Beisteiner Roland, Lozano Andres M
Department of Neurology Medical University of Vienna Vienna 1090 Austria.
Division of Neurosurgery Department of Surgery University of Toronto Toronto ON M5T 2S8 Canada.
Adv Sci (Weinh). 2020 Oct 27;7(23):2002026. doi: 10.1002/advs.202002026. eCollection 2020 Dec.
Brain diseases are one of the most important problems in our rapidly ageing society. Currently, there are not many effective medications and surgical options are limited due to invasiveness and non-invasive brain stimulation techniques cannot be well targeted and cannot access deep brain areas. A novel therapy is transcranial ultrasound which allows a variety of treatments without opening of the skull. Recent technological developments generated three revolutionary options including 1) targeted non-invasive surgery, 2) highly targeted drug, antibody, or gene therapy via local opening of the blood-brain barrier, and 3) highly targeted brain stimulation to improve pathological brain functions. This progress report summarizes the current state of the art for clinical application and the results of recent patient investigations.
在我们这个快速老龄化的社会中,脑部疾病是最重要的问题之一。目前,有效的药物并不多,而且由于具有侵入性,手术选择有限,非侵入性脑刺激技术无法很好地靶向,也无法触及深部脑区。一种新型疗法是经颅超声,它无需打开颅骨就能进行多种治疗。最近的技术发展产生了三种革命性的选择,包括1)靶向非侵入性手术,2)通过局部打开血脑屏障进行高度靶向的药物、抗体或基因治疗,以及3)高度靶向的脑刺激以改善病理性脑功能。本进展报告总结了临床应用的当前技术水平以及近期患者研究的结果。