Literature DB >> 27641675

Impact of Yttrium-90 Microsphere Density, Flow Dynamics, and Administration Technique on Spatial Distribution: Analysis Using an In Vitro Model.

Marcus Caine1, Michael S McCafferty2, Scott McGhee3, Pedro Garcia2, Wayne M Mullett3, Xunli Zhang4, Martyn Hill4, Matthew R Dreher5, Andrew L Lewis2.   

Abstract

PURPOSE: To investigate material density, flow, and viscosity effects on microsphere distribution within an in vitro model designed to simulate hepatic arteries.
MATERIALS AND METHODS: A vascular flow model was used to compare distribution of glass and resin surrogates in a clinically derived flow range (60-120 mL/min). Blood-mimicking fluid (BMF) composed of glycerol and water (20%-50% vol/vol) was used to simulate a range of blood viscosities. Microsphere distribution was quantified gravimetrically, and injectate solution was dyed to enable quantification by UV spectrophotometry. Microsphere injection rate (5-30 mL/min) and the influence of contrast agent dilution of injection solution (0%-60% vol/vol) were also investigated.
RESULTS: No significant differences in behavior were observed between the glass and resin surrogate materials under any tested flow conditions (P = .182; n = 144 injections). Microspheres tend to align more consistently with the saline injection solution (r2 = 0.5712; n = 144) compared with total BMF flow distribution (r2 = 0.0104; n = 144). The most predictable injectate distribution (ie, greatest alignment with BMF flow, < 5% variation) was demonstrated with > 10-mL/min injection rates of pure saline solution, although < 20% variation with glass microsphere distribution was observed with injection solution containing as much as 30% contrast medium when injected at > 20 mL/min.
CONCLUSIONS: Glass and resin yttrium-90 surrogates demonstrated similar distribution in a range of clinically relevant flow conditions, suggesting that microsphere density does not have a significant influence on microsphere distribution. Injection parameters that enhanced the mixing of the spheres with the BMF resulted in the most predictable distribution.
Copyright © 2016 SIR. Published by Elsevier Inc. All rights reserved.

Entities:  

Mesh:

Substances:

Year:  2016        PMID: 27641675     DOI: 10.1016/j.jvir.2016.07.001

Source DB:  PubMed          Journal:  J Vasc Interv Radiol        ISSN: 1051-0443            Impact factor:   3.464


  5 in total

Review 1.  Particle Distribution in Embolotherapy, How Do They Get There? A Critical Review of the Factors Affecting Arterial Distribution of Embolic Particles.

Authors:  Reza Talaie; Pooya Torkian; Omid Amili; Yasmina Aboufirass; Nassir Rostambeigi; Hamed Jalaeian; Jafar Golzarian
Journal:  Ann Biomed Eng       Date:  2022-05-06       Impact factor: 3.934

2.  Radioembolization of Hepatocellular Carcinoma with Built-In Dosimetry: First in vivo Results with Uniformly-Sized, Biodegradable Microspheres Labeled with 188Re.

Authors:  José Carlos De La Vega; Pedro Luis Esquinas; Cristina Rodríguez-Rodríguez; Mehrdad Bokharaei; Igor Moskalev; David Liu; Katayoun Saatchi; Urs O Häfeli
Journal:  Theranostics       Date:  2019-01-25       Impact factor: 11.556

3.  A proof-of-concept study of the in-vivo validation of a computational fluid dynamics model of personalized radioembolization.

Authors:  Raúl Antón; Javier Antoñana; Jorge Aramburu; Ana Ezponda; Elena Prieto; Asier Andonegui; Julio Ortega; Isabel Vivas; Lidia Sancho; Bruno Sangro; José Ignacio Bilbao; Macarena Rodríguez-Fraile
Journal:  Sci Rep       Date:  2021-02-16       Impact factor: 4.379

4.  Intrahepatic flow diversion prior to segmental Yttrium-90 radioembolization for challenging tumor vasculature.

Authors:  Lindsay B Young; Marcin Kolber; Michael J King; Mona Ranade; Vivian L Bishay; Rahul S Patel; Francis S Nowakowski; Aaron M Fischman; Robert A Lookstein; Edward Kim
Journal:  J Interv Med       Date:  2022-05-21

Review 5.  Microspheres Used in Liver Radioembolization: From Conception to Clinical Effects.

Authors:  Philippe d'Abadie; Michel Hesse; Amandine Louppe; Renaud Lhommel; Stephan Walrand; Francois Jamar
Journal:  Molecules       Date:  2021-06-29       Impact factor: 4.411

  5 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.