The new world seen with lymphatic ultrasound (D-CUPS)

DOI
  • Hara Hisako
    Department of Lymphatic and Reconstructive Surgery, JR Tokyo General Hospital Lymphedema Clinic Tokyo
  • Mihara Makoto
    Lymphedema Clinic Tokyo

Bibliographic Information

Other Title
  • リンパ管エコー（D-CUPS）で見える新しい世界

Abstract

<p>We have reported the usefulness of lymphatic ultrasound using an 18 MHz linear probe (Noblus, Fuji Film). Degeneration of lymphatic vessels through ectasia, sclerosis, and obstruction occurs in lymphedema-affected limbs. Evaluation of lymphatic degeneration using ultrasonography has improved surgical outcomes for procedures such as lymphaticovenous anastomosis.</p><p>When identifying lymph vessels, we use the D-CUPS index to differentiate these vessels from veins, rather than use of color Doppler. The characteristics of the lymphatic vessels are defined as “cross” (passing through nearby veins), “uncollapsible” (do not collapse under pressure from the probe), “parallel” (multiple lymph vessels run in parallel), and located under the superficial fascia.</p><p>Lymphatic ultrasound is also useful for diagnosis of lymphatic function, as a minimally invasive examination that can be readily performed by medical staff. Conventional examinations of lymphatic function include lymphoscintigraphy and lymphangiography, but few medical centers can perform these methods. More widespread use of lymphatic ultrasound may lead to improved diagnosis and treatment of various diseases.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390018130491075328
  • DOI
    10.20844/jspr.40.1_36
  • ISSN
    24324388
    09188487
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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