MQ Health - Macquarie University

Lymphoedema Clinic

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 with near-infrared fluorescence lymphatic imaging (ICG). The ICG dye makes the lymphatic vessels appear colourful, allowing the lymphatic flow through the lymph vessels to be visible.

2020 Courses

When: Dates to be confirmed.
Cost: $490.00 (excluding GST)

Register Interest

For further information please contact:

Course Overview

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

Course Content

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

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.



The workshop will be conducted in Room G10, Ground Floor, 2 Technology Place, (Clinic Building) Macquarie University, New South Wales 2109, Australia.

Please note the room is located on the Ground Floor of Macquarie University Clinic Building. Parking is available for a fee in the hospital or clinic car parks.

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



Recommended options for accommodation include:

Accommodation may also be available at Dunmore Lang College or Robert Menzies College. Please contact the colleges for availability.

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

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

How to register

How to register

  1. Register using the 'register now' link when course is open.
  2. Scan and email evidence of lymphoedema qualifications (or interest in lymphatic anatomy if you are a medical student or doctor) to Qualified Lymphoedema Practitioners (135 hours of training equivalent) are eligible to attend.
  3. Pay the course fee 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 and must be made via credit card.
  4. If your workplace will be funding your course participation and is unable to pay by credit card, please write to ALERT education at to request an invoice for payment by direct deposit.
  5. Receive confirmation of enrollment via email with your receipt and attached pre-reading once payment has been finalised.



Notification of cancellation must be sent by email to

All cancellations incur a non-refundable administration fee of A$50 (GST inclusive), which will be taken out of your payment if cancellation is made at least 3 weeks before the course date. Alternatively, enrollment can be transferred to another lymphatic anatomy course without incurring a cancellation fee. No refund will be given if cancellation is made within 3 weeks of the course date.

Testimonials from past students

"Congratulations on a full day workshop packed with clinical tips and information that is up to date." – Gillian Buckley, Physiotherapist, July 2019

"Today’s course has profound implications for improving the quality of life for patients with lymphoedema.  MLD very much still matters and assessment remains the cornerstone for designing interventions that work." – Gary Bain, RN and educator, July 2019

"It was lovely to see Hiroo in his element and so passionate about this craft of dissection – genius!” – Sandy Templeton, Occupational Therapist, December 2018

“Thank you very much, it was a great explanation of lymphatic anatomy and use of ICG.” – Robyn Scheer, Occupational Therapist, December 2018

“The ability to conduct massage on a person having ICG was wonderful. I highly recommend this course.” – Melody Brown, Occupational Therapist, December 2018

“Informative, practical and so valuable to my clinical practice. Will be sharing everything I have learnt with the Gold Coast practice.” – Laila Bar, Occupational Therapist, December 2018

“So good to see the superficial lymphatic vessels so clearly and as discrete vessels.  Thank you very much.” – Sally Padgett, Physiotherapist, July 2018

“The team at ALERT continue to excel at providing educational courses of world class standard. Thank you.” – Simone Paterson, Physiotherapist, July 2018

“The lymphatic anatomy featuring ICG and lymphosomes workshop was excellent. It was a comprehensive day with clean, clinical applications.” – Kate Rogers, Physiotherapist, July 2018

“Excellent day, jam packed with ‘aha’ moments.” – Nicole Kelly, Occupational Therapist, July 2018

“Excellent program.” – Andrew McCann, Doctor, July 2018