ASSESSMENT OF LYMPHEDEMA WITH LYMPHOSCINTIGRAPHY: CAN NODAL QUANTIFICATION HELP?

Lymphoscintigraphy with combined qualitative and quantitative analysis is reported to be a more sensitive approach diagnose lymphedema in comparison the conventional clinical analysis. Our study seeks evaluate diagnostic performance of lower limb lymphoscintigraphy amalgamation by measuring ilio-inguinal nodal uptake. This prospective observational was comprised 86 patients (172 limbs) diagnosed lymphedema. After thorough grading edema, radionuclide performed as per dedicated institutional protocol. Ilio-inguinal quantification tracer uptake computed along visual scans. Additionally, corresponding mean percentage for each grade assessed cut off differentiate between normal abnormal limbs defined. Although provides objective criteria lymphedema, it can only act an adjunct method without replacing it. Finally, standardization procedure needed including potential combining both rate clearance from injection site quantification.