Supplementary Information Interventional Magnetic Resonance Imaging …€¦ ·  ·...

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Silvestrini et al. Novel Neurosurgical Device for Cellular Delivery 1 Supplementary Information Interventional Magnetic Resonance Imaging-Guided Cell Transplantation into the Brain with Radially Branched Deployment Matthew T. Silvestrini 1 † , Dali Yin 1 , Alastair J. Martin 3 , Valerie G. Coppes 1,4 , Preeti Mann 1,4 , Paul S. Larson 1,4 , Philip A. Starr 1 , Xianmin Zeng 5 , Nalin Gupta 1 , S. Scott Panter 1,4 , Tejal A. Desai 2 , Daniel A. Lim 1,4,6, *

Transcript of Supplementary Information Interventional Magnetic Resonance Imaging …€¦ ·  ·...

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Supplementary Information

Interventional Magnetic Resonance Imaging-Guided Cell Transplantation into the Brain

with Radially Branched Deployment

Matthew T. Silvestrini1 †, Dali Yin1, Alastair J. Martin3, Valerie G. Coppes1,4, Preeti Mann1,4, Paul

S. Larson1,4, Philip A. Starr1, Xianmin Zeng5, Nalin Gupta1, S. Scott Panter1,4, Tejal A. Desai2,

Daniel A. Lim1,4,6,*

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SUPPLEMENTARY FIGURE S1

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SUPPLEMENTARY FIGURE S2

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SUPPLEMENTARY FIGURE S3

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SUPPLEMENTARY TABLE S1

Supplementary Table 1: OD of commonly used cannulas for intracerebral cell transplantation or DBS

Type of Therapy Device Used O.D.

(mm) References

Cell transplantation Stablizing probe-cannula system - stablizing probe 1.8 Kondziolka et al., 2005.

Guide cannula-needle system - steel guide cannula 1.5 to 0.6 Freed et al., 2001.

Double-cannula system - guide cannula 1.00 Breeze et al., 1995.

Needle 0.91 Gupta et al., 2012

Stablizing probe-cannula system - cannula 0.9 Kondziolka et al., 2005.

Needle 0.8 Palfi et al., 1998

Needle 0.8 Peschanski e al., 1994.

Needle 0.8 Gallina et al., 2008.

Needle 0.8 Mendez et al., 2000.

Double-cannula system - tissue cannula 0.64 Breeze et al., 1995.

DBS DBS guide tube 1.7 St. Jude

DBS guide tube 1.65 ELEKTA

RBD Outer guide tube 1.57

Inner Guide tube 1.00

Delivery catheter 0.64

Plunger wire 0.38

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SUPPLEMENTARY TABLE S2

Supplementary Table 2: Precision of delivery catheter deployment

Deployment of Catheter X Distance (mm) Y Distance (mm) Z Depth (mm)

Mean S.D. Mean S.D Mean S.D

Half 0.33 0.15 4.80 0.10 5.90 0.14

Full 1.10 0.13 12.30 0.11 8.80 0.11

S.D., standard deviation, n=25 catheters

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SUPPLEMENTARY TABLE S3

Supplementary Table 3: Summary of swine study.

Sex Age

(months) weight

(kg) Target Procedure Cells or Agents used No. of Sites Delivered

F 2.5 - 3 25 Rt Striatum iMRI-guided RBD SPIO 2

F 2.5 - 3 29.5 Rt Striatum RBD hDA neurons 3

F 2.5 - 3 35 Rt Striatum RBD hDA neurons 3

F 2.5 - 3 26 Rt Striatum RBD hDA neurons with GFP 2

F 2.5 - 3 22 Rt Striatum iMRI-guided RBD hDA neurons with GFP 2

F 2.5 - 3 28 Rt Striatum iMRI-guided RBD hDA neurons with GFP 3

F 2.5 - 5 37.5 Rt Striatum iMRI-guided RBD hDA neurons with GFP 3

hDA, human dopamine neuron precursors; iMRI, interventional magnetic resonance imaging; RBD, radially branched deployment; SPIO, superparamagnetic iron oxide.

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SUPPLEMENTARY TABLE S4

Supplementary Table 4: MRI scan parameters (Siemens 1.5-T) for swine studies.

Parameter 3D T1 T2 Target Align Axi/Sag T1 Delivery Monitoring

FOV, mm 170 160 200 256 192

Matrix 384x384 384x384 128x128 256x256 192x192

Slice thick, mm 1.5 2 5 2 1

Slices, n 176 21 1 9 72

Acquisition 3D-GRE 2D-TSE 2D-TSE 2D-TSE 3D-GRE

TR, ms 14 2400 300 400 16

TE, ms 4.8 87 13 14 4.5

Flip, degrees 25 90 90 90 90

Turbo factor 1 9 7 1 1

Bandwidth, Hz/pixel 151 160 150 150 150

Axi, axial; Flip, flip angle; GRE, gradient recalled echo; FOV, field of view; Sag, sagittal;

TE, echo time; TR, repetition time; TSE, turbo spin echo; 2D, 2 dimensional; 3D, 3 dimensional.

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SUPPLEMENTARY TABLE S5

Supplementary Table 5: Summary of cadaveric head study.

Targets Procedure Agent used No. of sites delivered

Rt Putamen iMRI-guided RBD SPIO 3

Rt Hemisphere iMRI-guided RBD SPIO 6

Rt Putamen iMRI-guided RBD SPIO 6

iMRI, interventional magnetic resonance imaging. RBD, radially branched deployment;

Rt, right; SPIO, superparamagnetic iron oxide.

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SUPPLEMENTARY TABLE S6

Supplementary Table 6: MRI scan parameters (Philips Achieva 1.5-T) for human cadaveric head studies.

Parameter 3D T1 T2 Target Pivot Align Axi/Sag T1 Axi/Sag T2 Delivery Monitoring

FOV, mm 260x221 240x180 80x80 112x112 240x180 46x180 220x161

Matrix 256x192 240x240 96x96 112x112 288x240 400x216 240x240

Slice thick, mm 1.5 2 1.1 10 1.5 2 1

Slices, n 120 27 35 1 7 5 45

Acquisition 3D-GRE 2D-TSE 3D-TSE 2D-TSE 3D-TSE 3D-TSE 3D-GRE

TR, ms 20 3000 290 20 300 2000 21

TE, ms 3.1 90 66 3.7 46 80 3.9

Flip, degrees 30 90 70 30 70 90 250

Turbo factor 38 8 15 38 12 52 1 Bandwidth, Hz/pixel 280 68 817 894 817 868 115

Axi, axial; Flip, flip angle; GRE, gradient recalled echo;FOV, field of view; Sag, sagittal; TE, echo time; TR, repetition time;

TSE, turbo spin echo; 2D, 2 dimensional; 3D, 3 dimensional.