Evidence map›Paper›PMID 42281806›Full record

ReviewNeuro-oncology advances2026

Development of skull-implanted ultrasound for blood-brain barrier opening and drug delivery in neuro-oncology.

Karl J Habashy, Victor A Arrieta, Benedikt Haupt, Mateo Gómez, Victor Gabriel El-Hajj, Kwang-Soo Kim, Crismita Dmello, Li Chen, Alexandre Carpentier, Michael Canney and 2 more

Abstract readReview
In one paragraph

Review in Neuro-oncology advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Focused ultrasound for brain metastases.Neuro-oncology advances · 2026
    Review
  2. Review
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

12 authors.

Karl J HabashyNorthwestern Medicine Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID https://orcid.org/0000-0003-1210-378X
Victor A ArrietaNorthwestern Medicine Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Benedikt HauptNorthwestern Medicine Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Mateo GómezNorthwestern Medicine Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Victor Gabriel El-HajjDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-9479-761X
Kwang-Soo KimNorthwestern Medicine Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Crismita DmelloNorthwestern Medicine Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Li ChenNorthwestern Medicine Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Alexandre CarpentierSorbonne Université, AP-HP, Hôpitaux Universitaires La Pitié Salpêtrière - Charles Foix, Service de Neurochirurgie, Paris, France.
Michael CanneyCarthera, Lyon, France.
Roger StuppDivision of Hematology/Oncology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID https://orcid.org/0000-0002-5483-3118
Adam M SonabendNorthwestern Medicine Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID https://orcid.org/0000-0002-8347-1945

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The blood-brain barrier (BBB) poses a significant challenge for the treatment of brain tumors as it limits the passage of most circulating drugs into the brain. Low-intensity ultrasound with microbubbles safely and transiently opens the BBB, improving drug delivery to the brain. Skull-implanted ultrasound devices are particularly effective as they allow ultrasound waves to bypass the skull. In addition, this technology has enabled sonication procedures to be performed without the need for real-time imaging guidance, neuronavigation, or MRI. Here, we review recent advancements in skull-implanted ultrasound for BBB opening and drug delivery in neuro-oncology. We highlight key preclinical and clinical studies demonstrating the safety of repeated BBB opening using skull-implanted ultrasound devices and discuss the expanding field with the activation of up to 9 implanted ultrasound emitters simultaneously. We also summarize pharmacokinetic studies supporting the efficacy of this strategy for enhanced drug delivery to the brain. In addition, we examine evidence on the temporal dynamics of BBB restoration post-sonication in brain tumor patients, emphasizing the importance of optimizing drug delivery timing. At last, we address current challenges and explore future directions for this promising therapeutic strategy.

Indexed as

blood-brain barrierdrug deliverygliomaneuro-oncologyultrasound

Identifiers

PMID42281806
PMCPMC13250574

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.