Evidence map›Paper›PMID 31998549›Full record

ArticlePeerJ2020

Toward a clinical real time tissue ablation technology: combining electroporation and electrolysis (E2).

Enric Guenther, Nina Klein, Paul Mikus, Florin Botea, Mihail Pautov, Franco Lugnani, Matteo Macchioro, Irinel Popescu, Michael K Stehling, Boris Rubinsky

Open access · goldAbstract read
In one paragraph

Article in PeerJ, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Enric Guenther *Biophysics, Inter Science GmbH, Gisikon, Lucerne, Switzerland.ORCID 0000-0002-7193-4164
Nina Klein *Biophysics, Inter Science GmbH, Gisikon, Lucerne, Switzerland.
Paul MikusBiophysics, Inter Science GmbH, Gisikon, Lucerne, Switzerland.
Florin BoteaCenter of General Surgery and Liver Transplantation, Fundeni Clinical Institute, Bucharest, Romania.
Mihail PautovCenter of General Surgery and Liver Transplantation, Fundeni Clinical Institute, Bucharest, Romania.
Franco LugnaniHippocrates D.O.O. Divaĉa, Malaga, Spain.ORCID 0000-0002-7133-7052
Matteo MacchioroHippocrates D.O.O. Divaĉa, Malaga, Spain.
Irinel PopescuCenter of General Surgery and Liver Transplantation, Fundeni Clinical Institute, Bucharest, Romania.
Michael K StehlingBiophysics, Inter Science GmbH, Gisikon, Lucerne, Switzerland.
Boris RubinskyBiophysics, Inter Science GmbH, Gisikon, Lucerne, Switzerland.
Institutul Clinic Fundeni · ROUniversity of California, Berkeley · USUniversitat Pompeu Fabra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous image-guided tissue ablation (IGA) plays a growing role in the clinical management of solid malignancies. Electroporation is used for IGA in several modalities: irreversible electroporation (IRE), and reversible electroporation with chemotoxic drugs, called electrochemotherapy (ECT). It was shown that the combination of electrolysis and electroporation-E2-affords tissue ablation with greater efficiency, that is, lower voltages, lower energy and shorter procedure times than IRE and without the need for chemotoxic additives as in ECT.

methodsA new E2 waveform was designed that delivers optimal doses of electroporation and electrolysis in a single waveform. A series of experiments were performed in the liver of pigs to evaluate E2 in the context of clinical applications. The goal was to find initial parameter boundaries in terms of electrical field, pulse duration and charge as well as tissue behavior to enable real time tissue ablation of clinically relevant volumes.

resultsHistological results show that a single several hundred millisecond long E2 waveform can ablate large volume of tissue at relatively low voltages while preserving the integrity of large blood vessels and lumen structures in the ablation zone without the use of chemotoxic drugs or paralyzing drugs during anesthesia. This could translate clinically into much shorter treatment times and ease of use compared to other techniques that are currently applied.

Indexed as

AblationCancer treatmentE2Electro chemo theraphyElectrolysisElectroporationImage guided tissue ablationIREIrreversible electroporationMedtec

Identifiers

PMID31998549
PMCPMC6977482
OpenAlexW3000587389

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.