Dataset Information

PMMA-Fe₃O₄ for internal mechanical support and magnetic thermal ablation of bone tumors.

ABSTRACT: Background: Minimally invasive modalities are of great interest in the field of treating bone tumors. However, providing reliable mechanical support and fast killing of tumor cells to achieve rapid recovery of physical function is still challenging in clinical works. Methods: A material with two functions, mechanical support and magnetic thermal ablation, was developed from Fe₃O₄ nanoparticles (NPs) distributed in a polymethylmethacrylate (PMMA) bone cement. The mechanical properties and efficiency of magnetic field-induced thermal ablation were systematically and successfully evaluated in vitro and ex vivo. CT images and pathological examination were successfully applied to evaluate therapeutic efficacy with a rabbit bone tumor model. Biosafety evaluation was performed with a rabbit in vivo, and a cytotoxicity test was performed in vitro. Results: An NP content of 6% Fe₃O₄ (PMMA-6% Fe₃O₄, m_Fe: 0.01 g) gave the most suitable performance for in vivo study. At the 56-day follow-up after treatment, bone tumors were ablated without obvious side effects. The pathological examination and new bone formation in CT images clearly illustrate that the bone tumors were completely eliminated. Correspondingly, after treatment, the tendency of bone tumors toward metastasis significantly decreased. Moreover, with well-designed mechanical properties, PMMA-6%Fe₃O₄ implantation endowed tumor-bearing rabbit legs with excellent bio-mimic bone structure and internal support. Biosafety evaluation did not induce an increase or decrease in the immune response, and major functional parameters were all at normal levels. Conclusion: We have presented a novel, highly efficient and minimally invasive approach for complete bone tumor regression and bone defect repair by magnetic thermal ablation based on PMMA containing Fe₃O₄ NPs; this approach shows excellent heating ability for rabbit VX2 tibial plateau tumor ablation upon exposure to an alternating magnetic field (AMF) and provides mechanical support for bone repair. The new and powerful dual-function implant is a promising minimally invasive agent for the treatment of bone tumors and has good clinical translation potential.

SUBMITTER: Yu K

PROVIDER: S-EPMC6592182 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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PMMA-Fe3O4 for internal mechanical support and magnetic thermal ablation of bone tumors.

Yu Kexiao K Liang Bing B Zheng Yuanyi Y Exner Agata A Kolios Michael M Xu Tiantian T Guo Dajing D Cai Xiaojun X Wang Zhigang Z Ran Haitao H Chu Lei L Deng Zhongliang Z

Theranostics 20190531 14

Background: Minimally invasive modalities are of great interest in the field of treating bone tumors. However, providing reliable mechanical support and fast killing of tumor cells to achieve rapid recovery of physical function is still challenging in clinical works. Methods: A material with two functions, mechanical support and magnetic thermal ablation, was developed from Fe3O4 nanoparticles (NPs) distributed in a polymethylmethacrylate (PMMA) bone cement. T ...[more]

PMID: 31281541

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Project description:Magnetite (Fe3O4) nanoplates with a hexagonal platelet shape were synthesized by two steps: hydrothermal synthesis of iron(iii) oxide (α-Fe2O3) nanoplates followed by wet chemical reduction of the α-Fe2O3 nanoplates. Then, poly(methyl methacrylate) (PMMA) chains were grafted onto the surface of the hexagonal Fe3O4 nanoplates (F) via surface-initiated atom transfer radical polymerization (SI-ATRP), which ensures dispersion stability in organic solvents and ionic liquids. After mixing with 1-ethyl-3-methylimidazolium bis(trifluoromethanesulfonyl)imide ([Emim+][NTf2 -]), a representative ionic liquid, the resulting PMMA-modified F were found to show good lyotropic liquid-crystalline (LC) behaviour in [Emim+][NTf2 -] and to exhibit a fast response to the application of an external magnetic field. Ultrasmall-angle synchrotron X-ray scattering (USAXS) measurements verified that the PMMA chain length, the weight ratio of the ionic liquid and the external magnetic field could significantly influence the interparticle distance (I D) of the PMMA-modified F in [Emim+][NTf2 -]. In particular, the lyotropic LC phase could be assigned as a nematic phase with a columnar alignment. In addition, the PMMA-modified F maintained a uniaxially aligned nematic columnar structure along the magnetic field direction. Our study also determined the mechanism for the special alignment of the PMMA-modified F under an external magnetic field by analysing the growth axis, the easy magnetic axes, and the interparticle distance of F. The results suggested that the special alignment of the PMMA-modified F was affected by the interparticle interaction caused by the PMMA long chains on F under the magnetic field. Furthermore, the present study revealed that PMMA-modified F exhibited a new magnetic field responsive behaviour that led not only to the formation of a uniaxial alignment structure but also to control of I D with the help of the PMMA soft corona under the application of a magnetic field. These features could prove to be a promising advance towards novel applications of magnetic nanoparticles (NPs), such as functional magnetic fluids, rewritable magnetic switching devices, and smart magneto-electrochemical nanosensors.

Project description:BackgroundIn thermal ablation of liver tumors, complete coverage of the tumor volume by the ablation volume with a sufficient ablation margin is the most important factor for treatment success. Evaluation of ablation completeness is commonly performed by visual inspection in 2D and is prone to inter-reader variability. This work aimed to introduce a standardized approach for evaluation of ablation completeness after CT-guided thermal ablation of liver tumors, using volumetric quantitative ablation margins (QAM).MethodsA QAM computation metric based on volumetric segmentations of tumor and ablation areas and signed Euclidean surface distance maps was developed, including a novel algorithm to address QAM computation in subcapsular tumors. The code for QAM computation was verified in artificial examples of tumor and ablation spheres simulating varying scenarios of ablation margins. The applicability of the QAM metric was investigated in representative cases extracted from a prospective database of colorectal liver metastases (CRLM) treated with stereotactic microwave ablation (SMWA).ResultsApplicability of the proposed QAM metric was confirmed in artificial and clinical example cases. Numerical and visual options of data presentation displaying substrata of QAM distributions were proposed. For subcapsular tumors, the underestimation of tumor coverage by the ablation volume when applying an unadjusted QAM method was confirmed, supporting the benefits of using the proposed algorithm for QAM computation in these cases. The computational code for developed QAM was made publicly available, encouraging the use of a standard and objective metric in reporting ablation completeness and margins.ConclusionThe proposed volumetric approach for QAM computation including a novel algorithm to address subcapsular liver tumors enables precision and reproducibility in the assessment of ablation margins. The quantitative feedback on ablation completeness opens possibilities for intra-operative decision making and for refined analyses on predictability and consistency of local tumor control after thermal ablation of liver tumors.

Dataset Information

PMMA-Fe₃O₄ for internal mechanical support and magnetic thermal ablation of bone tumors.

Publications

PMMA-Fe<sub>3</sub>O<sub>4</sub> for internal mechanical support and magnetic thermal ablation of bone tumors.

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