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Erschienen in: Japanese Journal of Radiology 12/2015

01.12.2015 | Technical Note

Creation of small gelatin particles by pumping method for transarterial chemoembolization of hepatocellular carcinoma: analysis of particle size and reproducibility

verfasst von: Toshiyuki Irie

Erschienen in: Japanese Journal of Radiology | Ausgabe 12/2015

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Abstract

Purpose

Spherical porous gelatin particles (Gelpart®, Nippon Kayaku, Tokyo) were crushed by a pumping method to create small gelatin particles for transarterial chemoembolization of hepatocellular carcinoma. The aim of this study was to analyze crushed particle size.

Materials and methods

To minimize the size of crushed particles, we used the pumping method using two 2.5-mL syringes connected by a 3-way stopcock. Sixteen samples created by 3 operators were examined. The crushed particles were stained with hematoxylin–eosin, images magnified by a microscope were captured using a digital camera, and the maximum length of each particle was measured. The differences in particle size within the same operator and among the 3 operators were examined by an ANOVA test.

Results

The particle sizes created by each operator were 139.0 ± 58.8, 201.1 ± 90.9, and 158.4 ± 72.0 µm, respectively. There was a statistically significant difference in particle size among the 3 operators (p < 0.01). With one operator, there was no statistically significant difference in the particle size among the 4 samples (p = 0.93). With 2 operators, there were statistically significant differences among 5, or 7 samples, respectively (p < 0.01).

Conclusion

Small gelatin particles can be created with Gelpart® by the pumping method, but mean particle size was different among samples and not reproducible.
Literatur
1.
Zurück zum Zitat Mori H, Saida Y, Watanabe Y, Irie T, Itai Y. Rapid production of gelatin sponge particles for transcatheter arterial embolization: pumping method. Nippon Acta Radiol. 2000;60:702–4.PubMed Mori H, Saida Y, Watanabe Y, Irie T, Itai Y. Rapid production of gelatin sponge particles for transcatheter arterial embolization: pumping method. Nippon Acta Radiol. 2000;60:702–4.PubMed
2.
Zurück zum Zitat Katsumori T, Kasahara T. The size of gelatin sponge particles: differences with preparation method. Cardiovasc Intervent Radiol. 2006;29:1077–83.PubMedCrossRef Katsumori T, Kasahara T. The size of gelatin sponge particles: differences with preparation method. Cardiovasc Intervent Radiol. 2006;29:1077–83.PubMedCrossRef
3.
Zurück zum Zitat Miyayama S, Yamakado K, Anai H, et al. Guidelines on the use of gelatin sponge particles in embolotherapy. Jpn J Radiol. 2014;32:242–50.PubMedCrossRef Miyayama S, Yamakado K, Anai H, et al. Guidelines on the use of gelatin sponge particles in embolotherapy. Jpn J Radiol. 2014;32:242–50.PubMedCrossRef
4.
Zurück zum Zitat Kudo S, Ueshima K, Kubo S, et al. Response evaluation criteria in cancer of the liver (RECICL) (2015 revised version). Hepatol Res 2015 (available online). Kudo S, Ueshima K, Kubo S, et al. Response evaluation criteria in cancer of the liver (RECICL) (2015 revised version). Hepatol Res 2015 (available online).
5.
Zurück zum Zitat Miyayama S, Matsui O, Yamashiro M, Ryu Y, Kaito K, Ozaki K, et al. Ultraselective transcatheter arterial chemoembolization with a 2-F tip microcatheter for small hepatocellular carcinomas: relationship between local tumor recurrence and visualization of the portal vein with iodized oil. J Vasc Interv Radiol. 2007;18:365–76.PubMedCrossRef Miyayama S, Matsui O, Yamashiro M, Ryu Y, Kaito K, Ozaki K, et al. Ultraselective transcatheter arterial chemoembolization with a 2-F tip microcatheter for small hepatocellular carcinomas: relationship between local tumor recurrence and visualization of the portal vein with iodized oil. J Vasc Interv Radiol. 2007;18:365–76.PubMedCrossRef
6.
Zurück zum Zitat Bonomo G, Pedicini V, Monfardini L, Vigna PD, Poretti D, Orgera G, Orsi F. Bland embolization in patients with unresectable hepatocellular carcinoma using precise, tightly size-calibrated, anti-inflammatory microparticles: first clinical experience and one-year follow-up. Cardiovasc Intervent Radiol. 2010;33:552–9.PubMedCrossRef Bonomo G, Pedicini V, Monfardini L, Vigna PD, Poretti D, Orgera G, Orsi F. Bland embolization in patients with unresectable hepatocellular carcinoma using precise, tightly size-calibrated, anti-inflammatory microparticles: first clinical experience and one-year follow-up. Cardiovasc Intervent Radiol. 2010;33:552–9.PubMedCrossRef
7.
Zurück zum Zitat Maluccio MA, Covey AM, Porat LB, et al. Transcatheter arterial embolization with only particles for the treatment of unresectable hepatocellular carcinoma. J Vasc Interv Radiol. 2008;19:862–9.PubMedCrossRef Maluccio MA, Covey AM, Porat LB, et al. Transcatheter arterial embolization with only particles for the treatment of unresectable hepatocellular carcinoma. J Vasc Interv Radiol. 2008;19:862–9.PubMedCrossRef
8.
Zurück zum Zitat Sone M, Osuga K, Shimazu K, Higashihara H, Nakazawa T, Kato K, et al. Porous gelatin particles for uterine artery embolization: an experimental study of intra-arterial distribution, uterine necrosis, and inflammation in a porcine model. Cardiovasc Intervent Radiol. 2010;33:1001–8.PubMedCrossRef Sone M, Osuga K, Shimazu K, Higashihara H, Nakazawa T, Kato K, et al. Porous gelatin particles for uterine artery embolization: an experimental study of intra-arterial distribution, uterine necrosis, and inflammation in a porcine model. Cardiovasc Intervent Radiol. 2010;33:1001–8.PubMedCrossRef
9.
Zurück zum Zitat Irie T, Kuramochi M, Takahashi N. Diameter of main tumor feeding artery of hepatocellular carcinoma: measurement at the entry site into the nodule. Hepatol Res 2015 (in press). Irie T, Kuramochi M, Takahashi N. Diameter of main tumor feeding artery of hepatocellular carcinoma: measurement at the entry site into the nodule. Hepatol Res 2015 (in press).
Metadaten
Titel
Creation of small gelatin particles by pumping method for transarterial chemoembolization of hepatocellular carcinoma: analysis of particle size and reproducibility
verfasst von
Toshiyuki Irie
Publikationsdatum
01.12.2015
Verlag
Springer Japan
Erschienen in
Japanese Journal of Radiology / Ausgabe 12/2015
Print ISSN: 1867-1071
Elektronische ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-015-0480-8

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