An update on the role of focused ultrasound in neuro-oncology

被引:1
作者
Epstein, Jordan E. [1 ,2 ]
Pople, Christopher B. [1 ,2 ]
Meng, Ying [1 ,2 ]
Lipsman, Nir [1 ,2 ]
机构
[1] Univ Toronto, Harquail Ctr Neuromodulat, Toronto, ON, Canada
[2] Univ Toronto, Sunnybrook Hlth Sci Ctr, Div Neurosurg, Toronto, ON, Canada
关键词
blood-brain barrier; brain tumors; focused ultrasound; liquid biopsy; tumor ablation; BLOOD-BRAIN-BARRIER; NONTHERMAL ABLATION; RADIATION-THERAPY; CONTRAST AGENTS; GLIOBLASTOMA; TUMORS; HISTOTRIPSY; DELIVERY; HYPERTHERMIA; RADIOTHERAPY;
D O I
10.1097/WCO.0000000000001314
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of reviewBrain tumor treatment presents challenges for patients and clinicians, with prognosis for many of the most common brain tumors being poor. Focused ultrasound (FUS) can be deployed in several ways to circumvent these challenges, including the need to penetrate the blood-brain barrier and spare healthy brain tissue. This article reviews current FUS applications within neuro-oncology, emphasizing ongoing or recently completed clinical trials.Recent findingsMost clinical interest in FUS for neuro-oncology remains focused on exploring BBB disruption to enhance the delivery of standard-of-care therapeutics. More recently, the application of FUS for radiosensitization, liquid biopsy, and sonodynamic therapy is garnering increased clinical attention to assist in tumor ablation, early detection, and phenotypic diagnosis. Preclinical studies show encouraging data for the immunomodulatory effects of FUS, but these findings have yet to be tested clinically.SummaryFUS is a burgeoning area of neuro-oncology research. Data from several forthcoming large clinical trials should help clarify its role in neuro-oncology care.
引用
收藏
页码:682 / 692
页数:11
相关论文
共 122 条
[1]   Combination of ultrasound-based mechanical disruption of tumor with immune checkpoint blockade modifies tumor microenvironment and augments systemic antitumor immunity [J].
Abe, Shinya ;
Nagata, Hiroshi ;
Crosby, Erika J. ;
Inoue, Yoshiyuki ;
Kaneko, Kensuke ;
Liu, Cong-Xiao ;
Yang, Xiao ;
Wang, Tao ;
Acharya, Chaitanya R. ;
Agarwal, Pankaj ;
Snyder, Joshua ;
Gwin, William ;
Morse, Michael A. ;
Zhong, Pei ;
Lyerly, Herbert Kim ;
Osada, Takuya .
JOURNAL FOR IMMUNOTHERAPY OF CANCER, 2022, 10 (01)
[2]   Brain metastases [J].
Achrol, Achal Singh ;
Rennert, Robert C. ;
Anders, Carey ;
Soffietti, Riccardo ;
Ahluwalia, Manmeet S. ;
Nayak, Lakshmi ;
Peters, Solange ;
Arvold, Nils D. ;
Harsh, Griffith R. ;
Steeg, Patricia S. ;
Chang, Steven D. .
NATURE REVIEWS DISEASE PRIMERS, 2019, 5 (1)
[3]   P-glycoprotein mediated efflux limits substrate and drug uptake in a preclinical brain metastases of breast cancer model [J].
Adkins, Chris E. ;
Mittapalli, Rajendar K. ;
Manda, Vamshi K. ;
Nounou, Mohamed I. ;
Mohammad, Afroz S. ;
Terrell, Tori B. ;
Bohn, Kaci A. ;
Yasemin, Celik ;
Grothe, Tiffany R. ;
Lockman, Julie A. ;
Lockman, Paul R. .
FRONTIERS IN PHARMACOLOGY, 2013, 4
[4]   Brain and Brain Stem Necrosis After Reirradiation for Recurrent Childhood Primary Central Nervous System Tumors: A PENTEC Review [J].
Ajithkumar, Thankamma ;
Avanzo, Michele ;
Yorke, Ellen ;
Tsang, Derek S. ;
Milano, Michael T. ;
Olch, Arthur J. ;
Merchant, Thomas E. ;
Dieckmann, Karin ;
Mahajan, Anita ;
Fuji, Hiroshi ;
Paulino, Arnold C. ;
Timmermann, Beate ;
Marks, Lawrence B. ;
Bentzen, Soren M. ;
Jackson, Andrew ;
Constine, Louis S. .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2024, 119 (02) :655-668
[5]   Challenges to curing primary brain tumours [J].
Aldape, Kenneth ;
Brindle, Kevin M. ;
Chesler, Louis ;
Chopra, Rajesh ;
Gajjar, Amar ;
Gilbert, Mark R. ;
Gottardo, Nicholas ;
Gutmann, David H. ;
Hargrave, Darren ;
Holland, Eric C. ;
Jones, David T. W. ;
Joyce, Johanna A. ;
Kearns, Pamela ;
Kieran, Mark W. ;
Mellinghoff, Ingo K. ;
Merchant, Melinda ;
Pfister, Stefan M. ;
Pollard, Steven M. ;
Ramaswamy, Vijay ;
Rich, Jeremy N. ;
Robinson, Giles W. ;
Rowitch, David H. ;
Sampson, John H. ;
Taylor, Michael D. ;
Workman, Paul ;
Gilbertson, Richard J. .
NATURE REVIEWS CLINICAL ONCOLOGY, 2019, 16 (08) :509-520
[6]   Cerebral Radiation Necrosis: Incidence, Pathogenesis, Diagnostic Challenges, and Future Opportunities [J].
Ali, Faisal S. ;
Arevalo, Octavio ;
Zorofchian, Soheil ;
Patrizz, Anthony ;
Riascos, Roy ;
Tandon, Nitin ;
Blanco, Angel ;
Ballester, Leomar Y. ;
Esquenazi, Yoshua .
CURRENT ONCOLOGY REPORTS, 2019, 21 (08)
[7]   Radioresistance in Glioblastoma and the Development of Radiosensitizers [J].
Ali, Md Yousuf ;
Oliva, Claudia R. ;
Noman, Abu Shadat M. ;
Allen, Bryan G. ;
Goswami, Prabhat C. ;
Zakharia, Yousef ;
Monga, Varun ;
Spitz, Douglas R. ;
Buatti, John M. ;
Griguer, Corinne E. .
CANCERS, 2020, 12 (09) :1-29
[8]   Early treatment of HER2-amplified brain tumors with targeted NK-92 cells and focused ultrasound improves survival [J].
Alkins, Ryan ;
Burgess, Alison ;
Kerbel, Robert ;
Wels, Winfried S. ;
Hynynen, Kullervo .
NEURO-ONCOLOGY, 2016, 18 (07) :974-981
[9]   Localized blood-brain barrier opening in infiltrating gliomas with MRI-guided acoustic emissions-controlled focused ultrasound [J].
Anastasiadis, Pavlos ;
Gandhi, Dheeraj ;
Guo, Yutong ;
Ahmed, Abdul-Kareem ;
Bentzen, Soren M. ;
Arvanitis, Costas ;
Woodworth, Graeme F. .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2021, 118 (37)
[10]   Update on the safety and efficacy of commercial ultrasound contrast agents in cardiac applications [J].
Appis A.W. ;
Tracy M.J. ;
Feinstein S.B. .
Echo Research & Practice, 2015, 2 (2) :R55-R62