Evaluation of a novel prototype for pressurized intraperitoneal aerosol chemotherapy

Hee Su Lee, Junsik Kim, Eun Ji Lee, Soo Jin Park, Jaehee Mun, Haerin Paik, Soo Hyun Oh, Sunwoo Park, Soomin Ryu, Whasun Lim, Gwonhwa Song, Hee Seung Kim, Jung Chan Lee

Research output: Contribution to journalArticle

Abstract

Pressurized intraperitoneal aerosol chemotherapy (PIPAC) has been suggested as an alternative option for treating peritoneal carcinomatosis (PC). Even with its clinical advantages, the current PIPAC system still suffers from limitations regarding drug distribution area and penetration depth. Thus, we evaluated the new PIPAC system using a novel prototype, and compared its performance to the results from previous studies related with the current MIP® indirectly because the system is currently not available for purchase in the market. The developed prototype includes a syringe pump, a nozzle, and controllers. Drug distribution was conducted using a methylene blue solution for performance test. For penetration depth evaluation, an ex-vivo experiment was performed with porcine tissues in a 3.5 L plastic box. Doxorubicin was sprayed using the novel prototype, and its penetration depth was investigated by confocal laser scanning microscopy. The experiment was repeated with varying nozzle levels from the bottom. The novel prototype sprays approximately 30 µm drug droplets at a flow rate of 30 mL/min with 7 bars of pressure. The average diameter of sprayed region with concentrated dye was 18.5 ± 1.2 cm, which was comparable to that of the current MIP® (about 10 cm). The depth of concentrated diffusion (DCD) did not differ among varying nozzle levels, whereas the depth of maximal diffusion (DMD) decreased with increasing distance between the prototype and the bottom (mean values, 515.3 µm at 2 cm; 437.6 µm at 4 cm; 363.2 µm at 8 cm), which was comparable to those of the current MIP® (about 350–500 µm). We developed a novel prototype that generate small droplets for drug aerosolization and that have a comparably wide sprayed area and depth of penetration to the current MIP® at a lower pressure.

Original languageEnglish
Article number633
JournalCancers
Volume12
Issue number3
DOIs
Publication statusPublished - 2020 Mar

Keywords

  • Aerosolization
  • Drug distribution
  • Nozzle
  • Penetration depth
  • Peritoneal carcinomatosis
  • Pressurized intraperitoneal aerosol chemotherapy

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Lee, H. S., Kim, J., Lee, E. J., Park, S. J., Mun, J., Paik, H., Oh, S. H., Park, S., Ryu, S., Lim, W., Song, G., Kim, H. S., & Lee, J. C. (2020). Evaluation of a novel prototype for pressurized intraperitoneal aerosol chemotherapy. Cancers, 12(3), [633]. https://doi.org/10.3390/cancers12030633