Quantitative Lymphoscintigraphy to Predict the Possibility of Lymphedema Development After Breast Cancer Surgery: Retrospective Clinical Study
DC Field | Value | Language |
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dc.contributor.author | Kim, Paul | - |
dc.contributor.author | Lee, Ju Kang | - |
dc.contributor.author | Lim, Oh Kyung | - |
dc.contributor.author | Park, Heung Kyu | - |
dc.contributor.author | Park, Ki Deok | - |
dc.date.available | 2020-02-27T16:42:08Z | - |
dc.date.created | 2020-02-06 | - |
dc.date.issued | 2017-12 | - |
dc.identifier.issn | 2234-0645 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5434 | - |
dc.description.abstract | Objective To predict the probability of lymphedema development in breast cancer patients in the early post-operation stage, we investigated the ability of quantitative lymphoscintigraphic assessment. Methods This retrospective study included 201 patients without lymphedema after unilateral breast cancer surgery. Lymphoscintigraphy was performed between 4 and 8 weeks after surgery to evaluate the lymphatic system in the early postoperative stage. Quantitative lymphoscintigraphy was performed using four methods: ratio of radiopharmaceutical clearance rate of the affected to normal hand; ratio of radioactivity of the affected to normal hand; ratio of radiopharmaceutical uptake rate of the affected to normal axilla (RUA); and ratio of radioactivity of the affected to normal axilla (RRA). During a 1-year follow-up, patients with a circumferential interlimb difference of 2 cm at any measurement location and a 200-mL interlimb volume difference were diagnosed with lymphedema. We investigated the difference in quantitative lymphoscintigraphic assessment between the non-lymphedema and lymphedema groups. Results Quantitative lymphoscintigraphic assessment revealed that the RUA and RRA were significantly lower in the lymphedema group than in the non-lymphedema group. After adjusting the model for all significant variables (body mass index, N-stage, T-stage, type of surgery, and type of lymph node surgery), RRA was associated with lymphedema (odds ratio=0.14; 95% confidence interval, 0.04-0.46; p=0.001). Conclusion In patients in the early postoperative stage after unilateral breast cancer surgery, quantitative lymphoscintigraphic assessment can be used to predict the probability of developing lymphedema. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | KOREAN ACAD REHABILITATION MEDICINE | - |
dc.relation.isPartOf | ANNALS OF REHABILITATION MEDICINE-ARM | - |
dc.subject | RISK-FACTORS | - |
dc.subject | ARM LYMPHEDEMA | - |
dc.subject | RADIONUCLIDE LYMPHOSCINTIGRAPHY | - |
dc.subject | NODE DISSECTION | - |
dc.subject | WOMEN | - |
dc.subject | RADIATION | - |
dc.subject | DIAGNOSIS | - |
dc.subject | SURVIVORS | - |
dc.title | Quantitative Lymphoscintigraphy to Predict the Possibility of Lymphedema Development After Breast Cancer Surgery: Retrospective Clinical Study | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000418881700019 | - |
dc.identifier.doi | 10.5535/arm.2017.41.6.1065 | - |
dc.identifier.bibliographicCitation | ANNALS OF REHABILITATION MEDICINE-ARM, v.41, no.6, pp.1065 - 1075 | - |
dc.identifier.kciid | ART002293181 | - |
dc.identifier.scopusid | 2-s2.0-85039150783 | - |
dc.citation.endPage | 1075 | - |
dc.citation.startPage | 1065 | - |
dc.citation.title | ANNALS OF REHABILITATION MEDICINE-ARM | - |
dc.citation.volume | 41 | - |
dc.citation.number | 6 | - |
dc.contributor.affiliatedAuthor | Kim, Paul | - |
dc.contributor.affiliatedAuthor | Lee, Ju Kang | - |
dc.contributor.affiliatedAuthor | Lim, Oh Kyung | - |
dc.contributor.affiliatedAuthor | Park, Heung Kyu | - |
dc.contributor.affiliatedAuthor | Park, Ki Deok | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Breast cancer | - |
dc.subject.keywordAuthor | Lymphedema | - |
dc.subject.keywordAuthor | Lymphoscintigraphy | - |
dc.subject.keywordAuthor | Quantitative assessment | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | ARM LYMPHEDEMA | - |
dc.subject.keywordPlus | RADIONUCLIDE LYMPHOSCINTIGRAPHY | - |
dc.subject.keywordPlus | NODE DISSECTION | - |
dc.subject.keywordPlus | WOMEN | - |
dc.subject.keywordPlus | RADIATION | - |
dc.subject.keywordPlus | DIAGNOSIS | - |
dc.subject.keywordPlus | SURVIVORS | - |
dc.relation.journalResearchArea | Rehabilitation | - |
dc.relation.journalWebOfScienceCategory | Rehabilitation | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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