Evidence map›Paper›PMID 36207225›Full record

ArticleUltrasound in medicine & biology2023

Initial Assessment of Boiling Histotripsy for Mechanical Ablation of Ex Vivo Human Prostate Tissue.

Vera A Khokhlova, Pavel B Rosnitskiy, Sergey A Tsysar, Sergey V Buravkov, Ekaterina M Ponomarchuk, Oleg A Sapozhnikov, Maria M Karzova, Tatiana D Khokhlova, Adam D Maxwell, Yak-Nam Wang and 6 more

Open access · greenAbstract read
In one paragraph

Article in Ultrasound in medicine & biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
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  10. A Fully Populated Transrectal Array for Boiling Histotripsy Ablation of the Prostate.IEEE transactions on ultrasonics, ferroelectrics, and frequency control · 2025
    Article
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  16. Histotripsy: A Method for Mechanical Tissue Ablation with Ultrasound.Annual review of biomedical engineering · 2024
    Review
  17. Review
  18. Enhancement of Boiling Histotripsy by Steering the Focus Axially During the Pulse Delivery.IEEE transactions on ultrasonics, ferroelectrics, and frequency control · 2023
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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

16 authors at 4 institutions in 3 countries.

Vera A KhokhlovaCenter for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle, Washington, USA; Physics Faculty, Lomonosov Moscow State University, Moscow, Russia. Electronic address: verak2@uw.edu.
Pavel B RosnitskiyPhysics Faculty, Lomonosov Moscow State University, Moscow, Russia.
Sergey A TsysarPhysics Faculty, Lomonosov Moscow State University, Moscow, Russia.
Sergey V BuravkovLaboratory of Cell Image Analysis, Faculty of Fundamental Medicine, Lomonosov Moscow State University, Moscow, Russia; Research Institute of Human Morphology, Moscow, Russia.
Ekaterina M PonomarchukPhysics Faculty, Lomonosov Moscow State University, Moscow, Russia.
Oleg A SapozhnikovCenter for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle, Washington, USA; Physics Faculty, Lomonosov Moscow State University, Moscow, Russia.
Maria M KarzovaPhysics Faculty, Lomonosov Moscow State University, Moscow, Russia.
Tatiana D KhokhlovaDivision of Gastroenterology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Adam D MaxwellDepartment of Urology, University of Washington School of Medicine, Seattle, Washington, USA.
Yak-Nam WangCenter for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington, Seattle, Washington, USA.
Alexey V KadrevMedical Research and Educational Center, Department of Urology and Andrology, Lomonosov Moscow State University, Moscow, Russia; Diagnostic Ultrasound Division, Russian Medical Academy of Continuous Professional Education, Moscow, Russia.
Andrey L ChernyaevResearch Institute of Human Morphology, Moscow, Russia; Pulmonology Scientific Research Institute, Moscow, Russia.
Valery P ChernikovResearch Institute of Human Morphology, Moscow, Russia.
Dmitriy A OkhobotovMedical Research and Educational Center, Department of Urology and Andrology, Lomonosov Moscow State University, Moscow, Russia.
Armais A KamalovMedical Research and Educational Center, Department of Urology and Andrology, Lomonosov Moscow State University, Moscow, Russia.
George R SchadeDepartment of Urology, University of Washington School of Medicine, Seattle, Washington, USA.
Lomonosov Moscow State University · RUUniversity of Washington · USResearch Institute of Human Morphology · RUUniversity of Washington Applied Physics Laboratory · US

Funding

Noninvasive histotripsy ablation of fibrotic tissue in benign prostatic hyperplasiaR01DK119310 · NIDDK · UNIVERSITY OF WASHINGTON · PI MAXWELL, ADAM DOUGLAS, SCHADE, GEORGE R · 2019 to 2023
$3.0M
Focal Therapy of Prostate Cancer using Non-Thermal Tumor Ablation with Focused UltrasoundR21CA219793 · NCI · UNIVERSITY OF WASHINGTON · PI SCHADE, GEORGE R · 2017 to 2019
$356k
NCI NIH HHS R21 CA219793NIDDK NIH HHS R01 DK119310
6 · The paper itself

Abstract

Boiling histotripsy (BH) is a focused ultrasound technology that uses millisecond-long pulses with shock fronts to induce mechanical tissue ablation. The pulsing scheme and mechanisms of BH differ from those of cavitation cloud histotripsy, which was previously developed for benign prostatic hyperplasia. The goal of the work described here was to evaluate the feasibility of using BH to ablate fresh ex vivo human prostate tissue as a proof of principle for developing BH for prostate applications. Fresh human prostate samples (N = 24) were obtained via rapid autopsy (<24 h after death, institutional review board exempt). Samples were analyzed using shear wave elastography to ensure that mechanical properties of autopsy tissue were clinically representative. Samples were exposed to BH using 10- or 1-ms pulses with 1% duty cycle under real-time B-mode and Doppler imaging. Volumetric lesions were created by sonicating 1-4 rectangular planes spaced 1 mm apart, containing a grid of foci spaced 1-2 mm apart. Tissue then was evaluated grossly and histologically, and the lesion content was analyzed using transmission electron microscopy and scanning electron microscopy. Observed shear wave elastography characterization of ex vivo prostate tissue (37.9 ± 22.2 kPa) was within the typical range observed clinically. During BH, hyperechoic regions were visualized at the focus on B-mode, and BH-induced bubbles were also detected using power Doppler. As treatment progressed, hypoechoic regions of tissue appeared, suggesting successful tissue fractionation. BH treatment was twofold faster using shorter pulses (1 ms vs. 10 ms). Histological analysis revealed lesions containing completely homogenized cell debris, consistent with histotripsy-induced mechanical ablation. It was therefore determined that BH is feasible in fresh ex vivo human prostate tissue producing desired mechanical ablation. The study supports further work aimed at translating BH technology as a clinical option for prostate ablation.

Indexed as

High-Intensity Focused Ultrasound AblationHumansMaleProstateBoiling histotripsyHigh-intensity focused ultrasoundProstate

Identifiers

PMID36207225
PMCPMC9712256
OpenAlexW4301395740

What OpenQuestion holds

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LicenceTDM
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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.