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Ultrasound contrast microbubbles to predict the microsphere distribution during transarterial radioembolization with holmium microspheres, an in vitro proof of concept study.

作者信息

van der Hoek Jan L, Snoeijink Tess J, Mirgolbabaee Hadi, Kunst Romaine, Versluis Michel, Arens Jutta, Manohar Srirang, Groot Jebbink Erik

机构信息

Multi-Modality Medical Imaging Group, TechMed Center, University of Twente, Enschede, The Netherlands.

Department of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands.

出版信息

Drug Deliv. 2025 Dec;32(1):2505007. doi: 10.1080/10717544.2025.2505007. Epub 2025 May 18.


DOI:10.1080/10717544.2025.2505007
PMID:40384014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12090288/
Abstract

Transarterial radioembolization (TARE) is an established treatment method for non-resectable liver tumors. One of the challenges of the approach is the accurate prediction of the microsphere biodistribution in the liver. We propose to use ultrasound contrast microbubbles as holmium microsphere precursors, which allows real-time prediction of the microsphere trajectories and biodistribution using dynamic contrast-enhanced ultrasound (DCE-US). The immediate goal in this in vitro study was to investigate the predictive capabilities of microbubbles as microsphere precursors. The study was conducted in an experimental in vitro model which represents the bifurcating right branch of the hepatic artery. A controlled injection of experimental BR-14 ultrasound contrast microbubbles and non-radioactive holmium-165 microspheres was performed in separate consecutive experiments in an arterial flow phantom. The microbubbles and microspheres were collected separately at the outlets of the phantom and counted using a Coulter counter to determine their distribution over the different outlets. The flow profile, the injection velocity, and the catheter position were monitored during the measurements to ensure stability. The results showed a good correlation between the microbubble and the microsphere distributions (p = 0.0038, r = 0.88) measured at the outlets. Differences in the distributions could be attributed to the characteristics of microbubbles and microspheres alone (e.g. particle size and concentration), since critical parameters were kept stable between the two experiments. The current in vitro study provides confidence that the microsphere biodistribution can be predicted using contrast microbubbles. The comparison provided by this study forms a foundation for the development of a DCE-US guided TARE treatment.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/a3b195e78c60/IDRD_A_2505007_F0007_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/8b6500a65d54/IDRD_A_2505007_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/ef23bfca95f7/IDRD_A_2505007_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/0b55b86ca9fa/IDRD_A_2505007_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/46e178af7872/IDRD_A_2505007_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/aca000315214/IDRD_A_2505007_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/ecda220a2112/IDRD_A_2505007_F0006_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/a3b195e78c60/IDRD_A_2505007_F0007_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/8b6500a65d54/IDRD_A_2505007_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/ef23bfca95f7/IDRD_A_2505007_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/0b55b86ca9fa/IDRD_A_2505007_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/46e178af7872/IDRD_A_2505007_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/aca000315214/IDRD_A_2505007_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/ecda220a2112/IDRD_A_2505007_F0006_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3db/12090288/a3b195e78c60/IDRD_A_2505007_F0007_C.jpg

相似文献

[1]
Ultrasound contrast microbubbles to predict the microsphere distribution during transarterial radioembolization with holmium microspheres, an in vitro proof of concept study.

Drug Deliv. 2025-12

[2]
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[3]
In Vitro Investigation of Microcatheter Behavior During Microsphere Injection in Transarterial Radioembolization.

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[4]
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[5]
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Eur J Nucl Med Mol Imaging. 2008-7

[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
In Vitro Investigation of Microcatheter Behavior During Microsphere Injection in Transarterial Radioembolization.

J Endovasc Ther. 2025-2-24

[2]
Development and validation of an innovative administration system to facilitate controlled holmium-166 microsphere administration during TARE.

EJNMMI Phys. 2024-10-16

[3]
Angiographic Aspects of Transarterial Radioembolization: A Comparison of Technical Options to Avoid Extrahepatic Microsphere Depositions.

Biomedicines. 2024-8-7

[4]
Transarterial radioembolization: a systematic review on gaining control over the parameters that influence microsphere distribution.

Drug Deliv. 2023-12

[5]
Safety findings after intravenous administration of sulfur hexafluoride microbubbles to 463,434 examinations at 24 centers.

Eur Radiol. 2023-2

[6]
TACE versus TARE for patients with hepatocellular carcinoma: Overall and individual patient level meta analysis.

Cancer Med. 2023-2

[7]
Issues with the European Pharmacopoeia Quality Control Method for Tc-Labelled Macroaggregated Albumin.

Molecules. 2022-6-22

[8]
The Impact of Injection Distance to Bifurcations on Yttrium-90 Distribution in Liver Cancer Radioembolization.

J Vasc Interv Radiol. 2022-6

[9]
EANM procedure guideline for the treatment of liver cancer and liver metastases with intra-arterial radioactive compounds.

Eur J Nucl Med Mol Imaging. 2022-4

[10]
BCLC strategy for prognosis prediction and treatment recommendation: The 2022 update.

J Hepatol. 2022-3

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