Evidence map›Paper›PMID 37717084›Full record

ArticleNPJ precision oncology2023

First-in-human prospective trial of sonobiopsy in high-grade glioma patients using neuronavigation-guided focused ultrasound.

Jinyun Yuan, Lu Xu, Chih-Yen Chien, Yaoheng Yang, Yimei Yue, Siaka Fadera, Andrew H Stark, Katherine E Schwetye, Arash Nazeri, Rupen Desai and 4 more

Open access · goldAbstract read
In one paragraph

Article in NPJ precision oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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  5. Focused ultrasound for brain metastases.Neuro-oncology advances · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Jinyun Yuan *Department of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA.
Lu Xu *Department of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA.
Chih-Yen Chien *Department of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA.
Yaoheng YangDepartment of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA.ORCID http://orcid.org/0000-0001-8952-887X
Yimei YueDepartment of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA.
Siaka FaderaDepartment of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA.
Andrew H StarkDepartment of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA.ORCID http://orcid.org/0009-0006-6672-2673
Katherine E SchwetyeDepartment of Pathology and Immunology, Washington University School of Medicine, Saint Louis, MO, 63110, USA.
Arash NazeriMallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, MO, 63110, USA.ORCID http://orcid.org/0000-0001-6983-0641
Rupen DesaiDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Umeshkumar AthiramanDepartment of Anesthesia, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Aadel A ChaudhuriDepartment of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA.ORCID http://orcid.org/0000-0003-3115-3061
Hong ChenDepartment of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA. hongchen@wustl.edu.ORCID http://orcid.org/0000-0003-1904-0857
Eric C LeuthardtDepartment of Biomedical Engineering, Washington University in St. Louis, Saint Louis, MO, 63130, USA. leuthardte@wustl.edu.ORCID http://orcid.org/0000-0003-4154-3135
Washington University in St. Louis · USMallinckrodt (United States) · US

Funding

Image-guided focused ultrasound-mediated intranasal brain drug delivery technique (FUSIN)R01EB027223 · NIBIB · WASHINGTON UNIVERSITY · PI Hong Chen · 2019 to 2026
$4.3M
Focused ultrasound-enabled brain tumor liquid biopsy (FUS-LBx) supplementR01EB030102 · NIBIB · WASHINGTON UNIVERSITY · PI Hong Chen · 2020 to 2026
$4.3M
FOCUS: FUNCTIONAL OPTICAL IMAGING FEEDBACK-CONTROLLED CELLULAR-LEVEL ULTRASOUND STIMULATIONR01MH116981 · NIMH · WASHINGTON UNIVERSITY · PI CHEN, HONG · 2018 to 2021
$2.8M
Sonobiopsy for Noninvasive Genetic Evaluation of Glioblastoma PatientsR01CA276174 · NCI · WASHINGTON UNIVERSITY · PI Hong Chen, Eric CLAUDE Leuthardt · 2023 to 2026
$2.6M
Sonogenetics 2.0R01NS128461 · NINDS · WASHINGTON UNIVERSITY · PI Hong Chen · 2023 to 2026
$2.5M
iSonogenetics for incisionless cell-type-specific neuromodulation of non-human primate brainsUG3MH126861 · NIMH · WASHINGTON UNIVERSITY · PI CHEN, HONG, MONOSOV, ILYA E. · 2021 to 2023
$2.1M
Molecular mechanisms underlying isoflurane conditioning-induced neurovascular protection in subarachnoid hemorrhageK08NS125038 · NINDS · WASHINGTON UNIVERSITY · PI Umeshkumar Athiraman · 2022 to 2026
$891k
NCI NIH HHS R01 CA276174NIBIB NIH HHS R01 EB027223NIBIB NIH HHS R01 EB030102NIMH NIH HHS R01 MH116981NIMH NIH HHS UG3 MH126861NINDS NIH HHS K08 NS125038NINDS NIH HHS R01 NS128461
6 · The paper itself

Abstract

Sonobiopsy is an emerging technology that combines focused ultrasound (FUS) with microbubbles to enrich circulating brain disease-specific biomarkers for noninvasive molecular diagnosis of brain diseases. Here, we report the first-in-human prospective trial of sonobiopsy in high-grade glioma patients to evaluate its feasibility and safety in enriching plasma circulating tumor biomarkers. A nimble FUS device integrated with a clinical neuronavigation system was used to perform sonobiopsy following an established clinical workflow for neuronavigation. Analysis of blood samples collected before and after FUS sonication showed that sonobiopsy enriched plasma circulating tumor DNA (ctDNA), including a maximum increase of 1.6-fold for the mononucleosome cell-free DNA (cfDNA) fragments (120-280 bp), 1.9-fold for the patient-specific tumor variant ctDNA level, and 5.6-fold for the TERT mutation ctDNA level. Histological analysis of surgically resected tumors confirmed the safety of the procedure. Transcriptome analysis of sonicated and nonsonicated tumor tissues found that FUS sonication modulated cell physical structure-related genes. Only 2 out of 17,982 total detected genes related to the immune pathways were upregulated. These feasibility and safety data support the continued investigation of sonobiopsy for noninvasive molecular diagnosis of brain diseases.

Identifiers

PMID37717084
PMCPMC10505140
OpenAlexW4386799303

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Registered trials

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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.