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Ultrasound and the Blood-Brain Barrier

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Consensus on Hyperthermia for the 1990s

Abstract

High intensity focused ultrasound was employed to modify the permeability of the normal feline and canine blood-brain barrier (BBB) to a circulating vial dye — Evans blue (EB). The threshold doses (W sec/cm2) for focally increasing the permeability of the BBB in white matter (WM) and gray matter (GM) were as follows: internal capsule (WM) — 340 to 680; thalamus (GM) — approximately 1326; and caudate nucleus (GM) — 2284 to 2952. In the presence of supralesioning doses of ultrasound, the cross sectional area occupied by the EB was consistently greater than that of the attendant nonhemorrhagic lesion — thus suggesting that BBB changes may be inducible at sublesioning doses. These findings, in conjunction with those of others, suggest that high intensity focused ultrasound may have a role in the treatment of brain tumors based on cell destruction by two mechanisms: (a) direct, by the ultrasound and (b) indirect, by ari antineoplastic agent which is delivered via an ultrasonically modified BBB.

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References

  1. Astrom, K.E., Bell, E., Heidensleben, E.: An experimental neuropathological study of the effects of high-frequency focused ultrasound on the brain of the cat. J. Neuropath. Exp. Neurol. 20, 484, 1961.

    Article  PubMed  CAS  Google Scholar 

  2. Bakay, L., Hueter, T.F., Ballantine, H.T., Sosa, D.: Ultrasonically produced changes in the blood brain barrier. Arch. Neurol. Psych. 76, 457, 1956.

    CAS  Google Scholar 

  3. Ballantine, H.T., Bell, E., Manlapaz, J.: Progress and problems in the neurological applications of focused ultrasound. J. Neurosurg. 17, 858, 1960.

    Article  PubMed  Google Scholar 

  4. Fry, W.J.: Intense ultrasound in investigations of the central nervous system. Advances in Biological and Medical Physics 6, 281, 1958.

    PubMed  CAS  Google Scholar 

  5. Dunn, F., Averbuch, J.J., O’Brien, W.D.: A primary method for the determination of ultrasonic intensity with the elastic sphere radiometer. Acustica 38, 58, 1977.

    Google Scholar 

  6. Ballantine, H.T., Hueter, T.F., Nauta, W.J.H., Sosa, D.M.: Focal destruction of nervous tissue by focused ultrasound: Biophysical factors influencing its application. J. Exp. Med. 104, 337, 1956.

    Article  PubMed  Google Scholar 

  7. Hueter, T.F., Ballantine, H.T., Cotter, W.C.: On the problem of dosage in ultrasonic lesion making, in Ultrasound in Biology and Medicine. Washington, DC, American Institute of Biological Sciences, p 131–155, 1957.

    Google Scholar 

  8. Fry, F.J., Johnson, L.K • Tumor irradiation with intense ultrasound. Ultrasound Med. Biol. 4, 337, 1978.

    CAS  Google Scholar 

  9. Goss, S.A., Fry, F.J. Cancer therapy with intense ultrasound, in Proc. N. Am. Hyperthermia Group, 1983.

    Google Scholar 

  10. Kishi, M., Mishima, T., Itakura, T.: Experimental studies of effects of intense ultrasound on implantable murine glioma, in Proc. 2nd European Congress Ultrasonics Med., p 28–33, 1975.

    Google Scholar 

  11. Shapiro, W.R., Green, S.B., Burger, P.C., Mahaley, M.S., Selker, R.G., VanGilder, J.C., Robertson, J.T., Ransohoff, J., Mealey, J., Strike, T.A., Pistenmaa, D.A.: Randomized trial of three chemotherapy regimens and two radiotherapy regimens in postoperative treatment of malignant glioma. J. Neurosurg. 71, 1, 1989.

    Article  PubMed  CAS  Google Scholar 

  12. Lippitz, B.E., Bigner, D.D.: Monoclonal antibodies in diagnosis and treatment of brain tumors. Surgical Rounds, March, 43, 1989.

    Google Scholar 

  13. Zovickian, J., Johnson, V.G., Youle, R.J.: Potent and specific killing of human malignant brain tumor cells by an antitransferrin receptor antibody-ricin immunotoxin. J. Neurosurg. 66, 850, 1987.

    Article  CAS  Google Scholar 

  14. Neuwelt, E.A., Barnett, P.A., Hellstrom, I., Hellstrom, K.W., Beaumier, P., McCormick, C.I., Weigel, R.M.: Delivery of melanoma-associated immunoglobulin monoclonal antibody and Fab fragments to normal brain utilizing osmotic blood-brain barrier disruption. Ca. Res. 48, 4725, 1988.

    CAS  Google Scholar 

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© 1990 Plenum Press, New York

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Patrick, J.T. et al. (1990). Ultrasound and the Blood-Brain Barrier. In: Bicher, H.I., McLaren, J.R., Pigliucci, G.M. (eds) Consensus on Hyperthermia for the 1990s. Advances in Experimental Medicine and Biology, vol 267. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5766-7_36

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  • DOI: https://doi.org/10.1007/978-1-4684-5766-7_36

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-5768-1

  • Online ISBN: 978-1-4684-5766-7

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