Understanding lymphatic anatomy featuring ICG and lymphosomes

This workshop explores lymphatic anatomy utilising the latest evidence in lymphatic imaging techniques, near-infrared fluorescence lymphatic imaging (ICG) and lymphatic territories, lymphosomes. Associate Professor Hiroo Suami is a world-expert in lymphatic research and clinicians will benefit from learning about lymphatic anatomy from a plastic surgeon who has published widely in this field over the last 10 years.

Visualisation of the lymphatics is made possible by the utilsation of near-infrared fluorescence lymphatic imaging (ICG). The ICG injection makes the lymphatic vessels appear colourful, allowing the lymphatic flow through the lymph vessels to be visible.

In the morning, students will have access to the anatomy laboratories onsite at Macquarie University. Here, they will be able to see the lymphatic system by watching dissections of both human and animal specimens. Normal anatomy will be explained, including the skin, fat, muscle, fascia and location of superficial lymphatics (collectors and nodes.)

In the afternoon, patients with lymphoedema will attend the workshop and undergo an ICG injection to allow visualisation of their individual lymphatic flow patterns. Manual lymphatic drainage (MLD) techniques will then be performed to illustrate the effect of different manual massage techniques.

A comprehensive report will be provided to the patients after the workshop to give them a better understanding of their individual lymphatic anatomy.

At the end of the day, clinicians will be able to apply the theories pertaining to lymphatic anatomy to practical skills such as manual lymphatic drainage and articulate how a patient’s individual anatomy can directly affect clinical therapy outcomes.

Tuesday 31 July 2018 8:30am to 5:00pm

Tuesday 25 September 2018 8:30am to 5:00pm

Tuesday 4 December 2018 8:30am to 5:00pm

Course content

Learning outcomes

At the conclusion of this one day workshop, lymphoedema practitioners will be able to:

  • describe lymphatic anatomy via visualisation of lymphatic anatomy using innovative diagnostic technology (ICG) and lymphatic territory descriptors (lymphosomes)
  • describe how lymphatic anatomy and lymphatic territories relates to practical treatment aspects including manual lymphatic drainage (MLD)
  • describe the theory and practical application of near-infrared fluorescence lymphatic imaging (ICG) with translation of knowledge to clinical practice

Key competencies

  • Understand lymphatic anatomy including lymph vessels, nodes, trunks and territories
  • Understand superficial anatomy of the lymphatic system and be able to compare this with lymphosomes
  • To observe the procedures involved in near-infrared fluorescence lymphatic imaging (ICG) in both normal and lymphoedema subjects and be able to describe how the technique works
  • Via observation of the ICG technique, identify normal lymphatic collectors,  lymphangion contraction and dermal backflow
  • Via observation of the ICG technique, practically appreciate the enhanced uptake of lymph into initial lymphatics with lymphatic massage and enhanced movement of lymph through the collecting lymphatics and lymphatic capillaries with lymphatic massage
  • Can identify optimal hand pressure to enhance lymph flow
  • Can identify lymphatic drainage pathways in both normal and lymphoedema subjects
  • Can utilise lymphatic mapping to plan an appropriate lymphatic massage in one subject with lymphoedema

Pre-requisites and examination

This workshop is suitable for any lymphoedema therapist who has completed equivalent of a level one lymphoedema course. It is also suitable for doctors or medical students who would like to learn more about lymphatic anatomy. The focus is not ICG, but rather understanding normal lymphatic anatomy and the utilisation of ICG to help clinicians understand both normal anatomy, pathological anatomy (i.e. when patients have lymphoedema) and the implications for clinical practice (such as understanding MLD theory and individual lymphatic drainage mapping).

Before the workshop commences, you will be invited to complete a simple pre-learning package which comprises of reading several published articles.

Catering, Venue and accommodation


Morning tea, lunch and afternoon tea are included. Please advise of any special dietary requirements as part of your registration.


The workshop will be conducted in the Seminar Room, Level 3, BLDG 75T, 75 Talavera Road, Macquarie University, New South Wales 2109, Australia.

Please note that if you are familiar with ALERT Education's workshops, this event will be held in a different venue from past events. The seminar room is located on level 3 of the Luxottica building at 75 Talavera Rd. This is the next building down the hill and on the same side as Macquarie University Hospital. There is no parking at this building, so please park as usual in the hospital or clinic car parks. You will need to enter the building itself on the Talavera Rd side.

Parking is available at the University for a fee. The University is also readily accessible by bus or train.

Please bring a cardigan/jumper in the event that the air conditioning does not meet your individual needs.

Please wear comfortable shoes, as you may be walking between buildings and standing in the anatomy laboratory.


Accommodation is available at Dunmore Lang College. Other recommended options include:

Accommodation and flights are not included in the cost of the course.

If you are travelling from interstate and overseas, please allow at least 500grams – 1kg in your luggage for course notes and brochures.

How to register

  1. Registration is not currently open due to renovations in the Anatomy Laboratories space at Macquarie University. Please register your interest.
  2. Scan and email, to alerteducation@mq.edu.au, evidence of lymphoedema qualifications (or interest in lymphatic anatomy if you are a medical student or doctor). Category One and Two Lymphoedema Therapists, according to the ALA’s classification system, are eligible to attend.
  3. Pay the course fee of $495 including GST to secure your place. Please note that registration will not be confirmed until full payment has been made. 
    Fees are to be paid in Australian dollars. For credit card payment please download the form here.
  4. If your workplace will be funding your course completion, payment may be made via Direct Bank transfer following invoice creation. If you require an invoice, please write to ALERT education via alerteducation@mq.edu.au requesting an invoice to be created.
  5. Receive confirmation of enrollment via email with your receipt and attached pre-reading once payment has been finalised.

Testimonials from past students

"I would encourage all lymphoedema therapists to do this workshop. It will change the way you treat your patients." (Jenny Coolican, PT, CLT, July 2017.)

"I am so happy to have this knowledge as my clients will benefit so much." (Danielle Brown, OT, CLT, July 2017.)

"The ICG course was invaluable in its content. I will definitely use the information provided with the treatment of my patients." (Trish Cooper, PT, CLT, July 2017.)

"Fantastic day, really challenged my thinking. Thank you. Will definitely incorporate what I have learnt today into my practice." (Lee Millard Newton, Specialist Breast Nurse, CLT.)

"Fantastic course. Speakers were very professional and full of so much knowledge. This will change the way I practice." (Jessica Kyneur, PT, CLT, July 2017.)

"A very interesting and thought provoking day with knowledgeable, experienced presenters. Enjoyed the mix of hands on plus presentations." (Jane Maher, OT, CLT, July 2017.)

"A fantastic learning experience to enhance your understanding of the lymphatic anatomy via ICG and to think about your application to MLD." (Liane O'Brien, PT, CLT, July 2017.)

"Presentations excellent and hands on experience invaluable. Thank you." (Jan Hunter, Remedial Massage Therapist, CLT, July 2017.)

“It was fascinating to see ICG in practice and to have our previous understanding of lymphatic pathways challenged. I am excited about MLD again. I would highly recommend lymphoedema clinicians attend this course.” (Stacey Bradshaw, OT, March 2017.)

“Invaluable to see ICG in action both for the therapist but also for the patient – so great for self-feedback on technique.” (Fiona Tisdale Blake, PT, March 2017)

“It was an eye opening experience to actually see the lymphatics in the anatomy lab and to see its applicability, and to experience it, when we got to see and feel what happens to real patients when ICG is used to improve their outcomes. I left very excited to be able to tell my patients about this world class treatment and research taking place at Macquarie University.” (Mish Kent, PT, March 2017.)

“I really enjoyed seeing the anatomical dissection of the lymphatic system and I know it will, in conjunction with the ICG practical session, benefit my clinical MLD.” (Heather York, PT, March 2017.)

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