Evidence map›Paper›PMID 25900480›Full record

ArticleNMR in biomedicine2015

Interventional MRI-guided local delivery of agents into swine bile duct walls using MR-compatible needle-integrated balloon catheter system.

Feng Zhang, Zhibin Bai, Yaoping Shi, Jianfeng Wang, Yonggang Li, Xiaoming Yang

Open access · greenAbstract read
In one paragraph

Article in NMR in biomedicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Feng ZhangImage-Guided Bio-Molecular Intervention Research and Section of Vascular and Interventional Radiology, Department of Radiology; Institute for Stem Cell and Regenerative Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Zhibin BaiImage-Guided Bio-Molecular Intervention Research and Section of Vascular and Interventional Radiology, Department of Radiology; Institute for Stem Cell and Regenerative Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Yaoping ShiImage-Guided Bio-Molecular Intervention Research and Section of Vascular and Interventional Radiology, Department of Radiology; Institute for Stem Cell and Regenerative Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Jianfeng WangImage-Guided Bio-Molecular Intervention Research and Section of Vascular and Interventional Radiology, Department of Radiology; Institute for Stem Cell and Regenerative Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Yonggang LiImage-Guided Bio-Molecular Intervention Research and Section of Vascular and Interventional Radiology, Department of Radiology; Institute for Stem Cell and Regenerative Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Xiaoming YangImage-Guided Bio-Molecular Intervention Research and Section of Vascular and Interventional Radiology, Department of Radiology; Institute for Stem Cell and Regenerative Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Society of Interventional Radiology · USUniversity of Washington · US

Funding

Intrabiliary MR/RF-enhanced chemotherapy of malignant biliary obstructionsR01EB012467 · NIBIB · UNIVERSITY OF WASHINGTON · PI YANG, XIAOMING · 2011 to 2015
$5.6M
NIBIB NIH HHS R01 EB012467NIBIB NIH HHS R01EB012467
6 · The paper itself

Abstract

The purpose of this study was to investigate the feasibility of interventional MRI-guided local agent delivery into pig common bile duct (CBD) walls using a newly designed MR-compatible, needle-integrated balloon catheter system. We first designed a needle-integrated balloon catheter system that comprised of a 22 G MR-compatible Chiba biopsy needle and a conventional 12 mm × 2 cm balloon catheter. Under fluoroscopy guidance, a custom needle-balloon system was positioned in the target CBD via a transcholecystic access. T1-weighted MRI was used to localize and reposition the needle-balloon system in the target. A 0.5 mL mixture of motexafin gadolinium (MGd) and trypan blue dye as well as 5-fluorouracil was delivered into the CBD wall through the needle-balloon system. Post-infusion T1-weighted MRI was obtained and contrast-to-noise ratios (CNRs) of CBD walls of pre- and post-MGd-blue infusions were compared by a paired t-test. In addition, post-infusion x-ray cholangiography was achieved to evaluate the potential injuries of CBDs by the needle-balloon system. Subsequent histologic analysis was performed to correlate and confirm the imaging findings. A post-infusion cholangiogram did not show any extravasation of contrast agent, indicating no procedure-related damage to the CBDs. MRI demonstrated clear enhancement of the target bile duct walls infused with MGd-trypan blue dye with average penetration depth of 4.7 ± 1.2 mm and an average MGd perfusion length of 21 ± 1.5 mm in the bile ducts and their surrounding tissues. The average CNR of the post-infusion bile ducts was significant higher than that of the pre-infusion bile ducts (110.6 ± 22 versus 5.7 ± 2.8, p < 0.0001). Histology depicted the blue dye staining and red fluorescence of MGd through the target CBD walls, which was well correlated with the imaging findings. It is feasible to use the new MR-compatible, needle-integrated balloon catheter system for intrabiliary local agent delivery into CBD walls under MRI guidance, which may open new avenues for efficient management of pancreatobiliary malignancies using MR-guided interventional oncology.

Indexed as

CathetersNeedlesAnimalsAntineoplastic AgentsBile DuctsCholangiopancreatography, Magnetic ResonanceEquipment DesignEquipment Failure AnalysisInfusions, ParenteralMagnetic Resonance Imaging, InterventionalSwineSystems IntegrationAntineoplastic AgentsCancerChemotherapeutic drugInterventional MRILocal deliveryPancreatobiliary

Identifiers

PMID25900480
PMCPMC4441522
OpenAlexW2157498252

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.