J Korean Radiol Soc.
1994 Jun;30(6):1097-1103.
An Experimental Study on Mixing of Chemoembolic Material for Hepatocellular Carcinoma
Abstract
- PURPOSE
The chemoembolization with Lipiodol and doxorubicin hydrochloride is used in patients with
hepatocellular carcinoma. What condition is the ideal emulsion of Lipiodol and doxorubicin for excellent
anticancer effect?
METHOD AND MATERIALS: Microscopic evaluation was performed on the emulsions, which were varied with
different specific gravities of doxorubicin solutions, degrees in mixing of the emulsion, and amount of Lipiodol.
RESULT: 1. Maximal amount of doxorubicin solution was contained in Lipiodol droplets and the release of
doxorubicin from the droplets were delayed, when specific gravity of doxorubicin was equal to that of Lipiodol
(SG, 1.28).
2. The optimal therapertic ratio of Lipiodol and doxorubicin was 3:2 at least, as in the emulsion less than 3:2,
unmixed free forms of doxorubicin solution were increased.
3. The emulsion mixed by pumping 50--100 times had smaller Lipiodol droplets and contained larger amount of
doxorubicin solution in the droplets than by pumping 20 times.
CONCLUSION
We recommend the emulsion with specific gravity of doxorubicin equal to Lipiodol (SG. 1.28),
the ratio of Lipiodol and doxorubicin closo to 3:2, and the mixture prepased with puming 50--100 times.