Focused ultrasound: tumour ablation and its potential to enhance immunological therapy to cancer (2024)

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Volume 91 Issue 1083 1 March 2018
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Giovanni Mauri

Deparmtent of interventional radiology, European istitute of oncology

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Milan

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Italy

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Luca Nicosia, MD

Postgraduate School of Radiology, Università degli Studi di Milano

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Milan

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Italy

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Zhen Xu

Department of Biomedical Engineering, University of Michigan

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Ann Arbor, MI

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USA

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Salvatore Di Pietro

Postgraduate School of Radiology, Università degli Studi di Milano

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Milan

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Italy

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Lorenzo Monfardini

Department of Radiology and diagnotic imaging, Poliambulazna di Brescia

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Brescia

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Italy

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Gianluca Maria Varano

Deparmtent of interventional radiology, European istitute of oncology

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Milan

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Italy

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Francesco Prada

Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta

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Milan

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Italy

Department of Neurological surgery, University of Virginia Health Sciences Center

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Charlottesville, VA

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USA

Focused Ultrasound Foundation

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Charlottesville, VA

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USA

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Paolo Della Vigna

Deparmtent of interventional radiology, European istitute of oncology

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Milan

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Italy

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Franco Orsi

Deparmtent of interventional radiology, European istitute of oncology

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Milan

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Italy

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British Journal of Radiology, Volume 91, Issue 1083, 1 March 2018, 20170641, https://doi.org/10.1259/bjr.20170641

Published:

17 January 2018

Article history

Received:

29 August 2017

Revision received:

16 October 2017

Accepted:

16 November 2017

Published:

17 January 2018

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    Giovanni Mauri, Luca Nicosia, Zhen Xu, Salvatore Di Pietro, Lorenzo Monfardini, Guido Bonomo, Gianluca Maria Varano, Francesco Prada, Paolo Della Vigna, Franco Orsi, Focused ultrasound: tumour ablation and its potential to enhance immunological therapy to cancer, British Journal of Radiology, Volume 91, Issue 1083, 1 March 2018, 20170641, https://doi.org/10.1259/bjr.20170641

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Various kinds of image-guided techniques have been successfully applied in the last years for the treatment of tumours, as alternative to surgical resection. High intensity focused ultrasound (HIFU) is a novel, totally non-invasive, image-guided technique that allows for achieving tissue destruction with the application of focused ultrasound at high intensity. This technique has been successfully applied for the treatment of a large variety of diseases, including oncological and non-oncological diseases. One of the most fascinating aspects of image-guided ablations, and particularly of HIFU, is the reported possibility of determining a sort of stimulation of the immune system, with an unexpected “systemic” response to treatments designed to be “local”. In the present article the mechanisms of action of HIFU are described, and the main clinical applications of this technique are reported, with a particular focus on the immune-stimulation process that might originate from tumour ablations.

© 2018 The Authors. Published by the British Institute of Radiology

This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

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Focused ultrasound: tumour ablation and its potential to enhance immunological therapy to cancer (2024)

FAQs

What are the techniques for tumor ablation? ›

Tumor ablation can be divided into four types: radiofrequency ablation (RFA), microwave ablation (MWA), cryoablation, and percutaneous ethanol ablation (PEI).

What is ablative therapy for cancer? ›

Ablation is an image-guided, non-surgical treatment in which interventional radiologists guide a needle-tipped catheter directly into a tumor, then shrink or destroy the tumor with extreme heat or cold.

What is a thermal ablation focused ultrasound? ›

Focused ultrasound is capable of rapidly heating tumors to thermally ablative temperatures. Its extracorporeal application obviates the need for catheterization, injection or implantation.

What is HIFU treatment for liver cancer? ›

High-intensity-focused-ultrasound (HIFU) is an emerging, noninvasive ablation procedure that can ablate various solid tumors, including primary and secondary liver cancer. It can focus ultrasound energy on the lesions of interest and induce tumor coagulative necrosis by thermal effect (17).

What are the side effects of tumor ablation? ›

The risks of RFA of liver tumors include:
  • Infection.
  • Injury to organs near the liver.
  • Gallbladder inflammation.
  • Damage to the bowels or bile ducts.
  • Extreme pain.
  • Pus-filled infection (abscess) at the cut in the skin.
  • Flu-like symptoms that start 3 to 5 days later (post-ablation syndrome)
  • Bleeding.

How long does tumor ablation take? ›

The needle heats the tumour and destroys it. The time this takes varies. It can take anything from 30 minutes to a couple of hours in total. Nurses monitor you throughout the procedure.

Is tumor ablation considered surgery? ›

Ablation therapy is called a minimally invasive procedure because it does not require open surgery with large cuts through the skin and other tissues to remove the abnormal tissue.

How long does ablation therapy last? ›

The Procedure

Catheter ablation can take between two and four hours to complete. The procedure is done in an electrophysiology lab where you will be monitored closely.

Is ablation a risk for cancer? ›

Overall estimated lifetime risk for cancer from a single AF ablation was 4.6 ± 9.7 per 100,000 patients, (IQR 0.8, 4.5) i.e. 1 in 21,700.

How painful is thermal ablation? ›

Is endovenous thermal ablation painful? You'll receive anesthesia for endovenous thermal ablation, so you won't feel any pain. After your procedure, you might experience some soreness, tingling or bruising near the vein that was treated. Usually, you can manage any pain with over-the-counter medications.

What is the recovery time for a thermal ablation? ›

You may have cramps and vaginal bleeding or spotting for several days. You may also have watery vaginal discharge for around 1 to 2 weeks. It may take a few days to 2 weeks to recover.

What is the success rate of thermal ablation? ›

Median overall survival (OS) rates after thermal ablation are reported mainly in matched cohorts or after multivariable analysis and vary from 34.3 to 53.2 months with 5- and 10-year survival rates of 20.8–60.0% and 18.0%, respectively [9, 19, 20, 33–39] .

Who should avoid HIFU? ›

HIFU doesn't work if you are too old

There are limitations to what non-surgical devices can achieve, but many mature people are perfectly suitable for HIFU. You can't judge if the treatment is suitable or not by your age. Some young people may show early signs of skin sagging and vice versa.

What is the best treatment for liver cancer in the world? ›

total hepatectomy (surgery to remove all of the liver) and liver transplant. partial hepatectomy (surgery to remove the part of the liver where cancer is found) ablation therapy. transarterial chemoembolization (TACE) and sorafenib as palliative therapy to relieve symptoms and improve quality of life.

How much does HIFU cancer treatment cost? ›

How much does HIFU treatment cost for prostate cancer? HIFU can cost around $10,000–$15,000. However, Medicare and many other health insurance carriers will cover the costs providing that the person meets certain criteria within their insurance policies.

What is the new technique for ablation? ›

PFA technology uses electrical pulses to kill targeted cardiac muscle cells, creating scar tissue that blocks the faulty electrical signals that cause atrial fibrillation, an irregular—often rapid—heartbeat. The 4,000 volts of electricity used kill targeted heart cells but not other nearby cells.

What are the techniques used in ablation? ›

Imaging techniques are used to guide the ablation. The abnormal tissue can be damaged or destroyed with various techniques, including heat (radiofrequency ablation), extreme cold (cryoablation), lasers or chemicals.

What types of ablation procedures are there? ›

Types of Catheter Ablation
  • Atrioventricular (AV) node ablation. ...
  • Cryoablation. ...
  • Epicardial ablation. ...
  • FIRM ablation. ...
  • Radiofrequency ablation. ...
  • Ventricular tachycardia ablation.

What are the methods of cell ablation? ›

Also known as tissue ablation, cell ablation is a biotechnological tool for studying cell lineage. The process consists of selectively destroying or removing cells in an organism. For example, a laser beam or controllable gene promoter for a toxin gene can be used to destroy a selected amount of cells.

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