在皮下异种移植小鼠模型中使用组织粉碎术对肝细胞癌(HCC)肿瘤进行非侵入性消融
Histotripsy for Non-Invasive Ablation of Hepatocellular Carcinoma (HCC) Tumor in a Subcutaneous Xenograft Murine Model.
作者信息
Worlikar Tejaswi, Vlaisavljevich Eli, Gerhardson Tyler, Greve Joan, Wan Shanshan, Kuruvilla Sibu, Lundt Jonathan, Ives Kimberly, Hall Timothy, Welling Theodore H, Lee Fred, Xu Zhen
出版信息
Annu Int Conf IEEE Eng Med Biol Soc. 2018 Jul;2018:6064-6067. doi: 10.1109/EMBC.2018.8513650.
Histotripsy fractionates tissue through a mechanical, non-invasive ultrasonic ablation process that precisely controls acoustic cavitation while utilizing real-time ultrasound (US) imaging guidance. This study investigates the potential, feasibility and tumor volume reduction effects of histotripsy for liver cancer ablation in a subcutaneous in vivo murine Hepatocellular Carcinoma (HCC) model. Hep3B tumors were generated in the right flanks of 14 NSG and 7 NOD-SCID mice. The mice were grouped as follows: A (acute, NSG with n=9 treatment and n=1 control), B (chronic, NSG with n=2 treatment and n=2 control) and C (chronic NODSCID, with n=6 treatment and n=1 control). Treatment was performed when the tumor diameters reached >5 mm. 1-2 cycle histotripsy pulses at 100 Hz PRF (p- >30 MPa) were delivered using a custom built 1 MHz therapy transducer attached to a motorized positioner, which scanned the transducer focus to traverse the targeted tumor volume, guided by real-time US imaging. Tumor ablation effectiveness was assessed by obtaining T1, T2 and T2* weighted MR images. Post euthanasia, treated tumor, brain, and lung tissue samples were harvested for histology. Histology of acute group A showed fractionation of targeted region with a sharp boundary separating it from untreated tissue. Groups B and C demonstrated effective tumor volume reduction post treatment on MRI as the homogenate and edema were resorbed within 23 weeks. However, as the tumor was subcutaneous, it was not possible to set adequate treatment margin and since the mice were immune-compromised, residual viable tumor cells eventually developed into tumor regrowth at 3-9 weeks after histotripsy. Groups B and C showed no signs of metastasis in the lung and brain. Our study successfully demonstrated the potential of histotripsy for non-invasive HCC ablation in a subcutaneous murine model. Additional work is ongoing to study the response of histotripsy in immune-competent orthotopic liver tumor models.
组织粉碎术通过一种机械的、非侵入性的超声消融过程来分割组织,该过程在利用实时超声(US)成像引导的同时精确控制声空化。本研究在皮下体内小鼠肝细胞癌(HCC)模型中研究了组织粉碎术用于肝癌消融的潜力、可行性和肿瘤体积缩小效果。在14只NSG小鼠和7只NOD-SCID小鼠的右侧胁腹生成Hep3B肿瘤。小鼠分为以下几组:A组(急性,NSG小鼠,9只治疗组和1只对照组)、B组(慢性,NSG小鼠,2只治疗组和2只对照组)和C组(慢性NODSCID小鼠,6只治疗组和1只对照组)。当肿瘤直径达到>5mm时进行治疗。使用连接到电动定位器的定制1MHz治疗换能器,以100Hz脉冲重复频率(p->30MPa)递送1-2个周期的组织粉碎术脉冲,该换能器在实时US成像引导下扫描换能器焦点以穿过目标肿瘤体积。通过获取T1、T2和T2*加权MR图像评估肿瘤消融效果。安乐死后,收集治疗后的肿瘤、脑和肺组织样本进行组织学检查。急性A组的组织学显示目标区域被分割,与未治疗组织之间有清晰边界。B组和C组在MRI上显示治疗后肿瘤体积有效缩小,因为在2-3周内匀浆和水肿被吸收。然而,由于肿瘤位于皮下,无法设置足够的治疗边缘,并且由于小鼠免疫功能低下,残余的存活肿瘤细胞最终在组织粉碎术后3-9周发展为肿瘤复发。B组和C组在肺和脑中未显示转移迹象。我们的研究成功证明了组织粉碎术在皮下小鼠模型中用于非侵入性HCC消融的潜力。正在进行额外的工作以研究组织粉碎术在免疫健全的原位肝肿瘤模型中的反应。