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.

On the day…

You will usually be seen by Jane Wigg for an initial consultation, involving a discussion of your lymphoedema history and assessment.  At this point we will explain the procedure, discuss any questions you may have and confirm your consent for us to  carry out the procedure.

Following the consultation, the fluoroscopy involves injecting a tiny amount of Indocyanine Green (ICG) into the  swollen area, usually a hand or foot. We use a Near Infrared camera to watch the initial uptake of the tracer into the lymphatics, this should take around 20 minutes. At this point we may be able to see your immediate drainage pathways, which we ‘map’ on the skin with a skin-safe marker. This is followed by the ‘wait time’, as it can take around 4 hours for the tracer to move through damaged lymphatics. We will ask you to return at an agreed time later in the day. This protocol helps us to ensure that we can fully map all affected areas. There is no reason why during this time you could not go about all usual activities, such as driving, walking, eating etc.

When you return for the mapping we will use the camera again and this time map the lymphatics fully. We use the skin-marker to denote areas of oedema, nodes and related lymphatic findings. These markings will make up an FG-MLD plan which will be sent to you to assist in your Self Lymphatic Drainage (SLD) but it can also be shared with your lymphoedema clinic or MLD therapist. Using our NIR camera we will record a full video of the findings which you will be able to see ‘live’ on a screen. This can be sent to you following the appointment.

The Research…

LymphVision works closely with Professor JP Belgrado, who  as a world leading expert, 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 related conditions. This research has examined in excess of 1,600 pathological lymphatic patients through NIR fluoroscopy. This has identified common lymphatic pathways of differing pathologies, leading to a better understanding of lymphatic pathways and subsequent drainage. It has demonstrated what hand contacts, movement and pressure is necessary for effective drainage of the lymphatic system.

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.