Impact of Yttrium-90 Microsphere Density, Flow Dynamics, and Administration Technique on Spatial Distribution: Analysis Using an In Vitro Model

J Vasc Interv Radiol. 2017 Feb;28(2):260-268.e2. doi: 10.1016/j.jvir.2016.07.001. Epub 2016 Sep 15.

Abstract

Purpose: To investigate material density, flow, and viscosity effects on microsphere distribution within an in vitro model designed to simulate hepatic arteries.

Materials and methods: A vascular flow model was used to compare distribution of glass and resin surrogates in a clinically derived flow range (60-120 mL/min). Blood-mimicking fluid (BMF) composed of glycerol and water (20%-50% vol/vol) was used to simulate a range of blood viscosities. Microsphere distribution was quantified gravimetrically, and injectate solution was dyed to enable quantification by UV spectrophotometry. Microsphere injection rate (5-30 mL/min) and the influence of contrast agent dilution of injection solution (0%-60% vol/vol) were also investigated.

Results: No significant differences in behavior were observed between the glass and resin surrogate materials under any tested flow conditions (P = .182; n = 144 injections). Microspheres tend to align more consistently with the saline injection solution (r2 = 0.5712; n = 144) compared with total BMF flow distribution (r2 = 0.0104; n = 144). The most predictable injectate distribution (ie, greatest alignment with BMF flow, < 5% variation) was demonstrated with > 10-mL/min injection rates of pure saline solution, although < 20% variation with glass microsphere distribution was observed with injection solution containing as much as 30% contrast medium when injected at > 20 mL/min.

Conclusions: Glass and resin yttrium-90 surrogates demonstrated similar distribution in a range of clinically relevant flow conditions, suggesting that microsphere density does not have a significant influence on microsphere distribution. Injection parameters that enhanced the mixing of the spheres with the BMF resulted in the most predictable distribution.

Publication types

  • Comparative Study

MeSH terms

  • Blood Flow Velocity
  • Blood Viscosity
  • Embolization, Therapeutic / methods*
  • Glass / chemistry*
  • Glycerol / chemistry
  • Hepatic Artery / pathology
  • Hepatic Artery / physiopathology*
  • Humans
  • Liver Circulation*
  • Liver Neoplasms / blood supply
  • Liver Neoplasms / therapy*
  • Microspheres
  • Models, Anatomic*
  • Models, Cardiovascular*
  • Radiopharmaceuticals / administration & dosage*
  • Regional Blood Flow
  • Replica Techniques
  • Resins, Synthetic / chemistry*
  • Water / chemistry
  • Yttrium Radioisotopes / administration & dosage*

Substances

  • Radiopharmaceuticals
  • Resins, Synthetic
  • Yttrium Radioisotopes
  • Water
  • Glycerol