1. 1 Lymphatic System: Green-superficial Black- deep

2. 2 RT AND LT LYMPH DRAINAGE

3. 3 LYMPH DRAINAGE

4. 4 Lymphography General term applied to the radiologic examination of: – Lymph nodes – Lymph Vessels Usually done to demonstrate pelvis and abdomen – Injected in foot For axillary, clavicular area and upper limbs – Injected in hand Checks drainage of lymph nodes

5. 5 Pre Procedure Obtain PT history Obtain PT consent Make sure to have all supplies Positioning aides and comfort supplies

6. 6 Procedure Inject blue dye under skin in between toes Inject small amount of contrast into the lymph vessels – Show blue tint Nodes in pelvis and abdomen are demonstrated with foot injection

7. 7 Procedure X-rays are usually taken 1 HR after injection – 24 hrs – 48 hrs (if needed) – 72hrs (if needed) First hour – Contrast in lymph ducts 24 hours – If lymph nodes After 24 hours it is indicative of cancer

8. 8 Post Procedure 1.Watch for signs of infection Swelling red and warm to touch Accompanied by a fever Contact DR right away 2.Drink lots of water 3.Major swelling in one limb Especially limb injected

9. 9 Indications Check for metastasis Edema in limbs – Obstruction Infections Rule out cancer

10. 10 Contrast Oil based – More commonly used – Ethiodal – Lipodal Water based Iodine – Less commonly used – Ionic – Non-ionic

11. 11 Iliopelvic-aortic Lymphatic System

12. 12 Iliopelvic Abdominoaortic Lymph Nodes

13. 13 Inguinal Region

14. 14 Lymphography

15. 15 Upper Limb Lymphography