{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:17:16Z","timestamp":1792603036089,"version":"4.5.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T00:00:00Z","timestamp":1618444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lipedema is characterized by the deposition of abnormal fat in the lower and upper limbs bilaterally. It is a disease with high prevalence and genetic characteristics. Non-specific and non-quantified increases in the thickness of the subcutaneous tissue have previously been demonstrated using magnetic resonance imaging and computed tomography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the thickness of the dermis and subcutaneous tissue in predetermined areas as a distinguishing feature between individuals with and without lipedema using ultrasound.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ultrasound images of 89 female patients were analyzed, including patients undergoing clinical investigation for venous insufficiency or lipedema who underwent ultrasound evaluations at our institution. Patients were divided in two groups: with lipedema clinically diagnosed and those without lipedema. They underwent a common Doppler protocol for venous mapping to assess venous insufficiency associated with the evaluation of dermis and subcutaneous thickness at pre-defined points of the lower limbs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 63 patients with lipedema. Anterior thigh, pre-tibial and lateral aspect of the leg and supra-just medial malleolar region were significantly different. Supra-just medial malleolar region was significantly different with BMI above 25. An optimal cutoff value was calculated for the ultrasound diagnosis of lipedema using thickness of the dermis and subcutaneous tissues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Studied criteria allow use of simple and reproducible ultrasound cutoff values to diagnose lipedema in the lower limbs. Pre-tibial region thickness measurement, followed by thigh and lateral leg thickness are recommended for the ultrasound diagnosis of lipedema.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555211002340","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T06:53:52Z","timestamp":1618469632000},"page":"651-658","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":82,"title":["Ultrasound criteria for lipedema diagnosis"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4008-4029","authenticated-orcid":false,"given":"Alexandre Campos Moraes","family":"Amato","sequence":"first","affiliation":[{"name":"Chair of Vascular Surgery, University of Santo Amaro, S\u00e3o Paulo, Brazil"},{"name":"Chair of Vascular Surgery, Amato \u2013 Institute of Advanced Medicine, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dumitriu Zunino","family":"Saucedo","sequence":"additional","affiliation":[{"name":"Chair of Vascular Surgery, Amato \u2013 Institute of Advanced Medicine, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keller da Silva","family":"Santos","sequence":"additional","affiliation":[{"name":"Chair of Vascular Surgery, Amato \u2013 Institute of Advanced Medicine, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Augusto","family":"Benitti","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Medical Valens Center, Campinas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"key":"bibr1-02683555211002340","first-page":"25","volume":"1","author":"Moraes IN.","year":"2003","journal-title":"Rev Cult e Saude"},{"key":"bibr2-02683555211002340","first-page":"1","volume":"2","author":"Amato ACM.","year":"2020","journal-title":"EC Clin Med Cases Reports"},{"key":"bibr3-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1172\/jci.insight.135109"},{"key":"bibr4-02683555211002340","first-page":"4","volume":"25","author":"Amato ACM","year":"2020","journal-title":"Diagn\u00f3stico e Trat"},{"key":"bibr5-02683555211002340","unstructured":"F\u00f6ldi M, F\u00f6ldi E, Str\u00f6\u00dfenreuther R, et\u00a0al. F\u00f6ldi\u2019s textbook of lymphology: for physicians and lymphedema therapists.  M\u00fcnchen:  Elsevier Urban; Fischer, 2012."},{"key":"bibr6-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.33313"},{"key":"bibr7-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000363503.92360.91"},{"key":"bibr8-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1177\/000331978403500806"},{"key":"bibr9-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.184.1.1609085"},{"key":"bibr10-02683555211002340","first-page":"758","volume":"15","author":"Reich-Schupke S","year":"2017","journal-title":"J Dtsch Dermatol Ges"},{"key":"bibr11-02683555211002340","first-page":"121","volume":"35","author":"Monnin-Delhom ED","year":"2002","journal-title":"Lymphology"},{"key":"bibr12-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.13697"},{"key":"bibr13-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1590\/1677-5449.200049"},{"key":"bibr14-02683555211002340","unstructured":"Eduardo J, Santos M.\n                      Consenso sobre Duplex Scan (Ultrassom Doppler Colorido) para Avalia\u00e7\u00e3o da Doen\u00e7a Venosa Cr\u00f4nica dos Membros Inferiores\n                      , 2019. Rio de Janeiro: Guanabara Koogan. ISBN 9788527735858."},{"key":"bibr15-02683555211002340","first-page":"1638","volume":"159","author":"Carter JV","year":"2016","journal-title":"Surg (United States)"},{"key":"bibr16-02683555211002340","volume-title":"Lipedema \u2013 the disease they call FAT: an overview for clinicians","volume":"1","author":"Dayan E","year":"2017"},{"key":"bibr17-02683555211002340","first-page":"167","volume":"33","author":"F\u00f6ldi M","year":"2000","journal-title":"Lymphology"},{"key":"bibr18-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2014.08.011"},{"key":"bibr19-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1038\/aps.2011.153"},{"key":"bibr20-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2010.09810.x"},{"key":"bibr21-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2017.0090"},{"key":"bibr22-02683555211002340","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1621766"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555211002340","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02683555211002340","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555211002340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:52:02Z","timestamp":1777657922000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02683555211002340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,15]]},"references-count":22,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/02683555211002340"],"URL":"https:\/\/doi.org\/10.1177\/02683555211002340","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,15]]}}}