Evidence map›Paper›PMID 30340920›Full record

ArticleUltrasound in medicine & biology2019

Boiling Histotripsy Ablation of Renal Cell Carcinoma in the Eker Rat Promotes a Systemic Inflammatory Response.

George R Schade, Yak-Nam Wang, Samantha D'Andrea, Joo Ha Hwang, W Conrad Liles, Tatiana D Khokhlova

Open access · greenAbstract read
In one paragraph

Article in Ultrasound in medicine & biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Histotripsy: the first noninvasive, non-ionizing, non-thermal ablation technique based on ultrasound.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2021
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Histotripsy: A Method for Mechanical Tissue Ablation with Ultrasound.Annual review of biomedical engineering · 2024
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Insights fromInternational journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2024
    Review

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

George R SchadeDepartment of Urology, University of Washington, Seattle, Washington, USA.
Yak-Nam WangCenter for Industrial and Medical Ultrasound, Applied Physics Lab, University of Washington, Seattle, Washington, USA.
Samantha D'AndreaDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Joo Ha HwangDepartment of Medicine, University of Washington, Seattle, Washington, USA.
W Conrad LilesDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Tatiana D KhokhlovaDepartment of Medicine, University of Washington, Seattle, Washington, USA. Electronic address: tdk7@uw.edu.
University of Washington · USUniversity of Washington Applied Physics Laboratory · US

Funding

Blood-based biomarker amplification using high intensity focused ultrasound (HIFUK01EB015745 · NIBIB · UNIVERSITY OF WASHINGTON · PI KHOKHLOVA, TATIANA · 2012 to 2016
$722k
NIBIB NIH HHS K01 EB015745
6 · The paper itself

Abstract

Boiling histotripsy (BH) is an experimental focused ultrasound technique that produces non-thermal mechanical ablation. We evaluated the feasibility, short-term histologic effects and the resulting acute inflammatory response to BH ablation of renal cell carcinoma (RCC) in the Eker rat. Genotyped Eker rats were monitored for de novo RCCs with serial ultrasound (US) imaging. When tumors were ≥8 mm, rats underwent ultrasound-guided extracorporeal ablation of the tumor with BH, a pulsed focused US technique that produces non-thermal mechanical ablation of targeted tissues, or a sham US procedure. Treatments targeted approximately 50% of the largest RCC with a margin of normal kidney. BH treated rats were euthanized at 1 (n = 4) or 48 (n = 4) h, and sham patients (n = 4) at 48 h. Circulating plasma cytokine levels were assessed with multiplex assays before and at 0.25, 1, 4, 24 and 48 h following treatment. Kidneys were collected and processed for histologic assessment, immunohistochemistry and intrarenal cytokine concentration measurements. For statistical analysis Student's t-test was used. US-guided BH treatment was successful in all animals, producing hypoechoic regions within the targeted volume consistent with BH treatment effect. Grossly, regions of homogenized tissue were apparent with evidence of focal intra-parenchymal hemorrhage. Histologically, BH produced a sharply demarcated region of homogenized tumor and non-tumor tissue containing acellular debris. BH treatment was associated with significantly increased relative concentration of plasma TNF versus sham treatment (p < 0.05) and transient elevations in high-mobility group box 1 (HMGB1), IL-10 and IL-6 consistent with acute inflammatory response to trauma. Intrarenal cytokine concentrations followed the same trend. At 48 h, enhanced infiltration of CD8

Indexed as

AnimalsCarcinoma, Renal CellDisease Models, AnimalFeasibility StudiesHigh-Intensity Focused Ultrasound AblationKidneyKidney NeoplasmsRatsSystemic Inflammatory Response SyndromeFocused ultrasoundHigh-intensity focused ultrasoundHistotripsyImmune responseKidney cancerRenal carcinomaT cells

Identifiers

PMID30340920
PMCPMC6546431
OpenAlexW2896761137

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.