Methodological protocol for lymphoscintigraphy in limb edema (Prof. Bourgeois)
The latest version of the protocol for lymphoscintigraphy by Prof. Dr Pierre Bourgeois can be downloaded at the bottom of this page.
It can also be found in the “slides and videos” section of the website, this is for members in due order of paiement only.
Please find an overview of the table of content below:
Methodological protocol for the scintigrahic investigations of the superficial lymphatic system in patients with limb edemas
page 2 The rationales of our protocol
page 2 For the lower limb edemas… in summary
page 2 For the upper limb edemas… in summary
page 3 The “phase 1” in patients with upper limb edema after axillary nodes dissection?
page 3 Why such a protocol?
page 4 The interpretation of the imagings after these 3 phases?
page 5 Reasons for adapting the methodological approach
Our protocol in details
page 6 The preparation of the “tracer”… is the same for the upper and lower limbs
page 6 The Type of Injection (“Intradermal”? “Subcutaneous”?) and their implications…
The (partly) intravenous injections?
page 6 The site of injections!
(The Deep Lymphatic System ?)
page 7 The pictures at the level of the injected sites
page 8 The pictures at the level of the upper limbs
page 10 Our iconographies… for the lower limb lymphoscintigraphies
page 12 For-The “lympho-SPECT-CT” investigations?
page 12 For-The lympho-spect-ct definitions!
page 13 Indications for lympho-spect-ct!
page 14 SPECT-CT in-for the therapeutic management of lymphedematous patients?
page 15 For-The Additional Injection at the root of the limb!
page 15 For-The Additional Injection at the level of the pelvis and of the thoracic wall!
Written by Prof. Dr Pierre Bourgeois
President of the Belgian Society of Lymphology
Service of Nuclear Medicine and Multidisciplinary Clinic-Unit of Lymphology
Group R&D Clinical Appplications of Fluorescence Imagings
Institut Jules Bordet