Evidence map›Paper›PMID 40360762›Full record

ArticleNature biomedical engineering2025

Focused ultrasound-microbubble treatment arrests the growth and formation of cerebral cavernous malformations.

Delaney G Fisher, Tanya Cruz, Matthew R Hoch, Khadijeh A Sharifi, Ishaan M Shah, Catherine M Gorick, Victoria R Breza, Anna C Debski, Joshua D Samuels, Jason P Sheehan and 7 more

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Focused ultrasound augments the delivery and penetration of model therapeutics into cerebral cavernous malformations.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
  12. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Delaney G FisherDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Tanya CruzDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Matthew R HochDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Khadijeh A SharifiDepartment of Neuroscience, University of Virginia, Charlottesville, VA, USA.
Ishaan M ShahDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Catherine M GorickDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0002-0139-3438
Victoria R BrezaDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Anna C DebskiDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0001-7288-0842
Joshua D SamuelsDepartment of Neuroscience, University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0001-5662-3758
Jason P SheehanDepartment of Neurological Surgery, University of Virginia Health System, Charlottesville, VA, USA.
David SchlesingerDepartment of Radiation Oncology, University of Virginia Health System, Charlottesville, VA, USA.
David MooreFocused Ultrasound Foundation, Charlottesville, VA, USA.
James W MandellDepartment of Pathology, University of Virginia, Charlottesville, VA, USA.
John R LukensDepartment of Neuroscience, University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0002-6795-0866
G Wilson MillerDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Petr TvrdikDepartment of Neuroscience, University of Virginia, Charlottesville, VA, USA. pt8bm.uva@gmail.com.ORCID http://orcid.org/0000-0002-8750-9672
Richard J PriceDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA. rprice@virginia.edu.ORCID http://orcid.org/0000-0002-0237-2102

Funding

Genome Editing the Blood-Brain Barrier with Sonoselective Focused UltrasoundR01EB030744 · NIBIB · UNIVERSITY OF VIRGINIA · PI PRICE, RICHARD J. · 2021 to 2024
$2.4M
Focused ultrasound pre-conditioning for augmented nanoparticle penetration in infiltrative gliomasR01EB030409 · NIBIB · UNIVERSITY OF VIRGINIA · PI HANES, JUSTIN S., PRICE, RICHARD J. · 2021 to 2024
$2.3M
Toward precision radiotherapy: Physiological modeling of respiratory motion based on ultra-quality 4D-MRIR01CA226899 · NCI · UNIVERSITY OF VIRGINIA · PI CAI, JING, MILLER, G. WILSON · 2019 to 2023
$2.2M
Small-Animal 9.4T MRI for Biomedical ResearchS10OD025024 · OD · UNIVERSITY OF VIRGINIA · PI BERR, STUART S. · 2019 to 2019
$2.0M
MR Image-Guided Drug Delivery to Cerebral Cavernous Malformations with Focused UltrasoundR01CA279134 · NCI · UNIVERSITY OF VIRGINIA · PI Richard J. Price · 2024 to 2026
$1.8M
Brain, Immunology and Glia Training ProgramT32NS115657 · NINDS · UNIVERSITY OF VIRGINIA · PI Alban P Gaultier, TAJIE H. HARRIS · 2021 to 2026
$1.2M
Role of Microglial Calcium Waves in Ischemic StrokeR21NS116431 · NINDS · UNIVERSITY OF VIRGINIA · PI TVRDIK, PETR · 2021 to 2022
$444k
ImmunoPET Assessment of anti-CD47 Immunotherapy Delivery to Glioblastoma with Focused UltrasoundR21NS118278 · NINDS · UNIVERSITY OF VIRGINIA · PI PRICE, RICHARD J. · 2020 to 2020
$420k
American Heart Association (American Heart Association, Inc.) 830909American Heart Association-American Stroke Association 830909NCI NIH HHS R01 CA226899NCI NIH HHS R01 CA279134NIBIB NIH HHS R01 EB030409NIBIB NIH HHS R01 EB030744NIH HHS S10 OD025024NINDS NIH HHS R21 NS116431NINDS NIH HHS R21 NS118278NINDS NIH HHS T32 NS115657U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01CA279134U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01EB030409U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01EB030744U.S. Department of Health & Human Services | National Institutes of Health (NIH) R21NS116431U.S. Department of Health & Human Services | National Institutes of Health (NIH) R21NS118278
6 · The paper itself

Abstract

Cerebral cavernous malformations (CCMs) are vascular lesions within the central nervous system that cause debilitating neurological symptoms. Currently, surgical excision and stereotactic radiosurgery, the primary treatment options, pose risks to some patients. Here we tested whether pulsed, low intensity, focused ultrasound-microbubble (FUS-MB) treatments control CCM growth and formation in a clinically representative Krit1 null murine model. FUS-MB under magnetic resonance imaging (MRI) guidance opened the blood-brain barrier, with gadolinium contrast agent deposition most evident at perilesional boundaries. Longitudinal MRI revealed that, at 1 month after treatment, FUS-MB halted the growth of 94% of treated CCMs. In contrast, untreated CCMs grew ~7-fold in volume. FUS-MB-treated CCMs exhibited a marked reduction in Krit1 null endothelial cells. In mice receiving multiple FUS-MB treatments with fixed peak-negative pressures, de novo CCM formation was reduced by 81%, indicating a prophylactic effect. Our findings support FUS-MB as a minimally invasive treatment modality that can safely arrest murine CCM growth and prevent de novo CCM formation in mice. If proven safe and effective in clinical trials, FUS-MB treatment may enhance therapeutic options for CCM patients.

Indexed as

Hemangioma, Cavernous, Central Nervous SystemMicrobubblesUltrasonic TherapyAnimalsBlood-Brain BarrierDisease Models, AnimalHumansKRIT1 ProteinMagnetic Resonance ImagingMiceKRIT1 Protein

Identifiers

PMID40360762
PMCPMC12354199

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.