Insights from in vivo preclinical cancer studies with histotripsy

Histotripsy is the first noninvasive, non-ionizing, and non-thermal ablation technique that mechanically fractionates target tissue into acellular homogenate via controlled acoustic cavitation. Histotripsy has been evaluated for various preclinical applications requiring noninvasive tissue removal i...

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Main Authors: Tejaswi Worlikar, Timothy Hall, Man Zhang, Mishal Mendiratta-Lala, Michael Green, Clifford S. Cho, Zhen Xu
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Hyperthermia
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Online Access:https://www.tandfonline.com/doi/10.1080/02656736.2023.2297650
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author Tejaswi Worlikar
Timothy Hall
Man Zhang
Mishal Mendiratta-Lala
Michael Green
Clifford S. Cho
Zhen Xu
author_facet Tejaswi Worlikar
Timothy Hall
Man Zhang
Mishal Mendiratta-Lala
Michael Green
Clifford S. Cho
Zhen Xu
author_sort Tejaswi Worlikar
collection DOAJ
description Histotripsy is the first noninvasive, non-ionizing, and non-thermal ablation technique that mechanically fractionates target tissue into acellular homogenate via controlled acoustic cavitation. Histotripsy has been evaluated for various preclinical applications requiring noninvasive tissue removal including cancer, brain surgery, blood clot and hematoma liquefaction, and correction of neonatal congenital heart defects. Promising preclinical results including local tumor suppression, improved survival outcomes, local and systemic anti-tumor immune responses, and histotripsy-induced abscopal effects have been reported in various animal tumor models. Histotripsy is also being investigated in veterinary patients with spontaneously arising tumors. Research is underway to combine histotripsy with immunotherapy and chemotherapy to improve therapeutic outcomes. In addition to preclinical cancer research, human clinical trials are ongoing for the treatment of liver tumors and renal tumors. Histotripsy has been recently approved by the FDA for noninvasive treatment of liver tumors. This review highlights key learnings from in vivo shock-scattering histotripsy, intrinsic threshold histotripsy, and boiling histotripsy cancer studies treating cancers of different anatomic locations and discusses the major considerations in planning in vivo histotripsy studies regarding instrumentation, tumor model, study design, treatment dose, and post-treatment tumor monitoring.
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spelling doaj-art-b87cec0cc9804af68fc00d095f3e28b52025-01-03T09:30:27ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572024-12-0141110.1080/02656736.2023.2297650Insights from in vivo preclinical cancer studies with histotripsyTejaswi Worlikar0Timothy Hall1Man Zhang2Mishal Mendiratta-Lala3Michael Green4Clifford S. Cho5Zhen Xu6Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USADepartment of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USADepartment of Radiology, University of Michigan, Ann Arbor, MI, USADepartment of Radiology, University of Michigan, Ann Arbor, MI, USADepartment of Radiation Oncology, University of Michigan, Ann Arbor, MI, USADepartment of Surgery, University of Michigan Medical School, Ann Arbor, MI, USADepartment of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USAHistotripsy is the first noninvasive, non-ionizing, and non-thermal ablation technique that mechanically fractionates target tissue into acellular homogenate via controlled acoustic cavitation. Histotripsy has been evaluated for various preclinical applications requiring noninvasive tissue removal including cancer, brain surgery, blood clot and hematoma liquefaction, and correction of neonatal congenital heart defects. Promising preclinical results including local tumor suppression, improved survival outcomes, local and systemic anti-tumor immune responses, and histotripsy-induced abscopal effects have been reported in various animal tumor models. Histotripsy is also being investigated in veterinary patients with spontaneously arising tumors. Research is underway to combine histotripsy with immunotherapy and chemotherapy to improve therapeutic outcomes. In addition to preclinical cancer research, human clinical trials are ongoing for the treatment of liver tumors and renal tumors. Histotripsy has been recently approved by the FDA for noninvasive treatment of liver tumors. This review highlights key learnings from in vivo shock-scattering histotripsy, intrinsic threshold histotripsy, and boiling histotripsy cancer studies treating cancers of different anatomic locations and discusses the major considerations in planning in vivo histotripsy studies regarding instrumentation, tumor model, study design, treatment dose, and post-treatment tumor monitoring.https://www.tandfonline.com/doi/10.1080/02656736.2023.2297650Histotripsycancerboiling histotripsypreclinicalimmune effectsin vivo
spellingShingle Tejaswi Worlikar
Timothy Hall
Man Zhang
Mishal Mendiratta-Lala
Michael Green
Clifford S. Cho
Zhen Xu
Insights from in vivo preclinical cancer studies with histotripsy
International Journal of Hyperthermia
Histotripsy
cancer
boiling histotripsy
preclinical
immune effects
in vivo
title Insights from in vivo preclinical cancer studies with histotripsy
title_full Insights from in vivo preclinical cancer studies with histotripsy
title_fullStr Insights from in vivo preclinical cancer studies with histotripsy
title_full_unstemmed Insights from in vivo preclinical cancer studies with histotripsy
title_short Insights from in vivo preclinical cancer studies with histotripsy
title_sort insights from in vivo preclinical cancer studies with histotripsy
topic Histotripsy
cancer
boiling histotripsy
preclinical
immune effects
in vivo
url https://www.tandfonline.com/doi/10.1080/02656736.2023.2297650
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AT mishalmendirattalala insightsfrominvivopreclinicalcancerstudieswithhistotripsy
AT michaelgreen insightsfrominvivopreclinicalcancerstudieswithhistotripsy
AT cliffordscho insightsfrominvivopreclinicalcancerstudieswithhistotripsy
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