Evidence map›Paper›PMID 36258852›Full record

ArticleLaryngoscope investigative otolaryngology2022

MR-lymphangiography identifies lymphatic pathologies in patients with idiopathic recurrent cervical swelling.

Marius Vach, Julia Wagenpfeil, Andreas Henkel, Sebastian Strieth, Julian Alexander Luetkens, Yon-Dschun Ko, Hans Heinz Schild, Ulrike Irmgard Attenberger, Claus Christian Pieper

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Marius VachDepartment of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.
Julia WagenpfeilDepartment of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.
Andreas HenkelDepartment of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.
Sebastian StriethDepartment of Otorhinolaryngology University Medical Center Bonn (UKB) Bonn Germany.
Julian Alexander LuetkensDepartment of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.
Yon-Dschun KoCenter for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany.
Hans Heinz SchildDepartment of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.
Ulrike Irmgard AttenbergerDepartment of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.
Claus Christian PieperDepartment of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.ORCID https://orcid.org/0000-0002-0893-1200
University Hospital Bonn · DEJohanniter-Krankenhaus Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Idiopathic recurrent cervical swelling may be caused by lymphatic abnormalities. Methods: Ten patients (9 females, mean age 51.2 ± 7) with idiopathic recurrent cervical swelling underwent MR-lymphangiography (MRL). MR-lymphangiograms were evaluated regarding lymphatic anatomy and flow. Individualized treatment was recommended according to MRL-findings. Results: 8/10 patients presented with left-sided, 2/10 with right-sided swelling. Pathological lymph-flow was identified in all cases: thoracic duct dilatation in patients with left-sided and right lymphatic duct dilatation in right-sided swelling, accessory thoracic lymphatics in 7/10 and reflux in 8/10 cases. In two cases, a lymphatic thrombus was identified.After treatment, symptoms resolved completely in 6/10 cases and partially in 1/10 cases. The remaining three patients have intermittent swellings but have no treatment wish. Conclusion: Idiopathic recurrent cervical swelling can be caused by lymphatic anomalies. MRL displays impaired lymphatic drainage, lymphatic vessel dilatation, and chylolymphatic reflux as hallmarks of this condition and may aid in targeted treatment planning.

Indexed as

cervical swellingchylothoraxlymphangiographylymphedemamagnetic resonance imaging

Identifiers

PMID36258852
PMCPMC9575114
OpenAlexW4296349706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.