Intranodal dynamic contrast-enhanced CT lymphangiography and dynamic contrast-enhanced MR lymphangiography in

Yukichi Tanahashi1,2, Shinichi Shoda3, Hiroshi Kawada4

  • 1Department of Radiology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan. ytanahashi77@gmail.com.

European Radiology
|February 22, 2023
PubMed
Abstract

Insights

Intranodal dynamic contrast-enhanced CT lymphangiography (DCCTL) and MR lymphangiography (DCMRL) in microminipigs showed excellent visualization of central lymphatic ducts and leakage. Both imaging techniques demonstrate significant potential for research and clinical applications in lymphatic imaging.

Area of Science:

  • Biomedical Imaging
  • Lymphatic System Research
  • Animal Models in Medical Research

Background:

  • Accurate visualization of the lymphatic system is crucial for diagnosing and managing various medical conditions.
  • Microminipigs serve as a valuable preclinical model for evaluating novel imaging techniques due to physiological similarities to humans.
  • Intranodal contrast injection allows for targeted assessment of lymphatic pathways.

Purpose of the Study:

  • To assess the feasibility and image quality of intranodal dynamic contrast-enhanced CT lymphangiography (DCCTL) and dynamic contrast-enhanced MR lymphangiography (DCMRL).
  • To evaluate the visualization of central lymphatic ducts and lymphatic leakage using DCCTL and DCMRL in a microminipig model.

Main Methods:

  • Three microminipigs underwent both DCCTL and DCMRL following inguinal lymph node injection of contrast media.
  • Quantitative analysis included measuring CT values (CEI) and signal intensity (SIR) at the venous angle and thoracic duct.
  • Qualitative assessment evaluated the morphologic legibility, visibility, and continuity of lymphatic structures on a 4-point scale.

Main Results:

  • Both DCCTL and DCMRL successfully visualized central lymphatic ducts, with peak contrast enhancement observed within 2-10 minutes.
  • DCCTL showed peak contrast enhancement at 5-10 minutes, while DCMRL peaked between 2-10 minutes depending on the specific lymphatic segment.
  • In a model of lymphatic disruption, both techniques effectively detected lymphatic leakage, highlighting their utility in identifying abnormalities.

Conclusions:

  • Intranodal DCCTL and DCMRL provide excellent visualization of the central lymphatic system and lymphatic leakage in microminipigs.
  • These findings support the research and clinical potential of both DCCTL and DCMRL for lymphatic imaging applications.
  • The study demonstrates the successful application of these advanced imaging modalities in a relevant preclinical model.

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