Lee Seunghyun,  Hur Saebeom,  Choi Young Hun,  Cho Yeon Jin,  Cheon Jung-eun,  Kim Woo Sun,  Kim In-one

Final Pr. ID: Poster #: SCI-032

The recent advances of the lymphatic intervention, has prompted progress in imaging of the lymphatic system. We would describe the clinical usefulness of the dynamic contrast-enhanced (DCE) magnetic resonance (MR) lymphangiography for imaging of the lymphatic system in pediatric patients. Read More

Authors:  Lee Seunghyun , Hur Saebeom , Choi Young Hun , Cho Yeon Jin , Cheon Jung-eun , Kim Woo Sun , Kim In-one

Keywords:  lymphangiography, MRI, dynamic contrast-enhanced

Kikke Stacy,  Ritze Kimberly

Final Pr. ID: Poster #: CR-003 (T)

The purpose of this submission is to educate technologists in performing magnetic resonance (MR) lymphangiography in conjunction with intranodal gadolium contrast injection in the pediatric patient. MR lymphangiography is a new procedure in the pediatric population. The lymphatic system plays the important role of transporting fluid from tissue back into the venous system via lymphovenous connections. Despite this key role, there has been a poor understanding of lymphatic flow physiology. The recent development of dynamic contrast intranodal MR lymphangiography, which provides quick and reliable access to the central lymphatic system, has provided insight into understanding the pathophysiology of several lymphatic flow disorders and provides guidance for interventional procedures. It also makes it possible to see central lymphatic anatomy with high spatial and temporal resolution. This allows clinicians to map the anatomy of the lymphatic system to determine the location of lymphatic leaks. MR lymphangiography may reduce the need for conventional IR lymphangiogram and spare patient’s radiation exposure. Read More

Authors:  Kikke Stacy , Ritze Kimberly

Keywords:  mrI, lymphangiography, abdominal

Lillis Anna,  Krishnamurthy Ramkumar,  Boe Brian,  Setty Bhuvana,  Sena Laureen,  Krishnamurthy Rajesh

Final Pr. ID: Paper #: 018

Dynamic Contrast Enhanced MR Lymphangiography (DCMRL) allows evaluation of the central conducting lymphatics in patients with central lymphatic flow dysfunction. Direct injection of gadolinium contrast into inguinal lymph nodes followed by serial imaging allows visualization of lymphatic channels and lymphodynamics. This study reviews the DCMRLs performed at our institution over a 2 year period including indications, findings and impact on clinical management. Read More

Authors:  Lillis Anna , Krishnamurthy Ramkumar , Boe Brian , Setty Bhuvana , Sena Laureen , Krishnamurthy Rajesh

Keywords:  MR Lymphangiography, Thoracic Duct, Lymphatic

Joshi Aparna,  Grove Jason,  Ladino-torres Maria

Final Pr. ID: Poster #: EDU-005

Dynamic contrast-enhanced MR lymphangiography (DCEMRL) with intranodal injection has emerged as a useful tool in evaluating lymphatic disorders. We share our institutional experience with DCEMRL in infants through a detailed discussion of technique and series of case presentations.

Techniques for nodal access and imaging infants with DCEMRL are explained through text and step-by-step illustrations.

MR lymphangiography images of infants between 22 days and 8 weeks of age are presented with multi-modality correlation, including patients with congenital chylous ascites, non-immune fetal hydrops, and postsurgical chylothorax. Each case discussion includes a review of relevant lymphatic anatomy, explanation of the disease process, and key teaching points regarding DCEMRL in infants. Read More

Authors:  Joshi Aparna , Grove Jason , Ladino-torres Maria

Keywords:  Lymphangiography, Infant, MR

Bodner Jeffrey,  Khanna Geetika,  Riedesel Erica,  Gill Anne,  Hawkins Matt,  Shah Jay,  Variyam Darshan,  Alazraki Adina

Final Pr. ID: Poster #: EDU-052

Evolution of MR Lymphangiography has expedited diagnosis and advanced potential implications for treatment in lymphatic disorders. In particular, evaluation of the central conducting lymphatic channels with dynamic contrast enhanced MR provides better spatial resolution, while sparing ionizing radiation inherent in lymphangio-scintigraphy and catheter lymphangiography.

We will review indications, technique with pearls and pitfalls, and overall success rates after MR lymphangiography at our institution. To discuss post-imaging clinical outcomes and implications for treatment. To illustrate imaging findings of various lymphatic pathology diagnosed on MR. Read More

Authors:  Bodner Jeffrey , Khanna Geetika , Riedesel Erica , Gill Anne , Hawkins Matt , Shah Jay , Variyam Darshan , Alazraki Adina

Keywords:  Lymphatic, Lymphangiography, MR

Biko David,  Pinto Erin,  Krishnamurthy Ganesh,  Escobar Fernando,  Dori Yoav,  Smith Christopher,  Dewitt Aaron,  Gillespie Matthew,  Rome Jonathan,  Glatz Andrew,  Rapp Jordan,  Otero Hansel,  O'byrne Michael

Final Pr. ID: Paper #: 015

To report on our initial experience with the use of mesenteric dynamic contrast MR lymphangiography (DCMRL) for evaluation of the lymphatics in patients with concern for mesenteric lymphatic flow disorders and compare these findings to intranodal (IN) DCMRL and intrahepatic (IH) DCMRL. Read More

Authors:  Biko David , Pinto Erin , Krishnamurthy Ganesh , Escobar Fernando , Dori Yoav , Smith Christopher , Dewitt Aaron , Gillespie Matthew , Rome Jonathan , Glatz Andrew , Rapp Jordan , Otero Hansel , O'byrne Michael

Keywords:  MR lymphangiography, mesenteric imaging