Evidence map›Paper›PMID 34615611›Full record

ArticleUltrasound in medicine & biology2022

Transcranial Magnetic Resonance-Guided Histotripsy for Brain Surgery: Pre-clinical Investigation.

Ning Lu, Dinank Gupta, Badih J Daou, Adam Fox, Dave Choi, Jonathan R Sukovich, Timothy L Hall, Sandra Camelo-Piragua, Neeraj Chaudhary, John Snell and 3 more

Open access · greenAbstract read
In one paragraph

Article in Ultrasound in medicine & biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
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

21 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. MR-Cavitation Dynamics Encoded (MR-CaDE) imaging.Magnetic resonance in medicine · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Histotripsy: A Method for Mechanical Tissue Ablation with Ultrasound.Annual review of biomedical engineering · 2024
    Review
  11. Insights fromInternational journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Transcranial histotripsy parameter study in primary and metastatic murine brain tumor models.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2023
    Article
  17. Aberration correction in abdominal histotripsy.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2023
    Review
  18. The histotripsy spectrum: differences and similarities in techniques and instrumentation.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2023
    Review
  19. A review of the development of histotripsy for extremity tumor ablation with a canine comparative oncology model to inform human treatments.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2023
    Review
  20. 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

13 authors at 2 institutions in 1 country.

Ning LuDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA.
Dinank GuptaDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA.
Badih J DaouDepartment of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA.
Adam FoxDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA.
Dave ChoiDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA.
Jonathan R SukovichDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA.
Timothy L HallDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA.
Sandra Camelo-PiraguaDepartment of Pathology, University of Michigan, Ann Arbor, Michigan, USA.
Neeraj ChaudharyDepartment of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA; Department of Radiology, University of Michigan, Ann Arbor, Michigan, USA.
John SnellFocused Ultrasound Foundation, Charlottesville, Virginia, USA.
Aditya S PandeyDepartment of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA; Department of Radiology, University of Michigan, Ann Arbor, Michigan, USA.
Douglas C NollDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA.
Zhen XuDepartment of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA. Electronic address: zhenx@umich.edu.
University of Michigan · USFocused Ultrasound Foundation · US

Funding

Novel Ultrasonic Technique for the Treatment of Hemorrhagic StrokeR01NS108042 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PANDEY, ADITYA S · 2018 to 2022
$2.6M
Transcranial Magnetic Resonance guided Histotripsy (tcMRgHt)R01EB028309 · NIBIB · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI XU, ZHEN · 2019 to 2022
$2.4M
NIBIB NIH HHS R01 EB028309NINDS NIH HHS R01 NS108042
6 · The paper itself

Abstract

Histotripsy has been previously applied to target various cranial locations in vitro through an excised human skull. Recently, a transcranial magnetic resonance (MR)-guided histotripsy (tcMRgHt) system was developed, enabling pre-clinical investigations of tcMRgHt for brain surgery. To determine the feasibility of in vivo transcranial histotripsy, tcMRgHt treatment was delivered to eight pigs using a 700-kHz, 128-element, MR-compatible phased-array transducer inside a 3-T magnetic resonance imaging (MRI) scanner. After craniotomy to open an acoustic window to the brain, histotripsy was applied through an excised human calvarium to target the inside of the pig brain based on pre-treatment MRI and fiducial markers. MR images were acquired pre-treatment, immediately post-treatment and 2-4 h post-treatment to evaluate the acute treatment outcome. Successful histotripsy ablation was observed in all pigs. The MR-evident lesions were well confined within the targeted volume, without evidence of excessive brain edema or hemorrhage outside of the target zone. Histology revealed tissue homogenization in the ablation zones with a sharp demarcation between destroyed and unaffected tissue, which correlated well with the radiographic treatment zones on MRI. These results are the first to support the in vivo feasibility of tcMRgHt in the pig brain, enabling further investigation of the use of tcMRgHt for brain surgery.

Indexed as

High-Intensity Focused Ultrasound AblationMagnetic Resonance ImagingAnimalsBrainMagnetic Resonance SpectroscopySkullSwineTransducersBrainHistotripsyMagnetic resonance imagingTherapeutic ultrasoundTranscranial treatment

Identifiers

PMID34615611
PMCPMC9404674
OpenAlexW3203660391

What OpenQuestion holds

Textmetadata
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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.