TY - JOUR A1 - Xin, L. A1 - Bungartz, M. A1 - Maenz, S. A1 - Horbert, V. A1 - Hennig, M. A1 - Illerhaus, Bernhard A1 - Günster, Jens A1 - Bossert, J. A1 - Bischoff, S. A1 - Borowski, J. A1 - Schubert, H. A1 - Jandt, K. A1 - Kunisch, E. A1 - Kinne, R. A1 - Brinkmann, O. T1 - Decreased extrusion of calcium phosphate cement versus high viscosity PMMA cement into spongious bone marrow—an ex vivo and in vivo study in sheep vertebrae JF - The Spine Journal N2 - Vertebroplasty or kyphoplasty of osteoporotic vertebral fractures bears the risk of pulmonary cement embolism (3.5%–23%) caused by leakage of commonly applied acrylic polymethylmethacrylate (PMMA) cement to spongious bone marrow or outside of the vertebrae. Ultraviscous cement and specific augmentation systems have been developed to reduce such adverse effects. Rapidly setting, resorbable, physiological calcium phosphate cement (CPC) may also represent a suitable alternative. PURPOSE: This study aimed to compare the intravertebral extrusion of CPC and PMMA cement in an ex vivo and in vivo study in sheep. STUDY DESIGN/SETTING: A prospective experimental animal study was carried out. METHODS: Defects (diameter 5 mm; 15 mm depth) were created by a ventrolateral percutane-ous approach in lumbar vertebrae of female Merino sheep (2–4 years) either ex vivo (n = 17) or in vivo (n = 6), and injected with: (1) CPC (L3); (2) CPC reinforced with 10% poly(l-lactide-co-glycolide) (PLGA) fibers (L4); or (3) PMMA cement (L5; Kyphon HV-R). Controls were untouched (L1) or empty defects (L2). The effects of the cement injections were assessed in vivo by blood gas analysis and ex vivo by computed tomography (CT), micro-CT (voxel size: 67 µm), histology, and biomechanical testing. KW - Bone marrow extrusion KW - Brushite-forming calcium phosphate cement KW - Cement injection KW - Ex vivo KW - High- viscosity PMMA cement KW - In vivo KW - Large animal model KW - Sheep KW - Vertebroplasty PY - 2016 DO - https://doi.org/10.1016/j.spinee.2016.07.529 SN - 1529-9430 SN - 1878-1632 VL - 16 IS - 12 SP - 1468 EP - 1477 PB - Elsevier Inc. AN - OPUS4-38058 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER - TY - JOUR A1 - Xu, R. A1 - Teich, W. A1 - Frenzel, Florian A1 - Hoffmann, Katrin A1 - Radke, J. A1 - Rösler, J. A1 - Faust, K. A1 - Blank, A. A1 - Brandenburg, S. A1 - Misch, M. A1 - Vajkoczy, P. A1 - Onken, J. S. A1 - Resch-Genger, Ute T1 - Optical characterization of sodium fluorescein in vitro and ex vivo JF - Frontiers in oncology N2 - Objective: The utilization of fluorescein-guided biopsies and resection has been recently discussed as a suitable strategy to improve and expedite operative techniques for the resection of central nervous system (CNS) tumors. However, little is known about the optical properties of sodium fluorescein (NaFl) in human tumor tissue and their potential impact on ex vivo analyses involving fluorescence-based methods. Methods: Tumor tissue was obtained from a study cohort of an observational study on the utilization of fluorescein-guided biopsy and resection (n=5). The optical properties of fluorescein-stained tissue were compared to the optical features of the dye in vitro and in control samples consisting of tumor tissue of high-grade glioma patients (n=3) without intravenous (i.v.) application of NaFl. The dye-exposed tumor tissues were used for optical measurements to confirm the detectability of NaFl emission ex vivo. The tissue samples were fixed in 4%PFA, immersed in 30% sucrose, embedded in Tissue-Tek OCT compound, and cut to 10 mm cryosections. Spatially resolved emission spectra from tumor samples were recorded on representative slides with a Confocal Laser Scanning Microscope FV1000 (Olympus GmbH, Hamburg, Germany) upon excitation with lexc = 488 nm. Results: Optical measurements of fluorescein in 0.9% sodium chloride (NaCl) under in vitro conditions showed an absorption maximum of lmax abs = 479 nm as detected with spectrophotometer Specord 200 and an emission peak at lmax em = 538 nm recorded with the emCCD detection system of a custom-made microscope-based single particle setup using a 500 nm long-pass filter. Further measurements revealed pH- and concentration-dependent emission spectra of NaFl. Under ex vivo conditions, confocal laser scanning microscopy of fluorescein tumor samples revealed a slight bathochromic shift and a broadening of the emission band. Conclusion: Tumor uptake of NaFl leads to changes in the optical properties – a bathochromic shift and broadening of the emission band – possibly caused by the dye’s high pH sensitivity and concentration-dependent reabsorption acting as an innerfilter of the dye’s emission, particularly in the short wavelength region of the Emission spectrum where absorption and fluorescence overlap. Understanding the ex vivo optical properties of fluorescein is crucial for testing and validating its further applicability as an optical probe for intravital microscopy, immunofluorescence localization studies, and flow cytometry analysis. KW - Fluorescence KW - Optical probe KW - Sensor KW - Fluorescein KW - PH KW - Imaging KW - Tissue KW - Cancer KW - Medical diagnostics KW - Tumor KW - In vivo KW - Ex vivo KW - Quantum yield KW - Dye KW - Quality assurance KW - Microscopy PY - 2021 UR - https://nbn-resolving.org/urn:nbn:de:kobv:b43-527843 DO - https://doi.org/10.3389/fonc.2021.654300 SN - 2234-943X VL - 11 SP - 1 EP - 8 PB - Frontiers Media CY - Lausanne AN - OPUS4-52784 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER -