Evidence map›Paper›PMID 34235081›Full record

ArticleFrontiers in oncology2021

Intracranial Sonodynamic Therapy With 5-Aminolevulinic Acid and Sodium Fluorescein: Safety Study in a Porcine Model.

Luca Raspagliesi, Antonio D'Ammando, Matteo Gionso, Natasha D Sheybani, Maria-Beatriz Lopes, David Moore, Steven Allen, Jeremy Gatesman, Edoardo Porto, Kelsie Timbie and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  9. [Utilizing Sonodynamic Therapy-Induced Pyroptosis for Liver Cancer Therapy].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
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  12. Glioblastoma Therapy: Past, Present and Future.International journal of molecular sciences · 2024
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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

15 authors at 7 institutions in 2 countries.

Luca RaspagliesiNeurosurgery Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Antonio D'AmmandoNeurosurgery Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Matteo GionsoHumanitas University, Pieve Emanuele, Italy.
Natasha D SheybaniDivision of Oncology, Department of Medicine, Stanford Cancer Institute, Stanford University, Stanford, CA, United States.
Maria-Beatriz LopesDepartment of Pathology, University of Virginia, Charlottesville, VA, United States.
David MooreFocused Ultrasound Foundation, Charlottesville, VA, United States.
Steven AllenDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States.
Jeremy GatesmanCenter for Comparative Medicine, University of Virginia, Charlottesville, VA, United States.
Edoardo PortoNeurosurgery Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Kelsie TimbieFocused Ultrasound Foundation, Charlottesville, VA, United States.
Andrea FranziniDepartment of Neurosurgery, Humanitas Clinical and Research Center, Milan, Italy.
Francesco Di MecoNeurosurgery Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Jason SheehanDepartment of Neurological Surgery, University of Virginia, Charlottesville, VA, United States.
Zhiyuan XuDepartment of Neurological Surgery, University of Virginia, Charlottesville, VA, United States.
Francesco PradaNeurosurgery Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Neurological Surgery · USUniversity of Virginia · USFocused Ultrasound Foundation · USFondazione IRCCS Istituto Neurologico Carlo Besta · ITHumanitas University · ITStanford University · USUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSonodynamic therapy (SDT) is an emerging ultrasound-based treatment modality for malignant gliomas which combines ultrasound with sonosensitizers to produce a localized cytotoxic and modulatory effect. Tumor-specificity of the treatment is achieved by the selective extravasation and accumulation of sonosensitizers in the tumor-bearing regions. The aim of this study is to demonstrate the safety of low-intensity ultrasonic irradiation of healthy brain tissue after the administration of FDA-approved sonosensitizers used for SDT in experimental studies in an

methodsIn vivo safety of fluorescein (Na-Fl)- and 5 aminolevulinic acid (5-ALA)-mediated low-intensity ultrasound irradiation of healthy brain parenchyma was assessed in two sets of four healthy swine brains, using the magnetic resonance imaging (MRI)-guided Insightec ExAblate 4000 220 kHz system. After administration of the sonosensitizers, a wide fronto-parietal craniotomy was performed in pig skulls to allow transmission of ultrasonic beams. Sonication was performed on different spots within the thalamus and periventricular white matter with continuous thermal monitoring. Sonication-related effects were investigated with MRI and histological analysis.

resultsPost-treatment MRI images acquired within one hour following the last sonication, on day one, and day seven did not visualize any sign of brain damage. On histopathology, no signs of necrosis or apoptosis attributable to the ultrasonic treatments were shown in target areas.

conclusionsThe results of the present study suggest that either Na-FL or 5-ALA-mediated sonodynamic therapies under MRI-guidance with the current acoustic parameters are safe towards healthy brain tissue in a large

Indexed as

brain tumorsfluorescein 5-aminolevulinic acid (5-ALA)fluorescein (FL)focused ultrasound (FUS)safetysonodynamic therapy (SDT)ultrasound

Identifiers

PMID34235081
PMCPMC8256685
OpenAlexW3175408629

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.