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Funded Research

FUSF Funded Research Projects

A Safety and Feasibility Study of MRgFUS Lesioning in the Setting of Deep Brain Stimulation

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Principal Investigator: W. Jeff Elias, M.D., Associate Professor of Neurosurgery, University of Virginia

Co-investigators: Robert Frysinger, Ph.D, Professor of Research in Neurosurgery, University of Virginia; Mohamad A. Khaled, M.D., M. Surg., Neurosurgical Resident, University of Virginia 

Award: $30,850

Funding Period: April 1, 2011 – March 31, 2012

Abstract: Patients with pre-existing deep brain stimulation for the treatment of movement disorders may require further treatment, particularly on the contralateral side of the brain. This treatment could be performed using magnetic resonance guided focused ultrasound technology if it is compatible and safe in the setting of an implanted neurostimulator. This study aims to assess the safety and feasibility of MR-guided focused ultrasound lesioning in the setting of deep brain stimulation.



A Radiographic and Histologic Comparison Between Radiofrequency, Gamma Knife Radiosurgery, and Focus

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Principal Investigator: W. Jeff Elias, M.D., Associate Professor of Neurosurgery, University of Virginia

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Development and clinical evaluation of MR-guided focused ultrasound for tattooing tumors

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Principal Investigators: Gregory Karczmar, Ph.D., Professor of Radiology and Director of MIRS Research Facility, University of Chicago; Xiaobing Fan, Ph.D., Associate Professor, Radiology, University fo Chicago

Co-Investigators: Charles Pelizzari, Ph.D., Associate Professor and Director of Medical Physics Program, Department of Radiation and Cellular Oncology, University of Chicago; Steven Chmura, M.D., Ph.D., Assistant Professor, Department of Radiation and Cellular Oncology, University of Chicago

Award: $100,000

Funding Period: September 24, 2010 – December 31, 2012

Abstract: We hypothesize that focused ultrasound can be used – under MRI guidance – to delineate cancers as well as other pathologies with a precise pattern of small ablation marks that precisely show the position and boundaries of tumors.  These tattoos can be designed to be highly conspicuous visually, using optical sensors, and/or on CT or Ultrasound.  In the present application we focus on optimizing the conspicuity of the lesions on cone-beam CT scans, in order to guide radiotherapy.  This pattern of ‘tattoos’ can be encoded very rapidly because the total volume of the ‘tattoos’ will be very small.  Conspicuity of the ‘tattoos’ will  be maximized by developing a heating protocol that first produces hemorrhage with mild heating, and subsequently increases heating to ‘fix’ the hemorrhaged blood in the tissue.  Conspicuity of the ‘tattoos’ will be further increased by using focused ultrasound to trap a variety of contrast agents.  The tattoos can be used to guide surgery, radiotherapy, biopsies and other interventional procedures.  Use of HIFU to produce the tattoos will be clinically acceptable, since the tattoos will cause far less tissue damage than the subsequent therapy they are designed to guide, and the tattoos can be very rapidly encoded.  In fact, by guiding the therapeutic intervention more accurately, the tattoos can reduce damage caused by therapy in normal tissue. In this application we develop and test the use of ‘HIFU tattoos’ to guide radiation therapy of cancer in a pre-clinical rabbit cancer model.

Progress Report: 6-month progress report; 12-month progress report



Robust MR thermometry for MRgHIFU in breast and liver

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Principal Investigator: Nick Todd, Ph.D., Post-doctoral Researcher, Department of Radiology, University of Utah

Co-Investigators: Dennis Parker, Ph.D., Professor of Radiology, University of Utah; Rares Salomir, Ph.D., Research Scientist, University of Geneva

Award: $100,000

Funding Period: June 1, 2010 - September 30, 2011

Abstract: The aim of this proposal is to implement MR temperature measurement techniques that accelerate data acquisition speed and are robust to motion-related errors. Collaboration between the research groups at the University of Utah and the University of Geneva will facilitate the transmission, implementation, and further development of these site-specific MR temperature measurement techniques and will accelerate the two goups' respective goals of using MRgHIFU to treat tumors in breast and liver.

Progress Report: 6-month progress report; Final progress report

Publications:

  1. The effects of spatial sampling choices on MR temperature measurements

  2. Reconstruction of fully 3-D high spatial and temporal resolution MR temperature maps for retrospective applications

The effects of spatial sampling choices on MR temperature measurements



MRI-guided localized delivery of chemotherapy using temperature-sensitive liposomes and HIFU

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Principal Investigator: Tyrone Porter, Ph.D., Assistant Professor of Mechanical Engineering, Boston University

Co-Investigator: Nathan McDanold, Ph.D., Assistant Professor of Radiology, Harvard Medical School, Brigham and Women's Hospital

Award: $100,000

Funding Period: January 1, 2010 - August 31, 2011

Abstract: The toxic effects of doxorubicin (DOX) on the heart limit the dose that can be administered systemically for the treatment of solid tumors. Targeted delivery of DOX to solid tumors will localize its cytotoxic effects, and improve its therapeutic index. This can be achieved by encapsulating DOX in temperature-sensitive liposomes and triggering release via ultrasound-induced heating in tumors. These DOX-loaded liposomes (diameter < 200 nm) can extravasate through leaky tumor vasculature and accumulate in the tumor interstitium. High intensity focused ultrasound can be used to heat the tumors noninvasively and trigger DOX release from the temperature-sensitive liposomes. By coencapsulating manganese sulfate in the liposomes, MRI can be used to monitor temperature-induced drug release from the liposomes. Manganese is a molecule that self-quenches when encapsulated in liposomes, but provides a strong MR signal when released. Thus, MR imaging can be used to provide feedback control of the transducer output to ensure sufficient heating and optimal DOX release at the breast tumor site. MRI-guided localized delivery of DOX to solid tumors will potentially raise the therapeutic index of DOX, thus reducing the required dose and frequency of drug administered systemically for tumor regression.

Progress Reports: 6-month progress report



Induction of an immune response to breast cancer with MR-guided focused ultrasound tumor ablation

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Principal Investigators: Peter Eby, M.D., Assistant Professor of Radiology, University of Washington (December 1, 2009 - December 31, 2010); Norman J. Beauchamp, Jr., Professor and Chairman of Radiology, University of Washington (January 1 - Novembe 30, 2011)

Co-Investigators: Vijayakrishna K. Gadi, M.D., Ph.D., Department of Medicine, Division of Medical Oncology, University of Washington; Michael R. Bailey, Ph.D., Senior Research Engineer, Applied Physics Lab, University of Washington

Award: $100,000

Funding Period: December 1, 2009 - November 30, 2011

Abstract: The purpose of this study is to test the ability of MR-guided Focused Ultrasound (MRgFU) to ablate breast adenocarcinoma in situ in a mouse model and induce a significant systemic and local anti-tumor immune response. Growing evidence indicates that ablation of cancer in vivo can cause immune stimulation and produce a potent anti-tumor response. An unmet need in the treatment of breast cancer is the reduction of morbidity, time and cost of chemotherapy and radiation therapy. We propose to address this problem by using MRgFU to ablate tumors in a mouse model of breast cancer and measure the immune response. The quantitative data from this study may provide an alternative treatment approach for breast cancer that is cheaper, faster and less toxic than current therapeutic options thereby accelerating FDA approval and implementation of MRgFU into clinical practice.

Progress Report: 6-month progress report



Creation and validation of a clinically-relevant ultrasound-enhanced drug delivery strategy

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Principal Investigator: Katherine Whittaker Ferrara, Ph.D., Professor of Biomedical Engineering, University of California, Davis

Award: $100,000

Funding Period: June 18, 2009 – December 18, 2010

Abstract:  We have observed that low-mechanical index ultrasound can enhance drug accumulation and transport in a clinically-relevant protocol and have devised systems to precisely quantify full-body biodistribution of drugs before and after ultrasound and to precisely control the ultrasound parameters and the resulting heating. We will combine these methods to optimize the ultrasound dose, to quantify the resulting biodistribution of drug and to assess efficacy.

Progress Report: 6-month progress report; 12-month progress report; Final progress report

Publications:

  1. Copper-doxorubicin as a nanoparticle cargo retains efficacy with minimal toxicity

  2. Noninvasive thermometry assisted by a dual-function ultrasound transducer for mild hyperthermia

  3. Longitudinal investigation of permeability and distribution of macromolecules in mouse malignant transformation using PET