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Parametric analysis of drug distribution during infusions into the brain using an axisymmetric model with backflow

Orozco, Gustavo LU ; Smith, Joshua H. and García Álvarez, Jose Jaime (2014) In Revista Ingeniería Biomédica 8(16). p.56-64
Abstract
Convection-enhanced delivery as a means to deliver therapeutic drugs directly to the brain has shown limited clinical efficacy, primarily attributed to the phenomena of backflow, in which the infused fluid flows preferentially along theshaft catheter rather than forward into the tissue. We have previously developed a finite element model of backflow that includes both material and geometric nonlinearities and the free boundary conditions associated with the displacement of the tissue away from the external surface of the catheter. However, that study was limited to predictions of the tissue deformation and resulting convective fluid velocity in the interstitial space. In this study, we use results from that model to solve for the... (More)
Convection-enhanced delivery as a means to deliver therapeutic drugs directly to the brain has shown limited clinical efficacy, primarily attributed to the phenomena of backflow, in which the infused fluid flows preferentially along theshaft catheter rather than forward into the tissue. We have previously developed a finite element model of backflow that includes both material and geometric nonlinearities and the free boundary conditions associated with the displacement of the tissue away from the external surface of the catheter. However, that study was limited to predictions of the tissue deformation and resulting convective fluid velocity in the interstitial space. In this study, we use results from that model to solve for the distribution of the infused therapeutic agent. We demonstrate that a significant percentage of the infused drug is not transported into the region of tissue located forward from the catheter tip, but instead is transported into the region along the lateral sides of the catheter. Forlower flow rates, this study suggests that the use of a catheter with a larger radius may be preferable since it will provide the higher amount of drug to be transported to the tissue in front of the catheter. In contrast, for higher flow rates consistent with clinical infusions, the radius of the infusion catheter had minimal effect on the distribution of the infused drug, with most being transported into the tissue around the shaft of the catheter. (Less)
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type
Contribution to journal
publication status
published
subject
keywords
Convection-enhanced delivery, Infusion drugs, Brain tumors, Mass transport, Computational model
in
Revista Ingeniería Biomédica
volume
8
issue
16
pages
9 pages
ISSN
1909-9762
language
English
LU publication?
no
id
6adfd4bf-d4b8-4e6b-b35e-adbdf1f85e57
alternative location
http://www.scielo.org.co/pdf/rinbi/v8n16/v8n16a08.pdf
date added to LUP
2022-08-01 12:47:20
date last changed
2022-08-18 14:19:39
@article{6adfd4bf-d4b8-4e6b-b35e-adbdf1f85e57,
  abstract     = {{Convection-enhanced delivery as a means to deliver therapeutic drugs directly to the brain has shown limited clinical efficacy, primarily attributed to the phenomena of backflow, in which the infused fluid flows preferentially along theshaft catheter rather than forward into the tissue. We have previously developed a finite element model of backflow that includes both material and geometric nonlinearities and the free boundary conditions associated with the displacement of the tissue away from the external surface of the catheter. However, that study was limited to predictions of the tissue deformation and resulting convective fluid velocity in the interstitial space. In this study, we use results from that model to solve for the distribution of the infused therapeutic agent. We demonstrate that a significant percentage of the infused drug is not transported into the region of tissue located forward from the catheter tip, but instead is transported into the region along the lateral sides of the catheter. Forlower flow rates, this study suggests that the use of a catheter with a larger radius may be preferable since it will provide the higher amount of drug to be transported to the tissue in front of the catheter. In contrast, for higher flow rates consistent with clinical infusions, the radius of the infusion catheter had minimal effect on the distribution of the infused drug, with most being transported into the tissue around the shaft of the catheter.}},
  author       = {{Orozco, Gustavo and Smith, Joshua H. and García Álvarez, Jose Jaime}},
  issn         = {{1909-9762}},
  keywords     = {{Convection-enhanced delivery; Infusion drugs; Brain tumors; Mass transport; Computational model}},
  language     = {{eng}},
  month        = {{12}},
  number       = {{16}},
  pages        = {{56--64}},
  series       = {{Revista Ingeniería Biomédica}},
  title        = {{Parametric analysis of drug distribution during infusions into the brain using an axisymmetric model with backflow}},
  url          = {{http://www.scielo.org.co/pdf/rinbi/v8n16/v8n16a08.pdf}},
  volume       = {{8}},
  year         = {{2014}},
}