scholarly journals Intraperitoneal chemotherapy of the peritoneal surface using high-intensity ultrasound (HIUS): investigation of technical feasibility, safety and possible limitations

2020 ◽  
Vol 11 (24) ◽  
pp. 7209-7215
Author(s):  
Hien Lau ◽  
Tanja Khosrawipour ◽  
Agata Mikolajczyk ◽  
Piotr Frelkiewicz ◽  
Jakub Nicpon ◽  
...  
Keyword(s):  
Intraperitoneal Chemotherapy ◽  
High Intensity ◽  
High Intensity Ultrasound ◽  
Technical Feasibility ◽  
Peritoneal Surface

Preparing the peritoneal surface for intraperitoneal chemotherapy using high-intensity ultrasound (HIUS): Investigation of technical feasibility, safety and possible limitations.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e16045-e16045
Author(s):  
Veria Khosrawipour ◽  
Piotr Frelkiewicz ◽  
Sören Reinhard ◽  
Jakub Nicpon ◽  
Tanja Khosrawipour ◽  
...  
Keyword(s):  
Intraperitoneal Chemotherapy ◽  
High Intensity ◽  
Structural Changes ◽  
Ex Vivo ◽  
Abdominal Cavity ◽  
Swine Model ◽  
High Intensity Ultrasound ◽  
Technical Feasibility ◽  
Tissue Samples ◽  
Peritoneal Surface

e16045 Background: The penetration of chemotherapeutic drugs into metastatic peritoneal nodules remains at levels well below 1 mm, thus significantly limiting the antitumor effect of intraperitoneal chemotherapy (IPC). Recently, high-Intensity ultrasound (HIUS) has been discovered as a potential tool to improve peritoneal diffusion rates. Despite promising preliminary data, basic aspects regarding its technical feasibility, safety and possible limitations remain unclear. This study aims to enhance our current understanding of HIUS and test its applicability using an ex-vivo swine model. Methods: Three postmortem swine were subject to laparotomy with consecutive lavage with 0.9%NaCl saline and HIUS application. For this purpose, a large HIUS radiating pen was introduced into the abdominal cavity and HIUS was applied on two of the four abdominal quadrants for 300 seconds each at an output power of 70 W, 50 % amplitude and 20 kHz frequency. Following the procedure, small intestinal tissue samples were removed for further analyses. Results: In all specimen, peritoneal and subperitoneal layers showed structural changes only visible on a microscopic level. The peritoneal layer was transformed into a mash-like structure while the subperitoneal layer (depth of 142 +/- 28 µm) exhibited microcavities and vascular detachment from surrounding tissues. No bowel rupture or vascular perforations were observed. Conclusions: Our data indicate that HIUS is a technically feasible add-on procedure for IPC with measurable microscopic changes on the peritoneal surface and no apparent bowel toxicity. Pretreatment of the abdominal cavity with HIUS could significantly improve IPC efficacy. Further studies are required to optimize and evaluate this novel approach.

scholarly journals Increased Tissue Penetration of Doxorubicin in Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC) after High-Intensity Ultrasound (HIUS)

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Veria Khosrawipour ◽  
Sören Reinhard ◽  
Alice Martino ◽  
Tanja Khosrawipour ◽  
Mohamed Arafkas ◽  
...  
Keyword(s):  
Intraperitoneal Chemotherapy ◽  
High Intensity ◽  
Structural Damage ◽  
Structural Changes ◽  
Therapeutic Option ◽  
Tissue Penetration ◽  
High Intensity Ultrasound ◽  
Tissue Samples ◽  
Thin Sections ◽  
Peritoneal Tissue

Background. High‐intensity ultrasound (HIUS) has been studied for the past two decades as a new therapeutic option for solid tumor direct treatment and a method for better chemotherapy delivery and perfusion. This treatment approach has not been tested to our knowledge in peritoneal metastatic therapy, where limited tissue penetration of intraperitoneal chemotherapy has been a main problem. Both liquid instillations and pressurized aerosols are affected by this limitation. This study was performed to evaluate whether HIUS improves chemotherapy penetration rates. Methods. High-intensity ultrasound (HIUS) was applied for 0, 5, 30, 60, 120, and 300 seconds on the peritoneal tissue samples from fresh postmortem swine. Samples were then treated with doxorubicin via pressurized intraperitoneal aerosol chemotherapy (PIPAC) under 12 mmHg and 37°C temperature. Tissue penetration of doxorubicin was measured using fluorescence microscopy on frozen thin sections. Results. Macroscopic structural changes, identified by swelling of the superficial layer of the peritoneal surface, were observed after 120 seconds of HIUS. Maximum doxorubicin penetration was significantly higher in peritoneum treated with HIUS for 300 seconds, with a depth of 962.88 ± 161.4 μm (p < 0.05). Samples without HIUS had a penetration depth of 252.25 ± 60.41. Tissue penetration was significantly increased with longer HIUS duration, with up to 3.8-fold increased penetration after 300 sec of HIUS treatment. Conclusion. Our data indicate that HIUS may be used as a method to prepare the peritoneal tissue for intraperitoneal chemotherapy. Higher tissue penetration rates can be achieved without increasing chemotherapy concentrations and preventing structural damage to tissue using short time intervals. More studies need to be performed to analyze the effect of HIUS in combination with intraperitoneal chemotherapy.

Use of Low Pressure Mercury Lamps for the Photodecomposition of Iron Cyanide in Gold Mill Effluents

1985 ◽  
Vol 20 (2) ◽  
pp. 111-119 ◽  
Author(s):  
J.H. Carey ◽  
S.A. Zaidi
Keyword(s):  
Ultraviolet Light ◽  
High Intensity ◽  
Experimental Evaluation ◽  
Low Pressure ◽  
Pilot Scale ◽  
Weak Acid ◽  
Potassium Ferricyanide ◽  
Technical Feasibility ◽  
Iron Cyanide ◽  
Scale Test

Abstract The use of ultraviolet light (UV) from low pressure mercury lamps for destroying iron cyanide in synthetic and actual gold mill effluents was evaluated in this study. For the light intensities used in this study, UV irradiation was not able to efficiently destroy cyanide. However, it converted iron cyanide to a weak acid dissociable form which was destroyed by chlorine. Data from several bench-scale tests and one pilot scale test were used to estimate quantum efficiencies (moles iron cyanide destroyed/einstein). These efficiencies ranged from 0.2% to 1%; approximately 30% to 90% lower than those reported in the literature for potassium ferricyanide. The data collected during the study demonstrated the technical feasibility of using UV in conjunction with chlorination for destroying iron cyanide in gold mill effluents. However, low pressure mercury lamps do not appear to be a practical UV source for this purpose. Irradiation with high intensity lamps may be more practical and is recommended for experimental evaluation.

scholarly journals Non pharmacological high-intensity ultrasound treatment of human dermal fibroblasts to accelerate wound healing

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jeong Yu Lee ◽  
Dae-Jin Min ◽  
Wanil Kim ◽  
Bum-Ho Bin ◽  
Kyuhan Kim ◽  
...  
Keyword(s):  
Wound Healing ◽  
High Intensity ◽  
Mapk Pathway ◽  
Dermal Fibroblasts ◽  
Ultrasound Treatment ◽  
Type I ◽  
Human Dermal Fibroblasts ◽  
Short Term ◽  
High Intensity Ultrasound ◽  
Extracellular Matrix Components

AbstractInspired by the effectiveness of low-intensity ultrasound on tissue regeneration, we investigated the potential effect of short-term high-intensity ultrasound treatment for acceleration of wound healing in an in vitro wound model and dermal equivalent, both comprising human dermal fibroblasts. Short-term ultrasound of various amplitudes significantly increased the proliferation and migration of fibroblasts and subsequently increased the production of the extracellular matrix components fibronectin and collagen type I, both of which are important for wound healing and are secreted by fibroblasts. In addition, ultrasound treatment increased the contraction of a fibroblast-embedded three-dimensional collagen matrix, and the effect was synergistically increased in the presence of TGF-β. RNA-sequencing and bioinformatics analyses revealed changes in gene expression and p38 and ERK1/2 MAPK pathway activation in the ultrasound-stimulated fibroblasts. Our findings suggest that ultrasound as a mechanical stimulus can activate human dermal fibroblasts. Therefore, the activation of fibroblasts using ultrasound may improve the healing of various types of wounds and increase skin regeneration.

High Intensity Ultrasound Processing in Liquid Foods

2020 ◽  
pp. 1-26
Author(s):  
Shafat Ahmad Khan ◽  
Aamir Hussain Dar ◽  
Shakeel Ahmad Bhat ◽  
Jibreez Fayaz ◽  
Hilal Ahmad Makroo ◽  
...  
Keyword(s):  
High Intensity ◽  
High Intensity Ultrasound ◽  
Liquid Foods
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