Abstract
During clinical trials of intralymphatic therapy with radioiodinated ethiodized oil (Lipiodol Ultra-Fluid; Ethiodol) [LUF-I131] for malignant disease involving lymph nodes, significant pulmonary deposition of radioactive material was demonstrated by thoracic scan in each of five cases treated. Radioactivity was detected in sputum obtained from two cases. Induced sputum specimens were subsequently obtained from patients undergoing lymphography. Fat demonstrated in sputum was confirmed as Lipiodol in one of six patients tested. Sputum examination and use of tracer doses of LUF-I131 plus photoscanning are suggested as sensitive methods of assessing the incidence of oil deposition in the lungs of patients undergoing lymphography. Despite limitation of the volume of oil injected, monitoring of the infusion, and absence of radiographic evidence of contrast medium in the lungs, some degree of pulmonary oil deposition appears to be an inevitable result of lymphography. Further study of lung dosimetry is being undertaken by the authors before clinical usage of endolymphatic radioisotope therapy is expanded.
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- ARIEL I. M., RESNICK M. I., GALEY D. THE INTRALYMPHATIC ADMINISTRATION OF RADIOACTIVE ISOTOPES AND CANCER CHEMOTHERAPEUTIC DRUGS. Surgery. 1964 Mar;55:355–363. [PubMed] [Google Scholar]
- BRON K. M., BAUM S., ABRAMS H. L. Oil embolism in lymphangiography. Incidence, manifestations, and mechanism. Radiology. 1963 Feb;80:194–202. doi: 10.1148/80.2.194. [DOI] [PubMed] [Google Scholar]
- CHIAPPA S., GALLI G., PALMIA C., SEVERINI A. LYMPHOGRAPHY WITH RADIOACTIVE CONTRAST MEDIUM IN LYMPHOSARCOMA AND RETICULOSARCOMA. Br J Haematol. 1965 Jan;11:32–40. doi: 10.1111/j.1365-2141.1965.tb00081.x. [DOI] [PubMed] [Google Scholar]
- DOLAN P. A. LYMPHOGRAPHY. Br J Radiol. 1964 Jun;37:405–415. doi: 10.1259/0007-1285-37-438-405. [DOI] [PubMed] [Google Scholar]
- DOLAN P. A., MOORE E. B. Improved technique of lymphangiography. Am J Roentgenol Radium Ther Nucl Med. 1962 Jul;88:110–111. [PubMed] [Google Scholar]
- FRAIMOW W., WALLACE S., LEWIS P., GREENING R. R., CATHCART R. T. CHANGES IN PULMONARY FUNCTION DUE TO LYMPHANGIOGRAPHY. Radiology. 1965 Aug;85:231–241. doi: 10.1148/85.2.231. [DOI] [PubMed] [Google Scholar]
- GOUGH M. H., GUINEY E. J., KINMONTH J. B. Lymphangiography: new techniques and uses. Br Med J. 1963 May 4;1(5339):1181–1184. doi: 10.1136/bmj.1.5339.1181. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HERMAN P. G., BENNINGHOFF D. L., SCHWARTZ S. A PHYSIOLOGIC APPROACH TO LYMPH FLOW IN LYMPHOGRAPHY. Am J Roentgenol Radium Ther Nucl Med. 1964 Jun;91:1207–1215. [PubMed] [Google Scholar]
- Hallgrimsson J., Clouse M. E. Pulmonary oil emboli after lymphography. Arch Pathol. 1965 Oct;80(4):426–430. [PubMed] [Google Scholar]
- LIEBNER E. J., HAAS R. E., LEROY E. P. EXPERIMENTAL THERAPEUTIC INTRALYMPHATIC STUDIES. Cancer. 1965 Jul;18:827–842. doi: 10.1002/1097-0142(196507)18:7<827::aid-cncr2820180709>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
- LINDSKOG G. E., LIEBOW A., KAUSEL H., JANZEN A. Pulmonary arteriovenous aneurysm. Ann Surg. 1950 Oct;132(4):591–610. doi: 10.1097/00000658-195010000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MACDONALD J. S., WALLACE E. N. LYMPHANGIOGRAPHY IN TUMOURS OF THE KIDNEY, BLADDER AND TESTICLE. Br J Radiol. 1965 Feb;38:93–99. doi: 10.1259/0007-1285-38-446-93. [DOI] [PubMed] [Google Scholar]
- MALEK P., BELAN A., KOLC J. IN VIVO EVIDENCE OF LYMPHOVENOUS COMMUNICATIONS IN THE POPLITEAL REGION. Acta Radiol Diagn (Stockh) 1965 Jul;3:344–352. doi: 10.1177/028418516500300407. [DOI] [PubMed] [Google Scholar]
- Neyazaki T., Kupic E. A., Marshall W. H., Abrams H. L. Collateral lymphatico-venous communications after experimental obstruction of the thoracic duct. Radiology. 1965 Sep;85(3):423–432. doi: 10.1148/85.3.423. [DOI] [PubMed] [Google Scholar]
- PRESSMAN J. J., SIMON M. B. Experimental evidence of direct communications between lymph nodes and veins. Surg Gynecol Obstet. 1961 Nov;113:537–541. [PubMed] [Google Scholar]
- SCHAFFER B., KOEHLER P. R., DANIEL C. R., WOHL G. T., RIVERA E., MEYERS W. A., SKELLEY J. F. A critical evaluation of lymphangiography. Radiology. 1963 Jun;80:917–930. doi: 10.1148/80.6.917. [DOI] [PubMed] [Google Scholar]
- SEITZMAN M. D., WRIGHT R., HALABY F. A., FREEMAN J. H. Radioactive lymphangiography as a therapeutic adjunct. Am J Roentgenol Radium Ther Nucl Med. 1963 Jan;89:140–149. [PubMed] [Google Scholar]
- TOBIN C. E., ZARIQUIEY M. O. Arteriovenous shunts in the human lung. Proc Soc Exp Biol Med. 1950 Dec;75(3):827–829. doi: 10.3181/00379727-75-18360. [DOI] [PubMed] [Google Scholar]