Table 1.

Comparison of the characteristics of fluoroscopy-guided MLD and traditional MLD.

	Fluoroscopy-Guided MLD [12,13]	Traditional MLD [12,14,15]
Stimulation of lymphatic transport in general	Patient-specific, applied on the superficial lymph vessels, lymph nodes and region with dermal backflow, visualized through lymphofluoroscopy	Blind, without knowing the patient-specific lymphatic transport and architecture
Stimulation of resorption by lymph capillaries	Short rolling and stretching with a small surface (e.g., with the thumb) to create a relatively high local pressure	Rolling and stretching movement with the whole hand
Stimulation of transport through lymph collectors	Gliding gently with the medial side of the thumb and lateral side of the index over the lymph collector; light pressure with the hands and limited shear forces on the skin	Pumping with the whole hand (i.e., rolling with the hand from index to little finger) over the lymph collector; light pressure with hands
Stimulation of transport through area with dermal rerouting	Idem stimulation of transport through lymph collectors, but greater pressure with the hands and slower hand movements	Idem stimulation of transport through lymph collectors

MLD = manual lymph drainage.