Call for a Multidisciplinary Effort to Map the Lymphatic System with Advanced Medical Imaging Techniques: A Review of the Literature and Suggestions for Future Anatomical Research

Anat Rec (Hoboken). 2019 Oct;302(10):1681-1695. doi: 10.1002/ar.24143. Epub 2019 May 23.

Abstract

This review intends to rekindle efforts to map the lymphatic system by using a more modern approach, based on medical imaging. The structure, function, and pathologies associated with the lymphatic system are first discussed to highlight the need for more accurately mapping the lymphatic system. Next, the need for an interdisciplinary approach, with a central role for the anatomist, to come up with better maps of the lymphatic system is emphasized. The current approaches on lymphatic system research involving medical imaging will be discussed and suggestions will be made for an all-encompassing effort to thoroughly map the entire lymphatic system. A first-hand account of our integration as anatomists in the radiotherapy department is given as an example of interdisciplinary collaboration. From this account, it will become clear that the interdisciplinary collaboration of anatomists in the clinical disciplines involved in lymphatic system research/treatment still holds great promise in terms of improving clinical regimens that are currently being employed. As such, we hope that our fellow anatomists will join us in an interdisciplinary effort to map the lymphatic system, because this could, in a relatively short timeframe, provide improved treatment options for patients with cancer or lymphatic pathologies all over the world. Anat Rec, 302:1681-1695, 2019. © 2019 American Association for Anatomy.

Keywords: anatomical validation; contrast agents; interdisciplinary research; lymphatic gross anatomy; lymphatic system mapping; medical imaging; modeling; radiotherapy.

Publication types

  • Review

MeSH terms

  • Anatomists / organization & administration
  • Biomedical Research / organization & administration*
  • Dissection
  • Humans
  • Imaging, Three-Dimensional*
  • Interdisciplinary Communication*
  • Lymphatic System / anatomy & histology*
  • Lymphatic System / diagnostic imaging
  • Radiology / organization & administration