Summary: Appropriate Use Criteria for Lymphoscintigraphy in Sentinel Node Mapping and Lymphedema/Lipedema

J Nucl Med. 2023 Apr;64(4):525-528. doi: 10.2967/jnumed.123.265560. Epub 2023 Mar 23.

Abstract

Expert representatives from 11 professional societies, as part of an autonomous work group, researched and developed appropriate use criteria (AUC) for lymphoscintigraphy in sentinel lymph node mapping and lymphedema. The complete findings and discussions of the work group, including example clinical scenarios, were published on October 8, 2022, and are available at https://www.snmmi.org/ClinicalPractice/content.aspx?ItemNumber=42021 The complete AUC document includes clinical scenarios for scintigraphy in patients with breast, cutaneous, and other cancers, as well as for mapping lymphatic flow in lymphedema. Pediatric considerations are addressed. These AUC are intended to assist health care practitioners considering lymphoscintigraphy. Presented here is a brief overview of the AUC, including the rationale and methodology behind development of the document. For detailed findings of the work group, the reader should refer to the complete AUC document online.

Keywords: appropriate use; lymphedema/lipidema; lymphoscintigraphy; sentinel node mapping.

MeSH terms

  • Breast Neoplasms* / pathology
  • Child
  • Female
  • Humans
  • Lipedema* / pathology
  • Lymph Nodes / diagnostic imaging
  • Lymph Nodes / pathology
  • Lymphedema* / diagnostic imaging
  • Lymphedema* / pathology
  • Lymphoscintigraphy
  • Radionuclide Imaging
  • Sentinel Lymph Node Biopsy / methods