We have mapped over 24 h the biodistribution of Tc-99m-labelled multil
amellar and small unilamellar liposomes in rabbits and rats by scintig
raphic imaging after extradural injection. Multilamellar vesicles form
ed a depot at the site of injection; small unilamellar vesicles spread
immediately along the extradural space and entered the systemic compa
rtment 30 min after injection. Well-delineated liver and kidney labell
ings were seen after 24 h. The use of H-3-cholesterol-labelled small u
nilamellar vesicles suggested hepatic capture of intact liposomes with
sizes averaging 0.05 mu m drained unmodified into the systemic circul
ation through the extradural lymphatics. These results have led to the
selection of multilamellar vesicles (0.1-15 mu m size range) for clin
ical trials using liposome-associated local anaesthetics.