Meeting Banner
Abstract #0575

Noninvasive Characterization of Lymphatic Flow Velocity Using Principles of Spin Labeling

SUMMA25Swati Rane1, Paula Donahue2, John Jordi3, John C. Gore1, 4, Manus Donahue1

1Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States; 2Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, United States; 3Lymphedema Clinic, Siskin Hospital, Chattanooga, TN, United States; 4Biomedical Engineering, Vanderbilt University, Nashville, TN, United States

The aim of this study is to exploit principles of spin labeling to magnetically label water in human lymphatic fluid and for the first time noninvasively characterize the flow of lymphatic fluid to lymph nodes. We report quantitative measures of 3T lymphatic T1 (3117158 ms) and T2 (60512 ms) and use pulsed spin labeling principles in conjunction with parallel-transmit technology to quantify lymphatic flow velocity (5.9 cm/min) in healthy volunteers. Results outline the potential for lymphedema risk to be assessed in patients following axillary node removal by identifying and monitoring the compromised lymphatic flow patterns in preclinical stages of disease.

Keywords

abdominal adiabatic agents approaches approximate approximately arrival arterial available axillary bath black blood body breast cancer channel characterization characterize circles clinic coil coils commonly complicated conjunction contrast control correlate curve curves days decay deep delay designed developed dissection drainage efficiency employed equipment even exploit exponential extending extremity facility feasibility flow fluid forces gore greater guiding hand healthy hospital human hypothesized identify implemented improvements in vivo instance insufficient intervals inversion investigations ionizing john kinetic label labeling local localization locate location locations long lymph lymphatic magnetically major manual measured million morbidity much nations node nodes noninvasive note obstacles open optical overall parallel patients peak perfusion post principles procedures protocol providing pulsed quality quantification quantify radiation readout receive recovery reducing related remain report resolution risk sample sensitivity shot skin smooth spatial specialized spin spins still subject successfully suggesting suppression surface table temperature therapy thereby torso transit transmit transported treatment twice typical velocity vessel vessels volunteers water