Todd Mainprize, Nir Lipsman, Yuexi Huang, Ying Meng, Allison Bethune, Sarah Ironside, Chinthaka Heyn, Ryan Alkins, Maureen Trudeau, Arjun Sahgal, James Perry, Kullervo Hynynen
The blood-brain barrier (BBB) has long limited therapeutic access to brain tumor and peritumoral tissue. In animals, MR-guided focused ultrasound (MRgFUS) with intravenously injected microbubbles can temporarily and repeatedly disrupt the BBB in a targeted fashion, without open surgery. Our objective is to demonstrate safety and feasibility of MRgFUS BBB opening with systemically administered chemotherapy in patients with glioma in a phase I, single-arm, open-label study. Five patients with previously confirmed or suspected high-grade glioma based on imaging underwent the MRgFUS in conjunction with administration of chemotherapy (n = 1 liposomal doxorubicin, n = 4 temozolomide) one day prior to their scheduled surgical resection...
January 23, 2019: Scientific Reports