Journal ArticleDOI
Characteristic Indocyanine Green Lymphography Findings in Lower Extremity Lymphedema: The Generation of a Novel Lymphedema Severity Staging System Using Dermal Backflow Patterns
Takumi Yamamoto,Mitsunaga Narushima,Kentaro Doi,Azusa Oshima,Fusa Ogata,Makoto Mihara,Isao Koshima,Gerhard S. Mundinger +7 more
TLDR
Characteristic indocyanine green lymphography patterns are consistent and correlate with clinical severity, and supported the generation of a novel anatomical lymphedema severity staging system, the dermal backflow staging system.Abstract:
Background:Indocyanine green lymphography has been a highly useful modality in the clinical examination and surgical management of patients with lymphedema. No formal classification system of indocyanine green imaging findings according to the severity of lymphedema exists, however. The purpose of tread more
Citations
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Journal ArticleDOI
Indocyanine Green–Enhanced Lymphography for Upper Extremity Lymphedema: A Novel Severity Staging System Using Dermal Backflow Patterns
Takumi Yamamoto,Nana Yamamoto,Kentaro Doi,Azusa Oshima,Hidehiko Yoshimatsu,Takeshi Todokoro,Fusa Ogata,Makoto Mihara,Mitsunaga Narushima,Takuya Iida,Isao Koshima +10 more
TL;DR: The arm dermal backflow stage, based on indocyanine green lymphographic findings, is a simple severity staging system that demonstrates a significant correlation with clinical stage.
Journal ArticleDOI
The earliest finding of indocyanine green lymphography in asymptomatic limbs of lower extremity lymphedema patients secondary to cancer treatment: the modified dermal backflow stage and concept of subclinical lymphedema.
Takumi Yamamoto,Nana Matsuda,Kentaro Doi,Azusa Oshima,Hidehiko Yoshimatsu,Takeshi Todokoro,Fusa Ogata,Makoto Mihara,Mitsunaga Narushima,Takuya Iida,Isao Koshima +10 more
TL;DR: The splash pattern is the earliest finding on indocyanine green lymphography of asymptomatic limbs of secondary lower extremity lymphedema patients, indicating that the leg dermal backflow stage allows early diagnosis of secondaryLower Extremity lyMPhedema even in a subclinical stage.
Journal ArticleDOI
Indocyanine green (ICG) lymphography is superior to lymphoscintigraphy for diagnostic imaging of early lymphedema of the upper limbs.
Makoto Mihara,Hisako Hara,Jun Araki,Kazuki Kikuchi,Mitsunaga Narushima,Takumi Yamamoto,Takuya Iida,Hidehiko Yoshimatsu,Noriyuki Murai,Kito Mitsui,Taro Okitsu,Isao Koshima +11 more
TL;DR: MRI and ICG lymphography are superior to lymphoscintigraphy or CT for diagnosis of lymphedema and the importance of dual diagnosis by examination of the lymphatic system using ICg lymphography and evaluation of edema in subcutaneous fat tissue using MRI is suggested.
Journal ArticleDOI
Minimally invasive lymphatic supermicrosurgery (MILS): indocyanine green lymphography-guided simultaneous multisite lymphaticovenular anastomoses via millimeter skin incisions.
Takumi Yamamoto,Mitsunaga Narushima,Hidehiko Yoshimatsu,Yukio Seki,Nana Yamamoto,Aiko Oka,Hisako Hara,Isao Koshima +7 more
TL;DR: Indocyanine green lymphography clearly visualizes superficial lymph flows, which helps to decide precise skin incision sites and find lymphatic vessels in LVA surgery, shortening skin incison length and operation time.
Journal ArticleDOI
Indocyanine Green Lymphography Findings in Limb Lymphedema
Mitsunaga Narushima,Takumi Yamamoto,Fusa Ogata,Hidehiko Yoshimatsu,Makoto Mihara,Isao Koshima +5 more
TL;DR: It is shown that in DB stage II, most patients are symptomatic; thus, aggressive treatments, such as lymphaticovenular anastomosis, are indicated, and in DB stages III to V, lymphaticvenular anASTomosis is recommended becausemost patients are refractory to conservative therapies.
References
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Journal ArticleDOI
Preliminary experience with a novel fluorescence lymphography using indocyanine green in patients with secondary lymphedema.
Naoki Unno,Kazunori Inuzuka,Minoru Suzuki,Naoto Yamamoto,Daisuke Sagara,Motohiro Nishiyama,Hiroyuki Konno +6 more
TL;DR: ICG fluorescence lymphography is safe, simple, and minimally invasive and may be useful in clinical practice to identify presence of lymphatic disorder.
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Concurrent Validity of Upper-Extremity Volume Estimates: Comparison of Calculated Volume Derived From Girth Measurements and Water Displacement Volume
TL;DR: Calculated volume measurements were highly associated with measurements based on water displacement; therefore, clinicians should feel confident in using either calculated volume or water displacement volume, but the differences indicated that the measures were not interchangeable.
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The problem of post-breast cancer lymphedema: impact and measurement issues.
TL;DR: Through increased measurement accuracy, LE incidence and prevalence following current therapeutic approaches for breast cancer treatment cancer will be better understood, and more informed decisions about risk factors, treatment interventions, and recovery will be made.
Journal ArticleDOI
Intraoperative lymphography using indocyanine green dye for near-infrared fluorescence labeling in lymphedema.
TL;DR: In a clinical trial, lymphography using indocyanine green dye for near-infrared fluorescence labeling in lymphaticovenular anastomoses was performed and results indicate that this technique is useful for acceptance as one of the examinations to evaluation of lymphedema.
Journal ArticleDOI
Treatment of lymphedemas by microsurgical lymphatic grafting: what is proved?
Rüdiger Baumeister,S. Siuda +1 more
TL;DR: The effect of lymph vessel transplantation has been evaluated by volume measurements and lymphatic scintiscans, showing a persistent patency of grafts, improvement of the transport index, and a persistent reduction in volume of the affected limbs.