Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound

Histotripsy is the first noninvasive, non-ionizing, and non-thermal ablation technology guided by real-time imaging. Using focused ultrasound delivered from outside the body, histotripsy mechanically destroys tissue through cavitation, rendering the target into acellular debris. The material in the...

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Main Authors: Zhen Xu, Timothy L. Hall, Eli Vlaisavljevich, Fred T. Lee
Format: Article
Language:English
Published: Taylor & Francis Group 2021-01-01
Series:International Journal of Hyperthermia
Subjects:
Online Access:http://dx.doi.org/10.1080/02656736.2021.1905189
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spelling doaj-34e00540de0b47dba37180f8ac58c9582021-04-21T16:14:20ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572021-01-0138156157510.1080/02656736.2021.19051891905189Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasoundZhen Xu0Timothy L. Hall1Eli Vlaisavljevich2Fred T. Lee3Department of Biomedical Engineering, University of MichiganDepartment of Biomedical Engineering, University of MichiganDepartment of Biomedical Engineering and Mechanics, Virginia Polytechnic Institute and State UniversityDepartments of Radiology, Biomedical Engineering, and Urology, University of WisconsinHistotripsy is the first noninvasive, non-ionizing, and non-thermal ablation technology guided by real-time imaging. Using focused ultrasound delivered from outside the body, histotripsy mechanically destroys tissue through cavitation, rendering the target into acellular debris. The material in the histotripsy ablation zone is absorbed by the body within 1–2 months, leaving a minimal remnant scar. Histotripsy has also been shown to stimulate an immune response and induce abscopal effects in animal models, which may have positive implications for future cancer treatment. Histotripsy has been investigated for a wide range of applications in preclinical studies, including the treatment of cancer, neurological diseases, and cardiovascular diseases. Three human clinical trials have been undertaken using histotripsy for the treatment of benign prostatic hyperplasia, liver cancer, and calcified valve stenosis. This review provides a comprehensive overview of histotripsy covering the origin, mechanism, bioeffects, parameters, instruments, and the latest results on preclinical and human studies.http://dx.doi.org/10.1080/02656736.2021.1905189high intensity ultrasoundultrasoundphysicsimagingimmunotherapy
collection DOAJ
language English
format Article
sources DOAJ
author Zhen Xu
Timothy L. Hall
Eli Vlaisavljevich
Fred T. Lee
spellingShingle Zhen Xu
Timothy L. Hall
Eli Vlaisavljevich
Fred T. Lee
Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound
International Journal of Hyperthermia
high intensity ultrasound
ultrasound
physics
imaging
immunotherapy
author_facet Zhen Xu
Timothy L. Hall
Eli Vlaisavljevich
Fred T. Lee
author_sort Zhen Xu
title Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound
title_short Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound
title_full Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound
title_fullStr Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound
title_full_unstemmed Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound
title_sort histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound
publisher Taylor & Francis Group
series International Journal of Hyperthermia
issn 0265-6736
1464-5157
publishDate 2021-01-01
description Histotripsy is the first noninvasive, non-ionizing, and non-thermal ablation technology guided by real-time imaging. Using focused ultrasound delivered from outside the body, histotripsy mechanically destroys tissue through cavitation, rendering the target into acellular debris. The material in the histotripsy ablation zone is absorbed by the body within 1–2 months, leaving a minimal remnant scar. Histotripsy has also been shown to stimulate an immune response and induce abscopal effects in animal models, which may have positive implications for future cancer treatment. Histotripsy has been investigated for a wide range of applications in preclinical studies, including the treatment of cancer, neurological diseases, and cardiovascular diseases. Three human clinical trials have been undertaken using histotripsy for the treatment of benign prostatic hyperplasia, liver cancer, and calcified valve stenosis. This review provides a comprehensive overview of histotripsy covering the origin, mechanism, bioeffects, parameters, instruments, and the latest results on preclinical and human studies.
topic high intensity ultrasound
ultrasound
physics
imaging
immunotherapy
url http://dx.doi.org/10.1080/02656736.2021.1905189
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