ浮腫の診断と治療

• 日本下肢救済・足病学会誌 8(1), 3-11, 2016
• NAID 130005142541

• 下肢リンパ浮腫に対する外科治療:－リンパ管静脈吻合について－

• 日本下肢救済・足病学会誌 8(1), 27-30, 2016
• NAID 130005142540

• リンパ還流不全による静脈壁ならびに静脈周囲組織変性についての実験的検討

• 静脈学 26(3), 227-235, 2015
• NAID 130005094972

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★リンクテーブル★

リンク元	「リンパ管造影」「リンパ節造影」

「リンパ管造影」

　　[★]

英

lymphangiography, lymphography

ラ

lymphangiographia

同

リンパ管造影法？、リンパ造影、リンパ節造影 lymphography

「リンパ節造影」

　　[★]

英

lymphography

関

リンパ管造影