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What is Lymphofluoroscopy?…

At LymphVision we use a near infrared (NIR) camera and Indocyanine Green (ICG) to allow us to see your lymphatics in real time. This world leading practice will allow for the identification and mapping of the functional lymphatic vessels and the observation of any areas of lymphoedema.

How does it work?…

A small amount of ICG tracer is injected into the affected limb, a camera will then be used to show on a screen how this is taken into the lymphatics. After some time the tracer will move through the lymphatics, highlighting any pathways or blockages. The recordings are in greyscale, like an x-ray, and the room will need to be in darkness for the camera to pick up the tracer. Take a look at the images below:

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What are the advantages of this?…

The information can be sent to your therapist, who, if trained in Fluoroscopy-Guided Medical Lymphatic Drainage (FG-MLD), can drain to those pathways. As we have never previously been able to identify functioning lymphatics in real time, this development means that the therapist can ensure that they carry out an MLD technique to which they know the lymphatics are responsive to and is bespoke to you. Over all this will ensure faster and improved outcomes, also increasing cost effectiveness.

Not only is mapping particularly effective for the management of lymphoedema, but the findings can be sent to any consultants involved with your care, this information could be especially relevant to surgeons, oncologists or other therapists. Fluoroscopy mapping has also been known to assist with diagnosis of other conditions, such as lipodema, and can be used by surgeons prior to procedures to aid investigation and surgery including ophthalmic and cardiac conditions eg. to visualize blood vessels and organs.

Using Lymphofluoroscopy screening is beneficial for monitoring the progress of the FG-MLD, noticing changes in the pathways and recognizing early or developing lymphoedema.

Is there research for this?…

LymphVision works closely with Professor JP Belgrado, who is one of the world leading professors and has been working with NIR fluoroscopy for over 5 years. His works have been presented globally regarding its technique, applications and outcomes for clinical practice in Lymphoedema and other related conditions. Research carried out by Professor JP Belgrado has examined over 1300 pathological lymphatic patients. This has allowed for the identification of common lymphatic pathways of differing pathologies, leading to a better understanding of lymphatic pathways and subsequent drainage. It has also demonstrated what hand contacts, movement and pressure is necessary for effective drainage of the lymphatic system. You can find out more about this research here.

What else do I need to know?…

In addition to Lymphatic Mapping, you will be assessed by the Nurse Consultant, Jane Wigg, who will discuss the assessment and plan an individualised treatment package with you. This may be different from your existing treatment plan. Jane will also be able to recommend a local FG-MLD therapist if this is required and available.

At LymphVision, we are committed to providing the very best patient care. We want you to feel relaxed and comfortable at your appointment so please contact us if you would like any additional information and we would be happy to discuss this with you further.