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Spacer Protects Healthy Organs from Radiation Exposure

By MedImaging International staff writers
Posted on 14 Aug 2019

Image: A biodegradable polyglycolic acid spacer preserves healthy tissues during RT (Photo courtesy of Kobe University).

A bioabsorbable nonwoven fabric spacer creates a separation between healthy and cancerous tissues during particle therapy, according to a new study.

Developed by researchers at Kobe University (Japan) and Alfresa Pharma (Osaka, Japan), Neskeep is made of polyglycolic acid, a biodegradable, thermoplastic polymer characterized by hydrolytic instability owing to the presence of an ester linkage in its backbone. As a result, when exposed to the right physiological conditions, the spacer is degraded by hydrolysis. The degradation product, glycolic acid, is nontoxic, eventually excreted as water and carbon dioxide (CO2). A part of the glycolic acid is also excreted by urine. Neskeep is available in 5, 10, and 15mm nonwoven fabrics.

Following safety studies in animal models, a human trial involving five patients with malignant tumors in the abdominal or pelvic region--for whom particle therapy is difficult because of the proximity of normal organs to the cancer--was conducted at Hyogo Ion Beam Medical Center (HIBMC; Tatsuno, Japan). The results showed that the spacer preserved enough distance between the tumor and healthy tissue during the particle therapy, successfully reducing radiation exposure to the intestines. There were no serious complications observed, and the spacers safely disintegrated afterwards. The study was published in the August 2019 issue of the Journal of Surgical Oncology.

“In some cases, it can be difficult to apply particle therapy when malignant tumors are located near digestive tract organs sensitive to radiation (the small and large intestine),” commented Professor Takumi Fukumoto, PhD, and Professor Ryohei Sasaki, MD, PhD, of Kobe University. “Doctors currently use non-absorbent materials such as silicone balloons and Gore-Tex sheets to act as spacers in the abdomen and intestines, or they place the intestine or other organs outside the radiation field using an absorbent mesh.”

The degradation process of polyglycolic acid is erosive, during which the polymer is converted back to its monomer glycolic acid: first water diffuses into the amorphous (non-crystalline) regions of the polymer matrix, cleaving the ester bonds; the second step starts after the amorphous regions have been eroded, leaving the crystalline portion of the polymer susceptible to hydrolytic attack. Upon collapse of the crystalline regions the polymer chain dissolves.

Related Links:
Kobe University
Alfresa Pharma

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72 (36.954879760742): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (118.01719665527): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (68.187713623047): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294778997 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (28.848648071289): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294778997 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.901763916016): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

105 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

106 (76.055526733398): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294778997 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (57.93571472168): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294778997 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

109 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

110 (46.968460083008): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294778997 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (540.01808166504): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294778997 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (600.09956359863): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (347.13745117188): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

115 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

116 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

117 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

118 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

119 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

120 (323.05717468262): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 21519.899368286): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

123 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

124 (418.90144348145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294778997 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294778997 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 490777.01568604): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (82.015991210938): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (39.100646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (65.803527832031): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (44.107437133789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (495.19538879395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (485.89706420898): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (259.1609954834): SELECT name FROM jos_deeppockets WHERE id=211

136 (41.961669921875): SELECT name FROM jos_deeppockets WHERE id=211

137 (527.14347839355): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (513.07678222656): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

140 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

141 (!!!!! 14258.861541748): TRUNCATE TABLE jos_trademed_module

142 (91.075897216797): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294778997 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (59.127807617188): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294778997 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (793.2186126709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

147 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

148 (!!!!! 1291.036605835): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

150 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

151 (42.200088500977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294778997 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294778997 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (34.809112548828): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

153 (31.948089599609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

154 (32.901763916016): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

156 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778997 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778997 AND published='1' LIMIT 1

157 (35.04753112793): select jos_twitters.link from jos_twitters where cat=10

158 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

159 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

160 (54.121017456055): select jos_linkedin.link from jos_linkedin where cat=10

161 (263.92936706543): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 3185.0337982178): insert into jos_banners_delta values (14615,'2025-05-02 10:30:51','18.219.66.32','view'),(14202,'2025-05-02 10:30:51','18.219.66.32','view'),(14203,'2025-05-02 10:30:51','18.219.66.32','view')

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