Bioimpedance for the spot measurement of tissue density

Long-standing lymphoedema is characterised by tissues changes which are currently not detectable using bioimpedance spectroscopy. It has been suggested that a combination of bipolar and tetrapolar measurements may be used to detect these tissues changes for a single site in the transverse direction. This was technique was trialled in a group of control participants with no history of lymphoedema or recent upper limb trauma. Repeated spot measurements were done without removal of electrodes to determine biological variability as well as with removal of electrodes to determine technical reproducibility. The inter-limb spot ratio of the controls was then compared to that of a number of women previously diagnosed with secondary lymphoedema in the forearm. Biological variability was not found to greatly influence repeated measures but only moderate technical reliability was found despite excellent co-efficient of variation for the majority of the measurements. A difference was seen between those with more severe swelling and the controls. This novel technique shows promise in detecting tissue changes associated with long-standing lymphoedema.