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MR lymphangiography in the pediatric population: 10-year single institution experience
Journal article   Peer reviewed

MR lymphangiography in the pediatric population: 10-year single institution experience

Lavi Nissim, Evan Jacobs, M'’Hamed Temkit, Scott Willard, Carrie Schaefer, Richard Southard and Joshua Pohlman
Clinical imaging, Vol.121, p.110464
05/01/2025
PMID: 40163952

Abstract

Lymphangiogram Lymphangiography Pediatric interventional radiology Pediatric lymphangiogram
The purpose of this study is to demonstrate the feasibility of magnetic resonance (MR) lymphangiography in the pediatric population, as well as assess patient risk factors which may impact procedural success. A total of 57 MR lymphangiograms (MRL) were performed over a 10-year period at a single stand-alone pediatric hospital. Patients with known or suspected pathology related to central lymphatic flow were enrolled. The study revealed a procedural success rate of 98.2 % for MR lymphangiography in the pediatric population, with visualization of the central lymphatics on MRI in 91.1 %. Patient age, body mass, and lymph node length did not have a statistically significant influence on the success of the procedure or MRI visualization of lymphatic channels. In the pediatric population, MRL has a high technical success rate and is a safe tool for assessing lymphatic abnormalities. •MR Lymphangiography presents a unique tool to determine the etiology of lymphatic conduction abnormalities in pediatric patients.•This study demonstrates the technical feasibility of MR lymphangiogram over a 10-year time period at a single freestanding pediatric acute care hospital.•In addition, the study examines risk factors which may impact technical success of the procedure in the pediatric population, including patient age, body mass, and size of groin lymph nodes.

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