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Urinary Tract Effects After Multifocal Nonthermal Irreversible Electroporation of the Kidney: Acute and Chronic Monitoring by Magnetic Resonance Imaging, Intravenous Urography and Urinary Cytology
Purpose The nonthermal irreversible electroporation (NTIRE) is a novel potential ablation modality for renal masses. The aim of this study was the first evaluation of NTIRE’s effects on the renal urine-collecting system using intravenous urography (IVU) and urinary cytology in addition to histology...
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| Published in: | Cardiovascular and interventional radiology 2012-08, Vol.35 (4), p.921-926 |
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| container_end_page | 926 |
| container_issue | 4 |
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| container_title | Cardiovascular and interventional radiology |
| container_volume | 35 |
| creator | Wendler, Johann Jakob Pech, Maciej Porsch, Markus Janitzky, Andreas Fischbach, Frank Buhtz, Peter Vogler, Klaus Hühne, Sarah Borucki, Katrin Strang, Christof Mahnkopf, Dirk Ricke, Jens Liehr, Uwe-Bernd |
| description | Purpose
The nonthermal irreversible electroporation (NTIRE) is a novel potential ablation modality for renal masses. The aim of this study was the first evaluation of NTIRE’s effects on the renal urine-collecting system using intravenous urography (IVU) and urinary cytology in addition to histology and magnetic resonance imaging (MRI).
Methods
Eight percutaneous NTIRE ablations of the renal parenchyma, including the calyxes or pelvis, were performed in three male swine. MRI, IVU, histology, and urinary cytology follow-ups were performed within the first 28 days after treatment.
Results
MRI and histological analysis demonstrated a localized necrosis 7 days and a localized scarification of the renal parenchyma with complete destruction 28 days after NTIRE. The urine-collecting system was preserved and showed urothelial regeneration. IVU and MRI showed an unaltered normal morphology of the renal calyxes, pelvis, and ureter. A new urinary cytology phenomenon featured a temporary degeneration by individual vacuolization of detached transitional epithelium cells within the first 3 days after NTIRE.
Conclusions
This first urographical, urine-cytological, and MRI evaluation after porcine kidney NTIRE shows multifocal parenchyma destruction while protecting the involved urine-collecting system with regenerated urothelial tissue. NTIRE could be used as a targeted ablation method of centrally located renal masses. |
| doi_str_mv | 10.1007/s00270-011-0257-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_osti_</sourceid><recordid>TN_cdi_osti_scitechconnect_22066591</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1024936611</sourcerecordid><originalsourceid>FETCH-LOGICAL-c400t-ab2eba4230becff3297ab4fbbf9d017eead77404a02941636e2e7f95d8aa70213</originalsourceid><addsrcrecordid>eNp1ks9u1DAQxiMEokvhAbggS1w4EBg7f5xwW60WWNEFCXUlbpHjjLOpEjvYTqW8Hw-GQ9qqFy62Zf_mG883E0WvKXygAPyjA2AcYqA0BpbxGJ5EG5omLIYi__U02gDlaUyzjF5EL5y7AaBZwbLn0QWjBQcGfBP9OdlOCzuTayukJ3ulUHpHtsqjJcep950yUvTku9H-jHYIx4O1eIvWdXWPZN8H3prRWOE7o4lRJHDkW9donD-RrZw8EqEbsjtboztJjmH1JiRtST2To2g1-nD9E53RQkskh0G04fU9OWhvxS1qMzlysqa1YjzP_7Tu_7ybvelNO7-MninRO3x1t19Gp8_7693X-OrHl8NuexXLFMDHomZYi5QlUKNUKmElF3Wq6lqVTbAKUTScp5AKYGVK8yRHhlyVWVMIEeyiyWX0dtU1zneVk51HeZZG6-BBxRjkeVYu1LuVGq35PaHz1dA5iX0vNIZaKgosLZM8p48EH9AbM1kdalionNMkzYtA0ZWS1jhnUVWj7YZgQICqZRCqdRCqMAjVMggVhJg3d8pTPWDzEHHf-QCwFXDj0gy0j1P_T_UvDV3BRw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1026713468</pqid></control><display><type>article</type><title>Urinary Tract Effects After Multifocal Nonthermal Irreversible Electroporation of the Kidney: Acute and Chronic Monitoring by Magnetic Resonance Imaging, Intravenous Urography and Urinary Cytology</title><source>Springer Link</source><creator>Wendler, Johann Jakob ; Pech, Maciej ; Porsch, Markus ; Janitzky, Andreas ; Fischbach, Frank ; Buhtz, Peter ; Vogler, Klaus ; Hühne, Sarah ; Borucki, Katrin ; Strang, Christof ; Mahnkopf, Dirk ; Ricke, Jens ; Liehr, Uwe-Bernd</creator><creatorcontrib>Wendler, Johann Jakob ; Pech, Maciej ; Porsch, Markus ; Janitzky, Andreas ; Fischbach, Frank ; Buhtz, Peter ; Vogler, Klaus ; Hühne, Sarah ; Borucki, Katrin ; Strang, Christof ; Mahnkopf, Dirk ; Ricke, Jens ; Liehr, Uwe-Bernd</creatorcontrib><description>Purpose
The nonthermal irreversible electroporation (NTIRE) is a novel potential ablation modality for renal masses. The aim of this study was the first evaluation of NTIRE’s effects on the renal urine-collecting system using intravenous urography (IVU) and urinary cytology in addition to histology and magnetic resonance imaging (MRI).
Methods
Eight percutaneous NTIRE ablations of the renal parenchyma, including the calyxes or pelvis, were performed in three male swine. MRI, IVU, histology, and urinary cytology follow-ups were performed within the first 28 days after treatment.
Results
MRI and histological analysis demonstrated a localized necrosis 7 days and a localized scarification of the renal parenchyma with complete destruction 28 days after NTIRE. The urine-collecting system was preserved and showed urothelial regeneration. IVU and MRI showed an unaltered normal morphology of the renal calyxes, pelvis, and ureter. A new urinary cytology phenomenon featured a temporary degeneration by individual vacuolization of detached transitional epithelium cells within the first 3 days after NTIRE.
Conclusions
This first urographical, urine-cytological, and MRI evaluation after porcine kidney NTIRE shows multifocal parenchyma destruction while protecting the involved urine-collecting system with regenerated urothelial tissue. NTIRE could be used as a targeted ablation method of centrally located renal masses.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-011-0257-0</identifier><identifier>PMID: 21870207</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>ABLATION ; Ablation Techniques - methods ; Animals ; Cardiology ; Contrast Media ; Cytodiagnosis ; CYTOLOGY ; Electroporation - methods ; EPITHELIUM ; HISTOLOGY ; Imaging ; Kidney - pathology ; Kidney - surgery ; KIDNEYS ; Laboratory Investigation ; Magnetic Resonance Imaging - methods ; Male ; Medicine ; Medicine & Public Health ; Models, Animal ; MORPHOLOGY ; NECROSIS ; NMR IMAGING ; Nuclear Medicine ; PELVIS ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; Swine ; Ultrasound ; URETERS ; URINE ; Urography - methods</subject><ispartof>Cardiovascular and interventional radiology, 2012-08, Vol.35 (4), p.921-926</ispartof><rights>Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2011</rights><rights>Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-ab2eba4230becff3297ab4fbbf9d017eead77404a02941636e2e7f95d8aa70213</citedby><cites>FETCH-LOGICAL-c400t-ab2eba4230becff3297ab4fbbf9d017eead77404a02941636e2e7f95d8aa70213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21870207$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22066591$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Wendler, Johann Jakob</creatorcontrib><creatorcontrib>Pech, Maciej</creatorcontrib><creatorcontrib>Porsch, Markus</creatorcontrib><creatorcontrib>Janitzky, Andreas</creatorcontrib><creatorcontrib>Fischbach, Frank</creatorcontrib><creatorcontrib>Buhtz, Peter</creatorcontrib><creatorcontrib>Vogler, Klaus</creatorcontrib><creatorcontrib>Hühne, Sarah</creatorcontrib><creatorcontrib>Borucki, Katrin</creatorcontrib><creatorcontrib>Strang, Christof</creatorcontrib><creatorcontrib>Mahnkopf, Dirk</creatorcontrib><creatorcontrib>Ricke, Jens</creatorcontrib><creatorcontrib>Liehr, Uwe-Bernd</creatorcontrib><title>Urinary Tract Effects After Multifocal Nonthermal Irreversible Electroporation of the Kidney: Acute and Chronic Monitoring by Magnetic Resonance Imaging, Intravenous Urography and Urinary Cytology</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
The nonthermal irreversible electroporation (NTIRE) is a novel potential ablation modality for renal masses. The aim of this study was the first evaluation of NTIRE’s effects on the renal urine-collecting system using intravenous urography (IVU) and urinary cytology in addition to histology and magnetic resonance imaging (MRI).
Methods
Eight percutaneous NTIRE ablations of the renal parenchyma, including the calyxes or pelvis, were performed in three male swine. MRI, IVU, histology, and urinary cytology follow-ups were performed within the first 28 days after treatment.
Results
MRI and histological analysis demonstrated a localized necrosis 7 days and a localized scarification of the renal parenchyma with complete destruction 28 days after NTIRE. The urine-collecting system was preserved and showed urothelial regeneration. IVU and MRI showed an unaltered normal morphology of the renal calyxes, pelvis, and ureter. A new urinary cytology phenomenon featured a temporary degeneration by individual vacuolization of detached transitional epithelium cells within the first 3 days after NTIRE.
Conclusions
This first urographical, urine-cytological, and MRI evaluation after porcine kidney NTIRE shows multifocal parenchyma destruction while protecting the involved urine-collecting system with regenerated urothelial tissue. NTIRE could be used as a targeted ablation method of centrally located renal masses.</description><subject>ABLATION</subject><subject>Ablation Techniques - methods</subject><subject>Animals</subject><subject>Cardiology</subject><subject>Contrast Media</subject><subject>Cytodiagnosis</subject><subject>CYTOLOGY</subject><subject>Electroporation - methods</subject><subject>EPITHELIUM</subject><subject>HISTOLOGY</subject><subject>Imaging</subject><subject>Kidney - pathology</subject><subject>Kidney - surgery</subject><subject>KIDNEYS</subject><subject>Laboratory Investigation</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Models, Animal</subject><subject>MORPHOLOGY</subject><subject>NECROSIS</subject><subject>NMR IMAGING</subject><subject>Nuclear Medicine</subject><subject>PELVIS</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Swine</subject><subject>Ultrasound</subject><subject>URETERS</subject><subject>URINE</subject><subject>Urography - 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methods</topic><topic>Animals</topic><topic>Cardiology</topic><topic>Contrast Media</topic><topic>Cytodiagnosis</topic><topic>CYTOLOGY</topic><topic>Electroporation - methods</topic><topic>EPITHELIUM</topic><topic>HISTOLOGY</topic><topic>Imaging</topic><topic>Kidney - pathology</topic><topic>Kidney - surgery</topic><topic>KIDNEYS</topic><topic>Laboratory Investigation</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Models, Animal</topic><topic>MORPHOLOGY</topic><topic>NECROSIS</topic><topic>NMR IMAGING</topic><topic>Nuclear Medicine</topic><topic>PELVIS</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Swine</topic><topic>Ultrasound</topic><topic>URETERS</topic><topic>URINE</topic><topic>Urography - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wendler, Johann Jakob</creatorcontrib><creatorcontrib>Pech, Maciej</creatorcontrib><creatorcontrib>Porsch, Markus</creatorcontrib><creatorcontrib>Janitzky, Andreas</creatorcontrib><creatorcontrib>Fischbach, Frank</creatorcontrib><creatorcontrib>Buhtz, Peter</creatorcontrib><creatorcontrib>Vogler, Klaus</creatorcontrib><creatorcontrib>Hühne, Sarah</creatorcontrib><creatorcontrib>Borucki, Katrin</creatorcontrib><creatorcontrib>Strang, Christof</creatorcontrib><creatorcontrib>Mahnkopf, Dirk</creatorcontrib><creatorcontrib>Ricke, Jens</creatorcontrib><creatorcontrib>Liehr, Uwe-Bernd</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest - 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Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wendler, Johann Jakob</au><au>Pech, Maciej</au><au>Porsch, Markus</au><au>Janitzky, Andreas</au><au>Fischbach, Frank</au><au>Buhtz, Peter</au><au>Vogler, Klaus</au><au>Hühne, Sarah</au><au>Borucki, Katrin</au><au>Strang, Christof</au><au>Mahnkopf, Dirk</au><au>Ricke, Jens</au><au>Liehr, Uwe-Bernd</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urinary Tract Effects After Multifocal Nonthermal Irreversible Electroporation of the Kidney: Acute and Chronic Monitoring by Magnetic Resonance Imaging, Intravenous Urography and Urinary Cytology</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>35</volume><issue>4</issue><spage>921</spage><epage>926</epage><pages>921-926</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
The nonthermal irreversible electroporation (NTIRE) is a novel potential ablation modality for renal masses. The aim of this study was the first evaluation of NTIRE’s effects on the renal urine-collecting system using intravenous urography (IVU) and urinary cytology in addition to histology and magnetic resonance imaging (MRI).
Methods
Eight percutaneous NTIRE ablations of the renal parenchyma, including the calyxes or pelvis, were performed in three male swine. MRI, IVU, histology, and urinary cytology follow-ups were performed within the first 28 days after treatment.
Results
MRI and histological analysis demonstrated a localized necrosis 7 days and a localized scarification of the renal parenchyma with complete destruction 28 days after NTIRE. The urine-collecting system was preserved and showed urothelial regeneration. IVU and MRI showed an unaltered normal morphology of the renal calyxes, pelvis, and ureter. A new urinary cytology phenomenon featured a temporary degeneration by individual vacuolization of detached transitional epithelium cells within the first 3 days after NTIRE.
Conclusions
This first urographical, urine-cytological, and MRI evaluation after porcine kidney NTIRE shows multifocal parenchyma destruction while protecting the involved urine-collecting system with regenerated urothelial tissue. NTIRE could be used as a targeted ablation method of centrally located renal masses.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>21870207</pmid><doi>10.1007/s00270-011-0257-0</doi><tpages>6</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2012-08, Vol.35 (4), p.921-926 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_osti_scitechconnect_22066591 |
| source | Springer Link |
| subjects | ABLATION Ablation Techniques - methods Animals Cardiology Contrast Media Cytodiagnosis CYTOLOGY Electroporation - methods EPITHELIUM HISTOLOGY Imaging Kidney - pathology Kidney - surgery KIDNEYS Laboratory Investigation Magnetic Resonance Imaging - methods Male Medicine Medicine & Public Health Models, Animal MORPHOLOGY NECROSIS NMR IMAGING Nuclear Medicine PELVIS Radiology RADIOLOGY AND NUCLEAR MEDICINE Swine Ultrasound URETERS URINE Urography - methods |
| title | Urinary Tract Effects After Multifocal Nonthermal Irreversible Electroporation of the Kidney: Acute and Chronic Monitoring by Magnetic Resonance Imaging, Intravenous Urography and Urinary Cytology |
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