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PubMed1999

Absorption of Polyelectrolytes on Colloidal Surfaces as Studied by Electrophoretic and Dynamic Light-Scattering Techniques.

zeta-Potential and the effective diameter of the colloidal spheres absorbed with the macro-cations and macro-anions are studied by the electrophoretic light-scattering and dynamic light-scattering measurements. Colloidal spheres used are monodispersed polystyrene (220 nm in diameter) and colloidal silica spheres (110 nm). Macro-ions used are sodium polyacrylate, sodium polymethylacrylate, sodium poly(styrene sulfonate), and poly-4-vinyl pyridines quaternized with ethyl bromide, n-butyl bromide, benzyl chloride, and 5% hexadecyl bromide and 95% benzyl chloride. Reversal of colloidal surface charges from negative to positive occurs abruptly above the critical concentration of macro-ions by the excess absorption of the macro-cations onto the anionic colloidal spheres, i.e., avalanche-type absorption. The effective diameter of colloidal spheres including the absorbed layers increases substantially by four- to tenfold. In the presence of large amount of macro-cations aggregation of colloidal spheres mediated by the layers of absorbed macro-cations may occur. Absorption also occurs on the anionic colloidal spheres in the presence of an excess amount of macro-anions by the dipole-dipole-type attractive interactions. Copyright 1999 Academic Press.

Journal Article↗
PubMed2002

Transport of kaolinite colloids through quartz sand: influence of humic acid, Ca(2+), and trace metals.

To evaluate the risk of contaminant transport by mobile colloids, it seems essential to understand how colloids and associated pollutants behave during their migration through uncontaminated soil or groundwater. In this study, we investigated at pH 4 the influence of flow velocity, humic acid, solution Ca(2+) concentrations, and trace metals (Pb(2+), Cu(2+)) on the transport and deposition of kaolinite particles through a pure crystalline quartz sand as porous medium. A short-pulse chromatographic technique was used to measure colloid deposition. Adsorption of humic acid to the kaolinite increase its negative surface charge and then decrease colloid deposition. Experiments with different flow rates showed that humic-coated kaolinite colloid deposition followed a first-order kinetic rate law. The deposition rate coefficients of humic-coated kaolinite colloids increase with increasing Ca(2+) concentration in the suspension. The effect of trace metals on the mobility is studied by injecting two suspensions with different concentrations of Pb(2+) and Cu(2+). At very low cation concentration, the fraction of colloids retained is low and roughly independent of the nature of divalent cations. At high concentration, the deposition is higher and depends on the affinity of divalent cations toward humic-coated kaolinite colloids.

Journal Article↗
PubMed1988

Plasma membrane shedding and colloid vacuoles in hyperactive human thyroid tissue.

The ultrastructural appearance of colloid vacuoles, considered to be a typical sign of hyperactivity in the human thyroid gland, was studied in human thyroid tissue transplanted to nude mice and in human thyroid tissue fixed directly after surgical removal in patients with thyrotoxicosis. Transplanted normal thyroid tissue and toxic diffuse goiter (TDG) tissue was fixed by vascular perfusion with glutaraldehyde 5 or 12 weeks after transplantation. Light microscopic quantification showed that daily injections for 2 weeks of a gamma globulin fraction of patient sera containing thyroid-stimulating immunoglobulins (TSI) greatly increased the number of colloid vacuoles in both types of transplants. The vacuoles were mainly located in the periphery of the follicle lumen, giving the colloid a scalloped appearance. Electron microscopy of TSI-exposed tissue revealed, in addition to colloid vacuoles, the presence of large amounts of membrane material in the follicle lumen. Only sparse amounts of intraluminal membrane material were present in controls. The colloid vacuoles were almost invariably associated with such membrane material, which lined the border between the vacuole and the surrounding colloid. The intraluminal material consisted of spherical and elongated formations, each structure limited by a triple-layered membrane and often containing a dense interior. The elongated structures were often of the same dimensions as microvilli. The apical surface of follicle cells in TSI-exposed tissue expressed numerous microvilli, of which many showed a similar dense interior as the intraluminal membrane structures. The intraluminal membranes frequently showed, like the apical plasma membrane of the follicle cells, a positive reaction for peroxidase. Organelles, such as mitochondria, lysosomes or rough endoplasmic reticulum, were not encountered among the intraluminal membrane structures. These observations indicate that the intraluminal membrane material is derived from the apical plasma membrane of the follicle cells, presumably by shedding of microvilli. A similar association between colloid vacuoles and membrane material was also found in thyroid tissue from patients with thyrotoxicosis fixed directly at operation. It is suggested that the presence of membrane material in the follicle lumen precipitates the formation of colloid vacuoles in hyperactive thyroid tissue. The possible involvement of intraluminal membrane material in the development of microsomal autoantibodies in Graves' disease, i.e. exposure and presentation of thyroid microsomal antigen (identical to thyroperoxidase) to the immune system, is discussed.

Animals↗
PubMed2006

A randomized trial of crystalloid versus colloid solution for prevention of hypotension during spinal or low-dose combined spinal-epidural anesthesia for elective cesarean delivery.

BACKGROUND: Spinal anesthesia for cesarean delivery is commonly associated with hypotension and nausea and vomiting, and preload with crystalloid or colloid solution is widely recommended. Low-dose spinal via the combined spinal-epidural technique appears to cause less hypotension and nausea and vomiting. The aim of this study was to investigate whether the combined use of colloid preload and combined spinal-epidural technique might further reduce the rates of these symptoms. METHODS: Women undergoing elective cesarean delivery were randomly allocated to one of four groups (50 in each) to receive crystalloid preload before spinal anesthesia, colloid preload before spinal anesthesia, crystalloid preload before combined spinal-epidural anesthesia, and colloid preload before combined spinal-epidural anesthesia. The incidences of hypotension and nausea and vomiting were compared. Spinal anesthesia was performed with 0.5% hyperbaric bupivacaine 9 mg and fentanyl 20 microg, and combined spinal-epidural anesthesia with 0.5% hyperbaric bupivacaine 6 mg + fentanyl 20 microg followed by epidural injection of 0.25% bupivacaine 10 mL. RESULTS: The frequencies of hypotension were 44%, 18%, 24%, and 20% in crystalloid preload-spinal anesthesia, colloid preload-spinal anesthesia, crystalloid preload-combined spinal epidural anesthesia, and colloid preload-combined spinal epidural anesthesia groups, respectively. The frequencies of nausea and vomiting were 20%, 2%, 8%, and 4% in respective groups. CONCLUSION: Colloid preload and low-dose spinal anesthesia alone or in combination lowered the incidences of hypotension and nausea. However, the combination of two methods failed to demonstrate further decreases in the incidence of the symptoms compared to the colloid-spinal anesthesia or crystalloid-combined spinal-epidural anesthesia groups.

Adult↗
PubMed2004

Colloidal lithographic nanopatterning via reactive ion etching.

We report here a novel colloidal lithographic approach to the fabrication of nonspherical colloidal particle arrays with a long-range order by selective reactive ion etching (RIE) of multilayered spherical colloidal particles. First, layered colloidal crystals with different crystal structures (or orientations) were self-organized onto substrates. Then, during the RIE, the upper layer in the colloidal multilayer acted as a mask for the lower layer and the resulting anisotropic etching created nonspherical particle arrays and new patterns. The new patterns have shapes that are different from the original as a result of the relative shadowing of the RIE process by the top layer and the lower layers. The shape and size of the particles and patterns were dependent on the crystal orientation relative to the etchant flow, the number of colloidal layers, and the RIE conditions. The various colloidal patterns can be used as masks for two-dimensional (2-D) nanopatterns. In addition, the resulting nonspherical particles can be used as novel building blocks for colloidal photonic crystals.

Journal Article↗
PubMed2004

Functional polymer colloids with ordered interior.

Polymer colloids with internal ordering were synthesized using hydrolytic condensation of octadecyl-dimethyl(3-trimethoxysilylpropyl)ammonium chloride (ODMACl) and a mixture of ODMACl and the trisodium salt of the triacetic acid N-(trimethoxysilylpropyl)ethylenediamine (TANED). The structure and morphology of these colloids were studied with small-angle X-ray scattering, transmission electron microscopy, nuclear magnetic resonance, sedimentation in ultracentrifuge; and other methods. When polymer colloids are obtained from a single precursor (ODMACl), their local structure, molecular weight characteristics, and morphology strongly depend on the reaction conditions, while lamellar ordering remains nearly unaffected. Use of a mixture of cationic and anionic silanes (ODMACl and TANED) as precursors in hydrolytic condensation results in novel zwitterionic copolymer colloids with two-dimensional hexagonal packing. Interaction of the ODMACl quaternary ammonium groups with the three carboxy groups of TANED leads to replacement of sodium and chloride ions and formation of gegenions, resulting in a molar ratio ODMACl:TANED = 3:1 (each TANED molecule contains three carboxy groups). Due to their ordered interior, polyODMACl (PODMACl) and PODMACl-TANED colloids can be used as templates for controlled positioning of nanoparticles within these colloids. For example, lamellar ordering controls Pt nanoparticle formation within PODMACl colloids providing Pt nanoparticle alignment within the lamellar structure. Loading of PODMACl-TANED colloids with iron salts followed by pH increase results in the formation of iron oxide nanoparticles located within PODMACl-TANED cylinders.

Journal Article↗
PubMed2006

Effective interactions in colloid-semipermeable membrane systems.

We investigate effective interactions between a colloidal particle, immersed in a binary mixture of smaller spheres, and a semipermeable membrane. The colloid is modeled as a big hard sphere, and the membrane is represented as an infinitely thin surface, which is fully permeable to one of the smaller spheres and impermeable to the other one. Within the framework of the density functional theory, we evaluate depletion potentials and we consider two different approximate theories: the simple Asakura-Oosawa approximation and the accurate White-Bear version of the fundamental measure theory. The effective potentials are compared with the corresponding potentials for the hard, nonpermeable wall. Using statistical-mechanical sum rules, we argue that the contact value of the depletion potential between a colloid and a semipermeable membrane is smaller in magnitude than the potential between a colloid and a hard wall. A heuristic argument is provided that the colloid-semipermeable membrane effective interactions are generally weaker than these near a hard nonpermeable wall. These predictions are confirmed by explicit calculations, and the effect is more pronounced for smaller osmotic pressures. The depletion potential for a colloidal particle inside a semipermeable vesicle is stronger than the potential for the colloidal particle located outside of a vesicle. We find that the asymptotic decay of the depletion potential for the semipermeable membrane is similar to that for the nonpermeable wall and reflects the asymptotics of the total correlation function of the corresponding binary mixture of smaller spheres. Our results demonstrate that the ability of the membrane to change its shape as well as specific interactions constitute an important factor in determining the effective interactions between the semipermeable membrane and the colloidal macroparticle.

Journal Article↗
PubMed2004

Influence of a depletion interaction on dynamical heterogeneity in a dense quasi-two-dimensional colloid liquid.

We report the results of digital video microscopy studies of the large particle displacements in a quasi-two-dimensional binary mixture of large (L) and small (S) colloid particles with diameter ratio sigma(L)/sigma(S)=4.65, as a function of the large and small colloid particle densities. As in the case of the one-component quasi-two-dimensional colloid system, the binary mixtures exhibit structural and dynamical heterogeneity. The distribution of large particle displacements over the time scale examined provides evidence for (at least) two different mechanisms of motion, one associated with particles in locally ordered regions and the other associated with particles in locally disordered regions. When rhoL*=Npisigma(L) (2)/4A< or =0.35, the addition of small colloid particles leads to a monotonic decrease in the large particle diffusion coefficient with increasing small particle volume fraction. When rhoL* > or =0.35 the addition of small colloid particles to a dense system of large colloid particles at first leads to an increase in the large particle diffusion coefficient, which is then followed by the expected decrease of the large particle diffusion coefficient with increasing small colloid particle volume fraction. The mode coupling theory of the ideal glass transition in three-dimensional systems makes a qualitative prediction that agrees with the initial increase in the large particle diffusion coefficient with increasing small particle density. Nevertheless, because the structural and dynamical heterogeneities of the quasi-two-dimensional colloid liquid occur within the field of equilibrium states, and the fluctuations generate locally ordered domains rather than just disordered regions of higher and lower density, it is suggested that mode coupling theory does not account for all classes of relevant fluctuations in a quasi-two-dimensional liquid.

Journal Article↗
PubMed2005

Yes, pair correlations alone do determine sedimentation profiles of highly charged colloids.

Recent analyses of sedimentation profiles in charged colloidal suspensions are examined in view of general, somewhat underestimated, concepts. It is recalled that the standard equation for osmotic pressure equilibrium, which involves pair correlations between colloids only, remains valid in the presence of long-range Coulombic interactions. The entropy of the counterions and the electric field generated by the spatial inhomogeneity are implicitly taken into account in the colloid structure factor through the compressibility equation and local electroneutrality conditions. Limiting the macroscopic analysis to the pure electric-field contribution or, equivalently, to the ideal ionic pressure, corresponds to the incorrect, bare Debye-Huckel approximation for the colloid-colloid correlations. A one-component description with reasonable Derjaguin-Landau-Verwey-Overbeek-type ion-averaged effective pair potential between colloids is sufficient to derive the sedimentation profile of highly charged, weakly screened colloidal suspensions. The macroscopic electric field is directly related to the microscopic electrostatic potential around the colloids.

Journal Article↗
PubMed1999

Phase transitions of colloid-polymer systems in two dimensions.

Phase transitions of systems consisting of colloidal particles and non-adsorbing polymer in a solvent are studied theoretically in two dimensions. The colloids are modeled as hard spheres and the polymer as an ideal gas. The imbalance in osmotic pressure induced by the depletion effect gives rise to an effective attraction tail for the colloid-colloid interaction. For a monodisperse polymer, liquid-liquid separation is predicted to occur for appropriate colloid concentrations when the ratio s of the radius of gyration of the polymer to the radius of the colloidal particle is greater than 0.31, while solid-liquid separation is predicted to occur for all colloid concentrations when s is smaller than 0.31. Polydispersity of polymer is found to increase the extent of liquid-liquid coexistence, and when the average s is smaller than 0.31, and for appropriate colloid concentrations, liquid-liquid coexistence occurs provided the polymer size distribution is broad enough. Partitioning and size distribution of polymer in coexisting phases are also predicted.

Journal Article↗
PubMed2002

Orientational structure of dipolar hard-spherical colloids.

We have studied the orientational structure of a dipolar hard-spherical colloid on a homogeneous isotropic phase. The results are expressed as a function of the dipolar strength mu and volume fraction phi of dipolar colloids, and the refractive index of the scattering medium, n(s). The study is based on the self-correlation of the orientation density of the dipolar colloids, which is the static orientational structure factor [F(q)], where q is the wave vector. The importance of this quantity is that for very low phi values, it can be probed in a depolarized light scattering experiment. We have found that the structure of the suspension is better observed for high n(s). F(q) presents a different behavior for dilute and dense concentrations, it is also observed that the position of its minimum depends on phi. The response of a dipolar colloid due to its collective orientational behavior is also studied, using as an "ordering parameter" the static orientational structure factor at q=0[F(q=0)]. The study is performed for isochores as a function of mu. We have divided the analysis into five regimes, from very low to very high phi; values, i.e., phi=0.005 24, 0.1, 0.2, 0.35, and 0.45. Our analysis suggests that the dipolar colloid evolves to an orientationally ordered phase when the dipolar strength is increased, for all concentrations except for the lowest value case, phi=0.005 24. When phi=0.1 the dipolar colloid reaches the transition suddenly, whereas for the very low regime, the slope of F(q=0) first increases as if the dipolar colloid would evolve to an orientationally ordered phase; but near the transition the slope is inverted, resulting in a no global orientational order. Thus, our results suggest that in the very low regime a dipolar colloid may have a reentrant transition.

Journal Article↗
PubMed2006

Layering in sedimentation of suspensions of charged colloids: simulation and theory.

We study the equilibrium sediment of a multicomponent system of charged colloids using primitive model Monte Carlo simulations, which include counterions explicitly. We find separation of the different colloidal components into almost pure layers, where colloids with large charge-to-mass ratio sediment higher in the sample. This effect appears due to a competition between ionic entropy, gravitational energy, and electrostatic energy. Our simulations provide a direct confirmation of recent theoretical predictions on the sedimentation of multicomponent mixtures of charged colloids in regimes with relatively low total densities and low colloidal charges. To explore the limitations of the theory we perform simulations at higher total densities for monodisperse and multicomponent systems and at stronger electrostatic couplings by increasing the colloidal charge for monodisperse suspensions. We find good agreement between theory and simulation when the colloidal charge is increased in the monodisperse case. However, we find deviations between simulations and theory upon increasing the total densities in the monodisperse and multicomponent systems. The density profiles obtained from simulations are more homogeneous than those predicted by theory. The spontaneous formation of layered structures predicted by the theory and found by simulation can serve as a useful tool to separate different components from a mixture of charged colloids.

Journal Article↗
PubMed1992

Effect of Helicobacter pylori infection on colloidal bismuth subcitrate concentration in gastric mucus.

Necropsy gastric mucus infected with Helicobacter pylori has a reduced capacity to concentrate colloidal bismuth subcitrate when compared with non-infected mucus. Mucus mounted in a modified in vitro diffusion chamber was bathed with colloidal bismuth subcitrate solutions at different concentrations and pH levels. Bismuth was measured by atomic absorption spectrophotometry to assess intramucus colloidal bismuth subcitrate concentrations. Bismuth concentrations in non-infected mucus were higher than in Helicobacter pylori infected mucus at all experimental colloidal bismuth subcitrate concentrations and pH levels. Regardless of the infection status, the intramucus concentration of colloidal bismuth subcitrate was dependent upon the concentration of the bathing solution and independent of the pH and the mucus thickness. Colloidal bismuth subcitrate solubility in saline solution varied with pH, and was least soluble in the pH range 1.1 to 3.25 and more soluble above and below this pH range. This study suggests that Helicobacter pylori infection is associated with physicochemical changes in the gastric mucus with a reduction in its capacity to concentrate colloidal bismuth subcitrate. Such a reduction may compromise the attainment of optimum colloidal bismuth subcitrate concentrations necessary for its bactericidal activity.

Adolescent↗
PubMed1975

Pulmonary edema related to changes in colloid osmotic and pulmonary artery wedge pressure in patients after acute myocardial infarction.

Pulmonary artery wedge and plasma colloid osmotic pressures and their relationship to pulmonary edema were investigated in 26 patients with acute myocardial infarction of whom 14 developed pulmonary edema. In the absence of pulmonary edema, both the pulmonary artery wedge pressure and plasma colloid osmotic pressure were in normal range; after onset pulmonary edema, a moderate increase in pulmonary wedge pressure and reduction in plasma colloid osmotic pressure were observed. When the gradient between the plasma colloid osmotic pressure and the pulmonary artery wedge pressure was calculated, highly significant differences were demonstrated (P less than 0.002). In the absence of pulmonary edema, this gradient averaged 9.7 (plus or minus 1.7 SEM) torr; following appearance of pulmonary edema, it was reduced to 1.2 (plus or minus 1.3) torr. During therapy with digoxin and furosemide, reversal of pulmonary edema was closely related to a concomitant change in the colloid osmotic-hydrostatic pressure gradient. These observations indicate that both increases in pulmonary capillary pressure and decreases in colloid osmotic pressure may follow the onset of pulmonary edema. Such decline in colloid osmotic pressure and especially the reduction in colloid osmotic-hydrostatic capillary pressure gradient may favor transudation of fluid into the lungs.

Adult↗
PubMed1976

Radioactive colloidal solutions and suspensions for medical use.

Radioactive colloidal solutions and suspensions are being widely used in the diagnosis and treatment of various diseases. The author considers the behaviour or radioactive disperse preparations in the body and devotes particular attention to the reasons for isotope transition from the colloidal to the ionic state. Questions concerned with producing and investigating radioactive colloidal solutions are discussed. In the light of the physical and chemical properties of the radioisotopes and of the disperse systems themselves, the author considers methods of producing the more important radioactive disperse preparations: colloidal solutions of noble metals; colloidal solutions containing phosphorus-32, yttrium-90 and isotopes of the rare-earth elements; colloidal solutions with with indium-113m, gallium-68, technetium-99m and rhenium-186; suspensions (macroaggregates and microspheres) for the diagnosis of lung diseases; and radioactive colloidal solutions based on quaternary ammonium base compounds.

Colloids↗
PubMed1990

Organic and inorganic components in estuarine colloids: implications for sorption and transport of pollutants.

In colloids isolated from Chesapeake Bay and its subestuaries the concentrations of Al, Fe, and a number of trace elements were determined to vary with the clay mineral fraction that was most abundant in freshwater samples collected during the winter. The elements As, Ba, Sb, and Zn, however, increased with increasing organic content, indicating a covariance with the organic component. Organic analyses for amino acids (proteins), carbohydrates, and lipids indicate that these biopolymers comprised 4 to 22%, 20 to 60%, and less than 1%, respectively, of the colloidal organic carbon in these samples. The results are significant because amino acids and carbohydrates contain oxygen, nitrogen, and sulfur functional groups capable of reacting with trace metals and organic pollutants. The sorption properties of several neutral hydrophobic organic compounds, including PAHs and herbicides, and several aromatic amines were investigated using the estuarine colloidal material. The effects of several environmental variables on these sorption properties were determined. The results indicate that colloids have the capacity to sorb and transport relatively insoluble pollutants that otherwise might remain immobile in the environment. Colloidal organic matter in natural water systems (lakes, rivers, estuaries and the oceans, as well as groundwater) may serve as substrates for the sorption or binding of organic contaminants. Although most of the data has been developed using neutral hydrophobic organic compounds, data also exist for selected polar compound groups such as aromatic amines. The chemical behavior of these compound groups in interaction with DOM appears to have some similarity to their chemical interaction with sediments and soils. Partitioning constants are linear, except for polar compounds, and appear to be closely correlated to fundamental compound properties such as solubilities and octanol-water partition coefficients. Even though a variety of methods were used to collect the colloids for study and to determine partition coefficients, no single method appears to be superior. Ultrafiltration techniques appear to be optimal for collecting the colloids, since this method subjects the materials to less extreme chemical conditions than the preparation of humic extracts, whereas equilibrium techniques such as dialysis and head space analysis appear to yield the best results for partitioning constants. However, each of these techniques has limitations with respect to the classes of compounds that can be studied successfully.

Colloids↗
PubMed1975

The hydraulic conductivity of the rat proximal tubular wall determined with colloidal solutions.

The hydraulic conductivity of the rat proximal tubular wall was determined using colloidal solutions perfused in short (50--200 mum) (SMP) or long (90--200 mum) (LMP) proximal tubular segments. In SMP human serum albumin (HSA) or polyvinylpyrrolidone (PVP) was added to raffinose solutions. A Lp of 0.019 nl-min-1-mm-1-mm Hg-1 was found when high colloid concentrations were used while values of 0.055--0.092 were found when low colloid concentrations were used. In other experiments, the Lp was determined by perfusing short tubular segments with pure raffinose solutions. A value of 0.015 nl-min-1-mm-1-mm Hg-1 was found. This is twice the value found when raffinose solutions were perfused through long tubular segments and it is concluded that the short microperfusion technique overestimates Lp with a factor of two. When microperfusions of long tubular segments were conducted, PVP was added to an equilibrium solution consisting of NaCl (110 mM) and raffinose (80 mM). Lp was found to be 0.018--0.021 when high colloid concentrations were used, while a value of 0.029 was found when a low colloid concentration was used. As found in both SMP and LMP a decrease in Lp's with increasing colloid concentrations indicates that a significant influence of radial concentration differences is highly probable. It is therefore suggested that the highest Lp derived when using the lowest colloid concentrations represents the best estimate. With this Lp value (0.03--0.05 nl-min-1-mm-1-mm Hg-1) and the existing transtubular hydrostatic and oncotic pressure difference it can be calculated that these passive forces might constitute the driving force for 1/3 of the fluid reabsorbed in the proximal tubule.

Animals↗
PubMed2001

Utility of breast sentinel lymph node biopsy using day-before-surgery injection of high-dose 99mTc-labeled sulfur colloid.

BACKGROUND: In sentinel lymph node (SLN) biopsy for breast cancer, many centers use same-day preoperative injection of technetium 99mTc-labeled sulfur colloid and intraoperative injection of blue dye for localization of SLNs. Same-day sulfur colloid injections can be problematic because of the variability in sulfur colloid migration times, which can lead to ineffective use of operating room time, and low SLN-to-background radioactivity ratios. We examined the utility of day-before-surgery injections of high dose 99mTc-labeled sulfur colloid injections. METHODS: The day before surgery, high-dose 99mTc-labeled sulfur colloid was injected peritumorally, and a lymphoscintigram was obtained. Intraoperatively, after injection of blue dye, a gamma probe was used to localize SLNs. Nodes that were stained blue or were highly radioactive were considered SLNs and were removed. RESULTS: Lymphoscintigraphy demonstrated drainage in 107 patients (91%). Transcutaneous localization of the SLN was possible in 104 patients (89%). In three patients, all of whom had no drainage demonstrated on lymphoscintigraphy, no SLN was identified at surgery (97.5% success rate for SLN identification). A mean of 2.3 SLNs per patient were identified. Twenty-five patients (21%) had at least one histologically positive SLN. In 23 of these patients, the positive SLN was the SLN with the most radioactivity, and in the remaining two patients, the positive SLN was both blue-stained and hot. CONCLUSION: Day-before-surgery injection of high-dose 99mTc-labeled sulfur colloid results in high rates of transcutaneous and intraoperative identification of SLNs. The delay between injection and surgery did not appear to promote significant passage of sulfur colloid to second-echelon nodes.

Adult↗