Evidence map›Paper›PMID 29985928›Full record

ArticlePloS one2018

Computed tomography and histopathological findings after embolization with inherently radiopaque 40μm-microspheres, standard 40μm-microspheres and iodized oil in a porcine liver model.

Dominik F Vollherbst, Theresa Gockner, Thuy Do, Kerstin Holzer, Carolin Mogler, Paul Flechsig, Alexander Harms, Christopher L Schlett, Philippe L Pereira, Götz M Richter and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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  5. The opacity of mineral ion-loaded bead (DC beadsJapanese journal of radiology · 2019
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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

12 authors at 5 institutions in 1 country.

Dominik F VollherbstDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.
Theresa GocknerClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany.
Thuy DoClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany.
Kerstin HolzerDepartment of General Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Carolin MoglerInstitute of Pathology, Technical University Munich, Munich, Germany.
Paul FlechsigClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany.
Alexander HarmsDepartment of General Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Christopher L SchlettClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany.
Philippe L PereiraClinic for Radiology, Minimally-invasive Therapies and Nuclear Medicine, SLK Kliniken Heilbronn GmbH, Heilbronn, Germany.
Götz M RichterClinic for Diagnostic and Interventional Radiology, Klinikum Stuttgart, Stuttgart, Germany.
Hans U KauczorClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany.
Christof M SommerClinic for Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany.
University Hospital Heidelberg · DEHeidelberg University · DEKlinikum Stuttgart · DESLK-Kliniken Heilbronn · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe present study compared standard computed tomography (CT) and histopathological findings after endovascular embolization using a prototype of inherently radiopaque 40μm-microspheres with both standard 40μm-microspheres and iodized oil in a porcine liver model. MATERIALS AND

methodsTwelve pigs were divided into six study groups, of two pigs each. Four pigs were embolized with iodized oil alone and four with radiopaque microspheres; two animals in each group were sacrificed at 2 hours and two at 7 days. Two pigs were embolized with radiopaque microspheres and heparin and sacrificed at 7 days. Two pigs were embolized with standard microspheres and sacrificed at 2 hours. CT was performed before and after segmental embolization and before sacrifice at 7 days. The distribution of embolic agent, inflammatory response and tissue necrosis were assessed histopathologically.

resultsRadiopaque microspheres and iodized oil were visible on standard CT 2 hours and 7 days after embolization, showing qualitatively comparable arterial and parenchymal enhancement. Quantitatively, the enhancement was more intense for iodized oil. Standard microspheres, delivered without contrast, were not visible by imaging. Radiopaque and standard microspheres similarly occluded subsegmental and interlobular arteries and, to a lesser extent, sinusoids. Iodized oil resulted in the deepest penetration into sinusoids. Necrosis was always observed after embolization with microspheres, but never after embolization with iodized oil. The inflammatory response was mild to moderate for microspheres and moderate to severe for iodized oil.

conclusionRadiopaque 40μm-microspheres are visible on standard CT with qualitatively similar but quantitatively less intense enhancement compared to iodized oil, and with a tendency towards less of an inflammatory reaction than iodized oil. These microspheres also result in tissue necrosis, which was not observed after embolization with iodized oil. Both radiopaque and standard 40μm-microspheres are found within subsegmental and interlobar arteries, as well as in hepatic sinusoids.

Indexed as

AnimalsContrast MediaEmbolization, TherapeuticHepatic ArteryInflammationIodine RadioisotopesIodized OilLiverMicrospheresModels, AnimalNecrosisSwineTomography, Emission-ComputedContrast MediaIodine RadioisotopesIodized Oil

Identifiers

PMID29985928
PMCPMC6037373
OpenAlexW2865438576

What OpenQuestion holds

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LicenceCC BY
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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.