State-of-the-art imaging for lymphatic evaluation in children

被引:10
|
作者
Ramirez-Suarez, Karen, I [1 ]
Tierradentro-Garcia, Luis Octavio [1 ]
Stern, Joseph A. [1 ]
Dori, Yoav [2 ,3 ]
Escobar, Fernando A. [1 ,2 ]
Otero, Hansel J. [1 ,2 ]
Rapp, Jordan B. [1 ,2 ]
Smith, Christopher L. [2 ,3 ]
Krishnamurthy, Ganesh [1 ]
Biko, David M. [1 ,2 ]
机构
[1] Childrens Hosp Philadelphia, Dept Radiol, 3401 Civ Ctr Blvd, Philadelphia, PA 19104 USA
[2] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
[3] Childrens Hosp Philadelphia, Dept Pediat, Div Cardiol, Philadelphia, PA 19104 USA
关键词
Children; Dynamic contrast-enhanced magnetic resonance lymphangiography; Lymphangiography; Lymphatic system; Magnetic resonance imaging; Protocols; MAGNETIC-RESONANCE LYMPHANGIOGRAPHY; CONTRAST-ENHANCED ULTRASOUND; INTRANODAL LYMPHANGIOGRAPHY; THORACIC-DUCT; EMBOLIZATION; LYMPHOGRAPHY; EXPERIENCE;
D O I
10.1007/s00247-022-05469-6
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The lymphatic system has been poorly understood and its importance neglected for decades. Growing understanding of lymphatic flow pathophysiology through peripheral and central lymphatic flow imaging has improved diagnosis and treatment options in children with lymphatic diseases. Flow dynamics can now be visualized by different means including dynamic contrast-enhanced magnetic resonance lymphangiography (DCMRL), the current standard technique to depict central lymphatics. Novel imaging modalities including intranodal, intrahepatic and intramesenteric DCMRL are quickly evolving and have shown important advances in the understanding and guidance of interventional procedures in children with intestinal lymphatic leaks. Lymphatic imaging is gaining importance in the radiologic and clinical fields and new techniques are emerging to overcome its limitations.
引用
收藏
页码:1380 / 1390
页数:11
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