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Abstract #3282

Transpedal MR-lymphangiography - A new imaging tool for pre-interventional planning of lymphatic interventions in patients with chylous effusions

Claus Christian Pieper1 and Hans Heinz Schild1

1Radiology, University Hospital Bonn, Bonn, Germany

Lymphatic interventions are increasingly performed for the treatment of chylous leakages. Pre-interventional evaluation of the central lymphatic system is important for adequate patient selection and planning of the interventional technique. We describe a new transpedal approach for MR-lymphangiography (tMRL) to evaluate the anatomy of central lymphatics including anatomical variations, as well as for detection of leakages and analysis of a potential interventional access site. Our results demonstrate that central lymphatic anatomy can be readily evaluated using tMRL in the majority of patients scheduled for lymphatic interventions. It is a well-tolerated, valuable diagnostic tool in the pre-interventional work-up of lymphatic interventions.

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