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Journal : MEDISAINS

Transport index in lymphoscintigraphy for patients with lymphedema: a case report Kurniawati, Yulia; Elliyanti, Aisyah; Zahra, Rahmi
MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan Vol. 24 No. 1 (2026)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v24i1.29636

Abstract

Background: Lymphedema is an interstitial edema caused by impaired lymphatic drainage. Lymphoscintigraphy is a functional imaging modality used to evaluate lymphatic flow and diagnose lymphedema, with interpretation performed qualitatively and semi-quantitatively using the Transport Index (TI). Case Presentation: Four patients with progressive unilateral extremity swelling at RSUP M. Djamil Hospital underwent lymphoscintigraphy. Subcutaneous injections of 99mTc-albumin nanocolloid were administered into both extremities, followed by dynamic and delayed imaging up to three hours after injection. Two patients showed complete lymphatic obstruction with TI scores of 36, while contralateral extremities demonstrated normal lymphatic transport (TI 1.2). The remaining two patients showed delayed lymphatic drainage with TI scores of 10.2, whereas contralateral extremities demonstrated near-normal TI values (1.2–4.2). TI values <10 indicate normal lymphatic transport, whereas values ≥10 reflect lymphatic dysfunction. Conclusion: Qualitative and semi-quantitative analyses using the Transport Index provide consistent results in evaluating lymphatic dysfunction. Lymphoscintigraphy combined with TI scoring offers an objective and reproducible approach to improve diagnostic accuracy and support clinical decision-making, including treatment planning and disease monitoring.
Co-Authors Ade Sukma Afriwardi Afriwardi Andani Eka Putra Angriani, Winda Ariani, Novita Arina Widya Murni Arnelis Arnelis Arni Amir Ashal, Taufik Aswiyanti Asri Aziza, Zulva Bobby Indra Utama Cimi Ilmiawati, Cimi Daan Khambri Dani Rosdiana Desmawati Desmawati Dewi Anggraini Dewi Anggraini Dia Rofinda, Zelly Dia Dian Pertiwi Dian Pertiwi Ediwi, Nabila C. Elisabet, Adinda Elizabeth Bahar Elmatris Sy Eryati Darwin Esha, Indi Eti Yerizel Faiz Chalidzar Fasril , Thira Febrianti Ika Kurnia Febrianti, Ika K. Fika Anggraini Fika Anggraini Firdawati, Firdawati Fitri Wahyu Febriwani Genia, Dara Indah Hafizhah, Nurul Hanifah, Zulfa N. hanifah, zulfa nur Hanum, Fathiya Juwita Harahap, Sari Hendriati, Hendriati Herlambang Herlambang Husna Yetti Husna, Annisaul Husnil Wardiyah Ibrahim, Raihan Syah Ilmiati Ilmiati INDRA YOVI Intan, Shinta Ayu Irrahmah, Miftah Iskandar Iskandar Johan S. Masjhur, Johan S. Julizar Julizar Julizar Julizar Julizar Julizar Katrin Monika Lili Irawati Lili Irawati Lusikooy, Ronald E. Mardhatilah, Ashifa Meidrin Joni Miftah Irrahmah Miftah Irrahmah Miftah Irramah Mohamad Reza Monika, Katrin Netti Suharti, Netti Noormartany Nora Harminarti Noza Hilbertina, Noza Nur Afrainin Syah Nurhajjah, Sitti Nurrahma, Zuyyina ER. Putra, Andani E. Putri, Nabila Putri, Rahmi T. Raden Mohamad Herdian Bhakti Rahmad Syawqi Rahmad Syawqi Rahman, Fikri Rahmat Syawqi Rahmat Syawqi Raihan Syah Ibrahim Ramacos Fardela Rasya, Salsabila Faiha Wiendra Rasyada, Latifah Aulia RAVEINAL RAVEINAL Rima Semiarty Rina Gustia Rivai, Muhammad I. Rizanda Machmud S Setiyowati Sabar Hutabarat Safari, Dodi Safitri, Nuridha Audinia Salsabila, Dhianisa Sarassari, Rosantia Shapira, Vanesya Zahrani Simanjuntak, Arya M. Siregar, Fajri M. Siregar, Muhammad Abi Ghoffari Siti Nurhajjah Soehartati Gondhowiardjo Sorayya A'dilah Putri Sri Setiyowati Suminta RS, Teresia Susilo, Veronica Y. Syah, Nur A. Syaiful Azmi Syamel, Muhammad Tenny Putri Wikayani, Tenny Putri Tofrizal, Alimuddin Tri Hanggono Achmad Veronica, R. Merlinda VY Susilo Wirsma Arif Harahap Wulandari Wulandari Yose Ramda Ilhami Yose Ramda Ilhsmi Yulia Iriani, Yulia Yulia Kurniawati Yulia Kurniawati Yulia Kurniawati Yulia Margaretta Sari Yulistini, Yulistini Yusticia Katar, Yusticia Zahra, Rahmi Zelly Dia Rofinda