Magnetic Resonance Lymphangiography

Govind B Chavhan; Christopher Z Lam; Mary-Louise C Greer; Michael Temple; Joao Amaral; Lars Grosse-Wortmann

doi:10.1016/j.rcl.2020.02.002

Magnetic Resonance Lymphangiography

Radiol Clin North Am. 2020 Jul;58(4):693-706. doi: 10.1016/j.rcl.2020.02.002. Epub 2020 May 6.

Authors

Govind B Chavhan¹, Christopher Z Lam², Mary-Louise C Greer², Michael Temple³, Joao Amaral³, Lars Grosse-Wortmann⁴

Affiliations

¹ Department of Diagnostic Imaging, The Hospital for Sick Children and Medical Imaging, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada. Electronic address: govind.chavhan@sickkids.ca.
² Department of Diagnostic Imaging, The Hospital for Sick Children and Medical Imaging, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada.
³ Department of Diagnostic Imaging, The Hospital for Sick Children and Medical Imaging, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada; Division of Image Guided Therapy (IGT), Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada.
⁴ Department of Diagnostic Imaging, The Hospital for Sick Children and Medical Imaging, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada; Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada.

PMID: 32471538
DOI: 10.1016/j.rcl.2020.02.002

Abstract

Dynamic contrast-enhanced magnetic resonance lymphangiography is a novel technique to image central conducting lymphatics. It is performed by injecting contrast into groin lymph nodes and following passage of contrast through lymphatic system using T1-weighted MR images. Currently, it has been successfully applied to image and plan treatment of thoracic duct pathologies, lymphatic leaks, and other lymphatic abnormalities such as plastic bronchitis. It is useful in the assessment of chylothorax and chyloperitoneum. Its role in other areas such as intestinal lymphangiectasia and a variety of lymphatic anomalies is likely to increase.

Keywords: Chyloperitoneum; Chylothorax; Lymphatic anomalies; Lymphedema; MR Lymphangiography; Plastic bronchitis.

Publication types

Review

MeSH terms

Humans
Lymphatic Diseases / diagnostic imaging*
Lymphography / methods*
Magnetic Resonance Imaging*