Lymphography: An old technique retains its usefulness
Lymphography: An old technique retains its usefulness
复制标题
DOI：
10.1148/rg.236035704
复制
发表时间：
2003-11-01
期刊：
影响因子：
5.5
通讯作者：
Sarfati, E
中科院分区：
文献类型：
--
作者：
Guermazi, A;Brice, P;Sarfati, E
传统淋巴造影长期以来一直是淋巴系统成像的首选方法。然而，自从引入横断面成像技术，特别是计算机断层扫描（CT）以来，在肿瘤中心进行的淋巴学研究的数量明显下降。因此，在进行淋巴造影和解释淋巴图方面的专业水平正在下降。淋巴造影显示正常大小淋巴结内部结构紊乱的独特能力是有价值的，并且在评估某些淋巴瘤（特别是霍奇金病）和泌尿生殖系统恶性肿瘤时比CT更准确。事实上，对于某些淋巴瘤和泌尿生殖系统恶性肿瘤的分期，淋巴造影和CT是互补而不是相互排斥的技术。此外，淋巴管造影可以使淋巴管变得不透明，因此可能是检测淋巴管瘘管或淋巴管渗漏的一种有价值的工具。最后，淋巴造影有助于指导淋巴瘤、泌尿生殖系统恶性肿瘤或淋巴流动紊乱患者的后续治疗。
Conventional lymphography has long been the method of choice for imaging the lymphatic system. However, the number of lymphographic studies performed in oncology centers has declined markedly since the introduction of cross-sectional imaging techniques, especially computed tomography (CT). Therefore, levels of expertise in both performing lymphography and interpreting lymphograms are falling. The unique ability of lymphography to demonstrate derangements of the internal architecture of normal-sized lymph nodes can be valuable and makes it more accurate than CT in evaluation of some lymphomas (especially Hodgkin disease) and genitourinary malignancies. In fact, lymphography and CT are complementary rather than mutually exclusive techniques for the staging of some lymphomas and genitourinary malignancies. In addition, lymphography opacifies the lymphatic channels and therefore may be a valuable tool for detection of lymphatic fistulas or lymphatic leakage. Finally, lymphography helps guide subsequent therapy in patients with lymphomas, genitourinary malignancies, or disorders of lymphatic flow.