Characterizing the Ablative Effects of Histotripsy for Osteosarcoma: In Vivo Study in Dogs

dc.contributor.authorRuger, Lauren N.en
dc.contributor.authorHay, Alayna N.en
dc.contributor.authorVickers, Elliana R.en
dc.contributor.authorCoutermarsh-Ott, Sherylen
dc.contributor.authorGannon, Jessica M.en
dc.contributor.authorCovell, Hannah S.en
dc.contributor.authorDaniel, Gregory B.en
dc.contributor.authorLaeseke, Paul F.en
dc.contributor.authorZiemlewicz, Timothy J.en
dc.contributor.authorKierski, Katharine R.en
dc.contributor.authorCiepluch, Brittany J.en
dc.contributor.authorVlaisavljevich, Elien
dc.contributor.authorTuohy, Joanne L.en
dc.date.accessioned2023-02-10T14:44:04Zen
dc.date.available2023-02-10T14:44:04Zen
dc.date.issued2023-01-25en
dc.date.updated2023-02-10T14:28:31Zen
dc.description.abstractOsteosarcoma (OS) is a malignant bone tumor treated by limb amputation or limb salvage surgeries and chemotherapy. Histotripsy is a non-thermal, non-invasive focused ultrasound therapy using controlled acoustic cavitation to mechanically disintegrate tissue. Recent ex vivo and in vivo pilot studies have demonstrated the ability of histotripsy for ablating OS but were limited in scope. This study expands on these initial findings to more fully characterize the effects of histotripsy for bone tumors, particularly in tumors with different compositions. A prototype 500 kHz histotripsy system was used to treat ten dogs with suspected OS at an intermediate treatment dose of 1000 pulses per location. One day after histotripsy, treated tumors were resected via limb amputation, and radiologic and histopathologic analyses were conducted to determine the effects of histotripsy for each patient. The results of this study demonstrated that histotripsy ablation is safe and feasible in canine patients with spontaneous OS, while offering new insights into the characteristics of the achieved ablation zone. More extensive tissue destruction was observed after histotripsy compared to that in previous reports, and radiographic changes in tumor size and contrast uptake following histotripsy were reported for the first time. Overall, this study significantly expands our understanding of histotripsy bone tumor ablation and informs future studies for this application.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRuger, L.N.; Hay, A.N.; Vickers, E.R.; Coutermarsh-Ott, S.L.; Gannon, J.M.; Covell, H.S.; Daniel, G.B.; Laeseke, P.F.; Ziemlewicz, T.J.; Kierski, K.R.; Ciepluch, B.J.; Vlaisavljevich, E.; Tuohy, J.L. Characterizing the Ablative Effects of Histotripsy for Osteosarcoma: In Vivo Study in Dogs. Cancers 2023, 15, 741.en
dc.identifier.doihttps://doi.org/10.3390/cancers15030741en
dc.identifier.urihttp://hdl.handle.net/10919/113776en
dc.language.isoenen
dc.publisherMDPIen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjecthistotripsyen
dc.subjectosteosarcomaen
dc.subjectchondrosarcomaen
dc.subjectfocused ultrasounden
dc.subjectbone tumorsen
dc.subjectablationen
dc.subjectcanineen
dc.titleCharacterizing the Ablative Effects of Histotripsy for Osteosarcoma: In Vivo Study in Dogsen
dc.title.serialCancersen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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