PURPOSE: To evaluate the size and shape of commercially available poly
vinyl alcohol (PVA) particles and to determine whether they change in
size when suspended in nonionic contrast and in a solution of nonionic
contrast and absolute alcohol. METHODS: The two-dimensional area and
the long and short axis of PVA particles from several different vendor
s were measured using a light microscope attached to a video system an
d an image-processing software program. Particles were measured as pac
kaged (dry or suspended in saline), suspended in ioversol, and suspend
ed in ioversol containing 30% alcohol, RESULTS: All brands of dry part
icles had similar microscopic appearances, The saline-suspended partic
les had fewer and finer perforations. After suspension in contrast, al
l sizes and brands of dry particles significantly increased in size. T
he particles packaged in saline did not expand. The addition of alcoho
l to the contrast did not consistently change particle size. Particle
aggregation was similar in both contrast suspensions for all groups of
particles. Particles less than 50 mu m in size were rarely observed i
n any PVA preparation after suspension. CONCLUSIONS: The three dry PVA
preparations seen to be similar. An increase significantly in size wh
en suspended in nonionic contrast or contrast-alcohol solutions. The s
aline-packaged PVA particles were different from the dry variety and d
id not enlarge in contrast or contrast-alcohol solutions. Alcohol did
not change the size or suspension characteristics of PVA particles. Pa
rticles less than 50 mu m in size were rarely identified.