Lymphedema Clinical Trial
Official title:
Development and Validation of a Limb Volumetry Technique Applicable in Daily Clinical Practice Using Self Positioning 3D Laser Scanning:Reproductibility and Comparison to the Reference Method
Volumetry is essential for the diagnosis and follow-up of patients with limb edema. The
objective of this project is the validation of real-time reconstruction and calculation of
limb volume using a 3D laser scanner.
Water - displacement volumetry (water-filled boot) is the reference method with known
accuracy and reproducibility, but is not commonly used in clinical practice because it is
cumbersome, difficult, and time-consuming. The most commonly used method remains segmental
limb perimetry with a tape measure, followed by volume calculation using the truncated cones
formula, thus excluding de facts extremities (hands and feet) which can neither be likened
to cones nor easily measured.
Quantification limb volume and volume changes is essential for the diagnosis and follow-up
of patients with chronic venous insufficiency or lymphedema, two very common pathological
conditions. It is mandatory for the evaluation of therapeutic approaches.
The present study will use an innovative technology of volume acquisition by freehand laser
scanning with a hand-held camera with Quantification limb volume and volume changes is
essential for the diagnosis and follow-up of patients with chronic venous insufficiency or
lymphedema, two very common pathological conditions. It is mandatory for the evaluation of
therapeutic approaches.
The present study will use an innovative technology of volume acquisition by freehand laser
scanning with a hand-held camera with real-time 3D reconstruction.
Its advantages are non-contact, accurate and detailed quantification of edema, including
extremities, allowing to assess the magnitude and topography of physiological, pathological,
or treatment - induced volume changes. This approach will ultimately provide data that will
used for designing personalized limb compression ortheses.
In each subject and patient, limb volume will be measured once by water - displacement (WD)
and twice by 3D laser scanning (3D), by 2 independent operators, in random order. In a
subgroup of patients, measurements will be repeated in the morning and evening, twice a year
(during winter and during summer) to estimate the nycthemeral and seasonal effects.
Measurements will be performed in healthy subjects and in patients with chronic venous
insufficiency or lymphedema.
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Observational Model: Case-Only, Time Perspective: Prospective
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