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There are a number of diagnostic tests that doctors may order to assist in aiding a differential diagnosis of lipedema, lymphedema, lipo-lymphedema (Stage IV) and/or obesity.
|Test name||Where to find||Lipedema||Mechanism||Equipment names|
|Indirect Lymphography||Cosmetic surgery offices(?)||Blue dye is injected into the ends of the limbs. Images are taken while the dye is moved through the body via the lymph system.||SPY-II|
|Lymphangioscintigraphy||LAS||Hospital Radiology||Helps to identify whether a patient has lipedema and/or lipo-lymphedema. Results of stage 1 may be "normal".||Radioactive isotope is injected into the ends of the limbs. Images are taken while the isotope is moved through the body via the lymph system. RADIATION|
|Magnetic Resonance Imaging||MRI||Hospital Imaging, Radiology,||(*1) Soft tissue (dermal and subcutis) edema and increased fat
(*1) Deep compartment of extremites unremarkable; occasional muscle "work")
(*1) Regional nodes - atrophic, absent, enlarged, or unremarkable
(*1) Dermal edema, lymphatic collaterals, "lakes" or "cisterns"
(*1) Retroperitoneal or other visceral soft tissue abnormality
|Ultrasound||Hospital Imaging, doctors offices,|
|Dual Energy X-ray Absorptiometry||DEXA|
|Bioelectric Impedence Spectroscopy (Bioimpedance)||BIS|
|Tissue Dielectric Constant (*1)|
|(*1) Credit: Dr Bernas, Tucson lipedema conference, Sept 2013|