Noncontrast three-dimensional magnetic resonance imaging vs lymphoscintigraphy in the evaluation of lymph circulation disorders: A comparative study

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Noncontrast three-dimensional magnetic resonance imaging vs lymphoscintigraphy in the evaluation of lymph circulation disorders: A comparative study Ningfei Liu, MD, PhD, Chenguang Wang, MD, PhD, Minghua Sun, MD, Journal of Vascular Surgery Volume 41, Issue 1, Pages 69-75 (January 2005) DOI: 10.1016/j.jvs.2004.11.013 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 External genital chylorrhea in 45-year-old man. a, Lymphoscintigraphy shows extensive backflow in the inguinal region, the lower abdomen, and the scrotum, with intact lymphatic collectors of the lower extremities. b, The magnetic resonance imaging clearly displays massively enlarged inguinal (arrowhead), iliac, and scrotum (arrow) lymphatics and inguinal nodes. The large lumbar trunks are clearly seen. Journal of Vascular Surgery 2005 41, 69-75DOI: (10.1016/j.jvs.2004.11.013) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 A 34-year-old man with lymphatic hyperplasia of the left leg. a, Lymphoscintigraphy shows an intensive radioactive signal along the medial part of the left lower extremity and in the pelvis, groin, and scrotum. b, Three-dimensional magnetic resonance imaging depicts enlarged lymphatics in the thigh (arrow). The estimated diameter of the lymphatics is 2 to 5 mm. Clusters of dilated inguinal, iliac, scrotum, and lumbar trunks (arrowhead) are also visualized. Journal of Vascular Surgery 2005 41, 69-75DOI: (10.1016/j.jvs.2004.11.013) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 A 48-year-old man with right leg lymphedema and severe inguinal chylous reflux. a, Lymphoscintigraphy demonstrates that lymphatic transport in the limbs is intact, but there is prominent radiotracer filling in the thigh, inguinal, iliac, and retroperitoneal regions on the right. b, Three-dimensional magnetic resonance imaging displays extremely dilated chyliferous inguinal and iliac collectors with accumulated chyle, as well as lumbar trunks (arrowhead). The inguinal nodes on the left are also enlarged. Journal of Vascular Surgery 2005 41, 69-75DOI: (10.1016/j.jvs.2004.11.013) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 4 Chylorrhea in a 24-year-old man. a, Lymphoscintigraphy displays strong radioactivity in the abdomen, right groin, and thigh areas. b, Magnetic resonance imaging demonstrates massive lymphatic varices of the inguinal and iliac regions and extremely dilated periaortic and peri-iliac lymphangiectasia. Journal of Vascular Surgery 2005 41, 69-75DOI: (10.1016/j.jvs.2004.11.013) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 5 Lymphedema tarda in a 15-year-old boy. a, Lymphoscintigraphy demonstrates that the radiotracer accumulates in the right leg without identified lymphatic collectors in the thigh. b, Stereo magnetic resonance imaging provides clear picture of bundles of lymphatic collectors in the thigh with a significantly increased number and diameter. Journal of Vascular Surgery 2005 41, 69-75DOI: (10.1016/j.jvs.2004.11.013) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions