Safety and feasibility of percutaneous vertebroplasty with radioactive (153)Sm PMMA in an animal model.

Purpose: We investigated the safety and feasibility of the combination of samarium-153-ethylenediamine tetramethylene phosphonate ((153)Sm-EDTMP)-incorporated bone cement (BC) with percutaneous vertebroplasty (PVP) in dogs.Methods and Materials: (153)Sm-EDTMP-incorporated BC was prepared by combinin...

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Publicado en:European Journal of Radiology Vol. 78; no. 2; pp. 296 - 302
Autores principales: Lu J, Deng J, Zhao H, Shi M, Wang J, Zhao L, Lu, Jun, Deng, Jinglan, Zhao, Haitao, Shi, Mei, Wang, Jing, Zhao, Lina
Formato: research Journal Article
Publicado: Elsevier B.V. May2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2011
      vid: 78
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      pub: Elsevier B.V.
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        104905249
        104905249
        NLM20934823
        2011064005
        10.1016/j.ejrad.2010.09.002
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        atl: Safety and feasibility of percutaneous vertebroplasty with radioactive (153)Sm PMMA in an animal model.
      aug:
        au:
          Lu J
          Deng J
          Zhao H
          Shi M
          Wang J
          Zhao L
          Lu, Jun
          Deng, Jinglan
          Zhao, Haitao
          Shi, Mei
          Wang, Jing
          Zhao, Lina
        affil: Department of Radiotherapy, Xijing Hospital, Fourth Military Medical University, 15 West Changle Road, Xi'an 710032, Shaanxi Province, PR China
      sug:
        subj:
          Bone Cements Pharmacodynamics
          Kyphoplasty Methods
          Organometallic Compounds Pharmacodynamics
          Organophosphorus Compounds Pharmacodynamics
          Radioisotopes Pharmacodynamics
          Animal Studies
          Bone Cements
          Bone Cements Pharmacokinetics
          Dogs
          Magnetic Resonance Imaging Methods
          Models, Biological
          Organometallic Compounds Pharmacokinetics
          Organophosphorus Compounds Pharmacokinetics
          Pilot Studies
          Radiography, Interventional Methods
          Radioisotopes Pharmacokinetics
          Safety
          Tomography, Emission-Computed, Single-Photon Methods
          Tomography, X-Ray Computed Methods
      ab: Purpose: We investigated the safety and feasibility of the combination of samarium-153-ethylenediamine tetramethylene phosphonate ((153)Sm-EDTMP)-incorporated bone cement (BC) with percutaneous vertebroplasty (PVP) in dogs.Methods and Materials: (153)Sm-EDTMP-incorporated BC was prepared by combining solid (153)Sm-EDTMP and polymethylmethacrylate (PMMA) immediately before PVP. It was then injected into the vertebrae of four healthy mongrel dogs (two males and two females) by PVP under CT guidance. Each dog was subjected to five PVP sessions at a (153)Sm-EDTMP dose of 30-70 mCi. The suppressive effect of local injection of (153)Sm-EDTMP on the hematopoietic system was evaluated through counting of peripheral blood cells. Distribution of (153)Sm-EDTMP-incorporated BC and the status of tissues adjacent to injected vertebrae were evaluated with SPECT, CT and MRI. Histopathology was carried out to assess the influence of PVP on the vertebra and adjacent tissues at the microscopic level.Results: PVP was done successfully, and all dogs exhibited normal behavior and stable physical signs after procedures. (153)Sm-EDTMP-incorporated BC was concentrated mainly in target vertebrae, and the peripheral blood cells remained within normal range. The spinal cord and tissues around BC did not exhibit signs of injury even when the dosage of (153)Sm-EDTMP increased from 30 mCi to 70 mCi.Conclusion: A dose lower than 70 mCi of (153)Sm is safe when it was injected into vertebrae. (153)Sm-EDTMP-incorporated BC did not influence the effect of PVP. This means might strengthen anti-tumor activity locally for vertebra with osseous metastasis without damaging adjacent tissues.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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