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CardioVascular and Interventional Radiology

, Volume 41, Issue 7, pp 1081–1088 | Cite as

Evaluating the Feasibility of Isolated Pancreatic Perfusion for Chemotherapy Using Computed Tomography: An Experimental Study in Pig Models

  • Satoru Murata
  • Shiro Onozawa
  • Daisuke Yasui
  • Tatsuo Ueda
  • Fumie Sugihara
  • Akira Shimizu
  • Kenichi Suzuki
  • Mitsuo Satake
Laboratory Investigation
  • 67 Downloads

Abstract

Purpose

Percutaneous isolated pancreatic perfusion (PIPP) is performed along with interventional radiology techniques to obtain high drug concentration by occluding the arterial inlet and venous outlet of the pancreas. The experimental study aimed to evaluate the contrast distribution in PIPP under different flow rates with or without anterior mesenteric artery (AMA) occlusion.

Materials and Methods

This study was approved by a local animal experiment ethics committee. Nine pigs were divided into Groups 1, 2, and 3, by infusion rates of 12, 24, and 36 mL/min. Groups 4 and 5 (3 pigs each) and Group 6 (2 pigs) underwent PIPP at the same respective infusion rates with and without AMA occlusion. Computed tomography (CT) arteriography was performed during PIPP with nonionic contrast media. The enhanced volume was calculated by adding the enhanced area in each slice using 1.25-mm axial images. The percent enhanced volume to the whole pancreas (%eV) was used to simulate drug distribution; the result was compared among groups.

Results

Without AMA occlusion, a larger %eV was obtained with high infusion rates (P = 0.039). The median %eV in Groups 1, 2, and 3 were 57.7, 74.2, and 90.5%, respectively. With AMA occlusion, CT demonstrated duodenal enhancement at an infusion rate of 36 mL/min, and the median %eV in Groups 4, 5, and 6 were 92.8, 95.4, and 98.5%, respectively. A significantly larger %eV was obtained after AMA occlusion (P = 0.031).

Conclusion

A higher infusion rate or AMA occlusion increases the enhanced volume in PIPP in pig models.

Level of evidence

No level of evidence.

Keywords

Isolation Pancreas Perfusion Intervention Computed tomography 

Notes

Acknowledgements

Financial supports for this study were provided by a Grant-in-Aid for Scientific Research (B, 23390306) and Early-Career Scientists (B, 15K19821) from the Ministry of Education, Culture, Sports, Science, and Technology of Japan.

Compliance with Ethical Standards

Conflict of interest

We declare no conflicts of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  • Satoru Murata
    • 1
  • Shiro Onozawa
    • 2
  • Daisuke Yasui
    • 3
  • Tatsuo Ueda
    • 3
  • Fumie Sugihara
    • 3
  • Akira Shimizu
    • 4
  • Kenichi Suzuki
    • 5
  • Mitsuo Satake
    • 3
  1. 1.Radiology/Center for Interventional RadiologyTeikyo University Chiba Medical CenterChibaJapan
  2. 2.Departments of RadiologyTeikyo University Mizonokuchi HospitalKawasaki-shiJapan
  3. 3.Departments of Radiology/Center for Advanced Medical TechnologyNippon Medical SchoolTokyoJapan
  4. 4.Departments of Analytic Human PathologyNippon Medical SchoolTokyoJapan
  5. 5.Departments of Medical EngineeringNippon Medical SchoolTokyoJapan

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