Evidence map›Paper›PMID 41507561›Full record

SynthesisBritish journal of cancer2026

Efficacy and safety of low- and high-intensity focused ultrasound in glioblastoma: a systematic review of preclinical and clinical studies.

Muteb Alrashidi, Febe Ferro, Anas Almohammadi, Nawal Hamed Alyoubi, Ghada Saleem Alsarheed, James Joseph, Sourav Banerjee

Abstract readSystematic Review
In one paragraph

Synthesis in British journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
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

7 authors.

Muteb Alrashidi *Division of Cancer Research, School of Medicine, University of Dundee, Dundee, UK.ORCID http://orcid.org/0009-0009-0405-7155
Febe Ferro *Division of Cancer Research, School of Medicine, University of Dundee, Dundee, UK.
Anas AlmohammadiDepartment of Biomedical Engineering, School of Science and Engineering, University of Dundee, Dundee, UK.
Nawal Hamed AlyoubiDepartment of Health Education, Al-Noor Specialist Hospital, Ministry of Health, Makkah, Saudi Arabia.
Ghada Saleem AlsarheedStudent at Alyamamah University, Riyadh, Saudi Arabia.
James JosephDepartment of Biomedical Engineering, School of Science and Engineering, University of Dundee, Dundee, UK. JJoseph001@dundee.ac.uk.ORCID http://orcid.org/0000-0001-6270-2559
Sourav BanerjeeDivision of Cancer Research, School of Medicine, University of Dundee, Dundee, UK. s.y.banerjee@dundee.ac.uk.ORCID http://orcid.org/0000-0003-2043-2989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlioblastoma (GBM) is an aggressive brain tumour with a poor prognosis despite existing multimodal treatments, limited by the blood-brain barrier (BBB) and high recurrence rates. Focused ultrasound (FUS), encompassing low-intensity (LIFU) and high-intensity (HIFU) modalities, offers non-invasive approaches to enhance drug delivery and ablate tumour tissue, respectively. To systematically evaluate the efficacy and safety of LIFU-mediated BBB opening and HIFU-induced thermal ablation in GBM treatment, comparing preclinical and clinical outcomes.

methodsThis review searched PubMed, Scopus, and Web of Science (August 2024) for studies on FUS in GBM. Preclinical and clinical studies reporting efficacy (tumour response, survival) and safety outcomes were included. Data were extracted using a standardised form, with quality assessed via SYRCLE (preclinical) and ROBINS-I (clinical) tools. Narrative synthesis was performed due to study heterogeneity.

resultsFrom 1817 records, 40 studies (26 preclinical, 14 clinical with 139 patients) were included. LIFU enhanced delivery of chemotherapies, immunotherapies, and nanoparticles, reducing tumour growth and extending survival in preclinical models (e.g., 26-81.2 days vs. 18-30.4 days), with clinical trials showing progression-free survival of 2.5-4.11 months, overall survival of 10-14 months, and 100% one-year survival with temozolomide in a small cohort (n = 6). HIFU achieved ~70% tumour growth inhibition preclinically but only ~10% ablation clinically. Both modalities were safe, with no severe adverse events, only mild, transient effects like petechiae (LIFU) and warmth (HIFU).

conclusionsLIFU and HIFU are promising, complementary GBM treatments, with LIFU excelling in drug delivery and HIFU in ablation. Large-scale, multicentre randomised controlled trials with standardised parameters are needed to validate their efficacy and safety and optimise their integration into clinical practice. PROSPERO REGISTRATION: CRD42024627213.

Indexed as

Brain NeoplasmsGlioblastomaHigh-Intensity Focused Ultrasound AblationAnimalsBlood-Brain BarrierClinical Trials as TopicDrug Delivery SystemsHumansTreatment Outcome

Identifiers

PMID41507561
PMCPMC12996541

What OpenQuestion holds

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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.