Fluorescein sodium as a marker for focused ultrasound-induced blood-brain barrier disruption: a case report in a porcine model
Yuan Xu,
No information about this author
Thomas J. On,
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Mark C. Preul
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et al.
Frontiers in Surgery,
Journal Year:
2025,
Volume and Issue:
12
Published: April 1, 2025
Transcranial
low-intensity
focused
ultrasound
(FUS)
enables
noninvasive,
targeted,
and
reversible
blood-brain
barrier
(BBB)
disruption,
facilitating
drug
delivery
liquid
biopsy
of
the
brain.
Using
fluorescein
sodium
(FNa)
with
macroscopic
widefield
fluorescence
microscopic
confocal
laser
endomicroscopy
(CLE)
imaging,
we
assessed
BBB
permeability
after
applying
a
frameless,
electromagnetic-guided
FUS
system
in
porcine
model
confirmed
established
MRI
protocol
conventional
histology.
Both
FNa
imaging
findings
correlated
contrast-enhanced
MRI,
providing
direct
evidence
disruption.
This
approach
demonstrates
utility
for
evaluating
preclinical
studies.
Language: Английский
Focused Ultrasound
Investigative Radiology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 20, 2024
Invasive
open
surgery
used
to
be
compulsory
access
tumor
mass
perform
excision
or
resection.
Development
of
minimally
invasive
laparoscopic
procedures
followed,
as
well
catheter-based
approaches,
such
stenting,
endovascular
surgery,
chemoembolization,
brachytherapy,
which
minimize
side
effects
and
reduce
the
risks
patients.
Completely
noninvasive
bring
further
benefits
in
terms
reducing
risk,
procedure
time,
recovery
potential
infection,
other
effects.
Focusing
ultrasound
waves
from
outside
body
specifically
at
disease
site
has
proven
a
safe
approach
localized
ablative
hyperthermia,
mechanical
ablation,
targeted
drug
delivery.
Focused
medical
intervention
was
proposed
decades
ago,
but
it
only
became
feasible
plan,
guide,
monitor,
control
treatment
with
advanced
radiological
imaging
capabilities.
The
purpose
this
review
is
describe
capabilities
approaches
these
tasks,
emphasis
on
magnetic
resonance
ultrasound.
Some
already
are
clinical
practice,
more
trial
stage.
Imaging
fully
integrated
workflow
includes
following:
(1)
planning,
definition
target
regions
adjacent
organs
risk;
(2)
real-time
monitoring
via
thermometry
imaging,
cavitation
feedback,
motion
control,
assure
targeting
safety
normal
tissues;
(3)
evaluation
efficacy,
assessment
ablation
physiological
parameters,
blood
supply.
This
also
focuses
sonosensitive
microparticles
nanoparticles,
microbubbles
injected
bloodstream.
They
enable
energy
deposition
down
microvascular
level,
induce
vascular
inflammation
shutdown,
accelerate
clot
dissolution,
delivery
interventions,
including
focal
gene
Especially
exciting
ability
opening
blood-brain
barrier
desired
areas
within
brain.
Overall,
focused
under
image
guidance
rapidly
developing,
become
choice
interventional
radiology
tool
treat
cure
Language: Английский
4D Printed shape memory polymers in focused ultrasound fields
Additive manufacturing,
Journal Year:
2024,
Volume and Issue:
unknown, P. 104465 - 104465
Published: Oct. 1, 2024
Language: Английский
Neuromodulation as a therapeutic approach for post-traumatic stress disorder: the evidence to date
Felicia Manocchio,
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Jordan Enepekides,
No information about this author
Sean M. Nestor
No information about this author
et al.
Expert Review of Neurotherapeutics,
Journal Year:
2024,
Volume and Issue:
unknown, P. 1 - 20
Published: Dec. 20, 2024
Post-traumatic
stress
disorder
(PTSD)
can
have
debilitating
effects
on
quality
of
life,
and
conventional
treatments
show
mixed
results.
Neuromodulation
is
emerging
as
a
promising
approach
for
treating
PTSD.
This
review
examines
current
neuromodulatory
PTSD,
highlights
methodologies,
clinical
outcomes,
gaps
in
the
literature
to
help
guide
future
research.
Language: Английский