Below is an outline of the diagnostic testing I have had undergone to diagnose and investigate my Lymphedema. My next scan will take place in Paris in April 2018. It will be another lymphatic MRI to check the progress of my SAPL surgery.
December 2016: Follow up Lymphatic MRI
- Performed 8 months after my lymph node transfer, Hartmann Clinique Paris. Doctor Luc Rotenberg.
- Explanation- If you compare these images to my first MRI scan (below) you will see that the black areas (which indicate liquid in the tissue space) are dramatically reduced and less filled with liquid. This scan was performed 8 months after my first surgery (LNT) and shows an improvement of drainage of lymph fluid. New lymphatic vessels can be seen growing around the implant site.
April 2016- First MRI scan (before any surgery)
- Performed at the Clinique Hartmann, Paris by Doctor Luc Rotenberg.
- Explanation- Lymphatic MRI of the lower limbs. (Note: a research video I watch (dated 2010) explained that this type of MRI is not available in the USA– maybe it is available now in 2018 but this needs to be clarified).
- The areas you can see are right and left leg comparisons as well as my groin area and feet.
- Results confirm lymphedema in the left leg, from the ankle to mid-thigh. There is an asymmetry between left and right sides- left side has significantly fewer lymph nodes than normally present. No abnormality detectable above or below the left knee in the lymphatic vessels. Most likely congenital in nature. No noticeable lymphedema in the right leg.
Click to enlarge the images.
November 2014 – Lymphoscintigraphy
Lymphoscintigraphy is now the primary imaging modality used in determining a diagnosis in patients with suspected extremity lymphedema.
AREAS: Left and right legs
RESULTS: The left limb presents a dysfunction in the lymphatic drainage. Most likely in the deeper lymphatic vessels.