Evidence map›Paper›PMID 38060363›Full record

ArticleIEEE transactions on bio-medical engineering2024

Impact of Injection-Based Delivery Parameters on Local Distribution Volume of Ethyl-Cellulose Ethanol Gel in Tissue and Tissue Mimicking Phantoms.

Gatha Adhikari, Venkata Polavarapu Sarojasamhita, Vene Richardson Powell, Asma Farooqui, Maya Budzinski, David T Garvey, Jeffrey Yang, David Katz, Brian Crouch, Nimmi Ramanujam and 1 more

Open access · greenAbstract read
In one paragraph

Article in IEEE transactions on bio-medical engineering, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Gatha Adhikari
Venkata Polavarapu Sarojasamhita
Vene Richardson Powell
Asma Farooqui
Maya Budzinski
David T Garvey
Jeffrey Yang
David Katz
Brian Crouch
Nimmi Ramanujam
Jenna L Mueller
University of Maryland, College Park · USDuke University · USRice University · USUniversity of Maryland, Baltimore · US

Funding

Novel see and treat strategies for cervical cancer prevention in low-resource settingsR01CA239268 · NCI · DUKE UNIVERSITY · PI KATZ, DAVID FRANK, RAMANUJAM, NIRMALA · 2019 to 2023
$3.1M
Optimizing ablation of cervical precancer with ethyl cellulose ethanol to enable translation to women in low and middle-income countriesR44CA257303 · NCI · CALLA HEALTH FOUNDATION · PI CROUCH, BRIAN · 2023 to 2024
$1.8M
Preventing Cervical Cancer in the First Mile of the Cancer Care ContinuumR00CA234455 · NCI · UNIV OF MARYLAND, COLLEGE PARK · PI MUELLER, JENNA LYNNE HOOK · 2020 to 2022
$747k
Optimizing delivery of ethyl cellulose ethanol for ablation of cervical precancerR43CA257303 · NCI · CALLA HEALTH FOUNDATION · PI ASIEDU, MERCY NYAMEWAA · 2020 to 2020
$300k
NCI NIH HHS R00 CA234455NCI NIH HHS R01 CA239268NCI NIH HHS R43 CA257303NCI NIH HHS R44 CA257303
6 · The paper itself

Abstract

objectiveLocal drug delivery aims to minimize systemic toxicity by preventing off-target effects; however, injection parameters influencing depot formation of injectable gels have yet to be thoroughly studied. We explored the effects of needle characteristics, injection depth, rate, volume, and polymer concentration on gel ethanol distribution in both tissue and phantoms.

methodsThe polymer ethyl cellulose (EC) was added to ethanol to form an injectable gel to ablate cervical precancer and cancer. Tissue mimicking phantoms composed of 1% agarose dissolved in deionized water were used to establish overall trends between various injection parameters and the resulting gel distribution. Additional experiments were performed in excised swine cervices with a CT-imageable injectate formulation, which enabled visualization of the distribution without tissue sectioning.

resultsNeedle type and injection rate had minimal impact on gel distribution, while needle depths ≥13 mm yielded significantly larger distributions. Needle gauge and EC concentration impacted injection pressure with maximum gel distribution achieved when the pressure was 70-250 kPa. Injection volumes ≤3 mL of 6% EC-ethanol minimized fluid leakage away from the injection site. Results guided the development of a speculum-compatible hand-held injector to deliver gel ethanol into the cervix.

conclusionNeedle depth, gauge, and polymer concentration are critical to consider when delivering injectable gels. SIGNIFICANCE: This study addressed key questions related to the impact of injection-based parameters on gel distribution at a scale relevant to human applications including: 1) how best to deliver EC-ethanol into the cervix and 2) general insights about injection protocols relevant to the delivery of injectable gels in tissue.

Indexed as

CelluloseEthanolGelsPhantoms, ImagingAnimalsCervix UteriDrug Delivery SystemsFemaleInjectionsNeedlesSwineCelluloseEthanolethyl celluloseGels

Identifiers

PMID38060363
PMCPMC11086015
OpenAlexW4389428745

What OpenQuestion holds

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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.