Synthesis, characterization, and imaging of radiopaque bismuth beads for image-guided transarterial embolization

Saved in:
Bibliographic Details
Title: Synthesis, characterization, and imaging of radiopaque bismuth beads for image-guided transarterial embolization
Authors: Danielle R. Donahue, Young-Seung Kim, Gert Storm, Quentin Boffi, William F. Pritchard, Ayele H. Negussie, Chrit T. W. Moonen, Quirina M.B. de Ruiter, Hugh Britton, Bradford J. Wood, Andrew L. Lewis
Contributors: Researchgr. Beeldg. Moleculaire Interv., Regenerative Medicine and Stem Cells, Cancer, Afd Pharmaceutics, Pharmaceutics, SURGERY
Source: Sci Rep
Scientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
Publisher Information: Springer Science and Business Media LLC, 2021.
Publication Year: 2021
Subject Terms: Hepatocellular/blood supply, Carcinoma, Hepatocellular, Science, Tomography, X-Ray Computed/methods, Contrast Media, Article, Embolization, 03 medical and health sciences, 0302 clinical medicine, SDG 3 - Good Health and Well-being, Journal Article, General, Contrast Media/chemical synthesis, Tomography, Iodine/chemistry, Bismuth/chemistry, Carcinoma, Liver Neoplasms, Carcinoma, Hepatocellular/blood supply, Liver Neoplasms/blood supply, Embolization, Therapeutic, X-Ray Computed/methods, Microspheres, 3. Good health, Medicine, Embolization, Therapeutic/methods, Tomography, X-Ray Computed, Therapeutic/methods, Bismuth, Iodine
Description: Current therapy for hypervascular cancers, e.g., hepatocellular carcinoma, includes occlusion of the tumor blood supply by arterial infusion of embolic microspheres (beads) suspended in iodine-based contrast under fluoroscopic guidance. Available radiopaque, imageable beads use iodine as the radiopacifier and cannot be differentiated from contrast. This study aimed to synthesize and characterize imageable beads using bismuth as the radiopacifier that could be distinguished from iodine contrast based upon the difference in the binding energy of k-shell electrons (k-edge). Radiodense bismuth beads were successfully synthesized some with uniform bismuth distribution across the beads. The beads were spherical and could be infused through clinical microcatheters. The bismuth beads could be imaged with clinical dual-energy computed tomography (CT), where iodine-based contrast could be distinguished from the microspheres. The ability to separate iodine from bismuth may enhance the diagnostic information acquired on follow-up CT, identifying the distribution of the embolic beads separately from the contrast. Furthermore, with sequential use of iodine- and bismuth-based beads, the two radiopaque beads could be spatially distinguished on imaging, which may enable the development of dual drug delivery and dual tracking.
Document Type: Article
Other literature type
File Description: application/pdf
Language: English
ISSN: 2045-2322
DOI: 10.1038/s41598-020-79900-z
Access URL: https://www.nature.com/articles/s41598-020-79900-z.pdf
https://pubmed.ncbi.nlm.nih.gov/33436734
https://doaj.org/article/5c8343e6e7924265820253b48addecee
https://research.utwente.nl/en/publications/5a4b5d1d-6646-45f7-9037-1fb54023916e
https://doi.org/10.1038/s41598-020-79900-z
https://research-portal.uu.nl/en/publications/af0fed61-3737-4a0c-bd04-9dbadb8ca36f
https://doi.org/10.1038/s41598-020-79900-z
https://pubmed.ncbi.nlm.nih.gov/33436734/
https://www.nature.com/articles/s41598-020-79900-z.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7804415
https://research.utwente.nl/en/publications/synthesis-characterization-and-imaging-of-radiopaque-bismuth-bead
https://www.nature.com/articles/s41598-020-79900-z
https://www.narcis.nl/publication/RecordID/oai%3Aris.utwente.nl%3Apublications%2F5a4b5d1d-6646-45f7-9037-1fb54023916e
https://dspace.library.uu.nl/handle/1874/441959
https://dspace.library.uu.nl/handle/1874/419440
https://dspace.library.uu.nl/handle/1874/418115
Rights: CC BY
Accession Number: edsair.doi.dedup.....7e85a03ee17fd3d9489ad8d2330b83ef
Database: OpenAIRE
Description
Abstract:Current therapy for hypervascular cancers, e.g., hepatocellular carcinoma, includes occlusion of the tumor blood supply by arterial infusion of embolic microspheres (beads) suspended in iodine-based contrast under fluoroscopic guidance. Available radiopaque, imageable beads use iodine as the radiopacifier and cannot be differentiated from contrast. This study aimed to synthesize and characterize imageable beads using bismuth as the radiopacifier that could be distinguished from iodine contrast based upon the difference in the binding energy of k-shell electrons (k-edge). Radiodense bismuth beads were successfully synthesized some with uniform bismuth distribution across the beads. The beads were spherical and could be infused through clinical microcatheters. The bismuth beads could be imaged with clinical dual-energy computed tomography (CT), where iodine-based contrast could be distinguished from the microspheres. The ability to separate iodine from bismuth may enhance the diagnostic information acquired on follow-up CT, identifying the distribution of the embolic beads separately from the contrast. Furthermore, with sequential use of iodine- and bismuth-based beads, the two radiopaque beads could be spatially distinguished on imaging, which may enable the development of dual drug delivery and dual tracking.
ISSN:20452322
DOI:10.1038/s41598-020-79900-z