Histotripsy ablation for the treatment of feline injection site sarcomas: a first-in-cat in vivo feasibility study

AbstractPurpose Feline soft tissue sarcoma (STS) and injection site sarcoma (fISS) are rapidly growing tumors with low metastatic potential, but locally aggressive behavior. Histotripsy is a non-invasive focused ultrasound therapy using controlled acoustic cavitation to mechanically disintegrate tis...

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Main Authors: Lauren Ruger, Ester Yang, Sheryl Coutermarsh-Ott, Elliana Vickers, Jessica Gannon, Marlie Nightengale, Andy Hsueh, Brittany Ciepluch, Nikolaos Dervisis, Eli Vlaisavljevich, Shawna Klahn
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:International Journal of Hyperthermia
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/02656736.2023.2210272
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author Lauren Ruger
Ester Yang
Sheryl Coutermarsh-Ott
Elliana Vickers
Jessica Gannon
Marlie Nightengale
Andy Hsueh
Brittany Ciepluch
Nikolaos Dervisis
Eli Vlaisavljevich
Shawna Klahn
author_facet Lauren Ruger
Ester Yang
Sheryl Coutermarsh-Ott
Elliana Vickers
Jessica Gannon
Marlie Nightengale
Andy Hsueh
Brittany Ciepluch
Nikolaos Dervisis
Eli Vlaisavljevich
Shawna Klahn
author_sort Lauren Ruger
collection DOAJ
description AbstractPurpose Feline soft tissue sarcoma (STS) and injection site sarcoma (fISS) are rapidly growing tumors with low metastatic potential, but locally aggressive behavior. Histotripsy is a non-invasive focused ultrasound therapy using controlled acoustic cavitation to mechanically disintegrate tissue. In this study, we investigated the in vivo safety and feasibility of histotripsy to treat fISS using a custom 1 MHz transducer.Materials and Methods Three cats with naturally-occurring STS were treated with histotripsy before surgical removal of the tumor 3 to 6 days later. Gross and histological analyses were used to characterize the ablation efficacy of the treatment, and routine immunohistochemistry and batched cytokine analysis were used to investigate the acute immunological effects of histotripsy.Results Results showed that histotripsy ablation was achievable and well-tolerated in all three cats. Precise cavitation bubble clouds were generated in all patients, and hematoxylin & eosin stained tissues revealed ablative damage in targeted regions. Immunohistochemical results identified an increase in IBA-1 positive cells in treated tissues, and no significant changes in cytokine concentrations were identified post-treatment.Conclusions Overall, the results of this study demonstrate the safety and feasibility of histotripsy to target and ablate superficial feline STS and fISS tumors and guide the clinical development of histotripsy devices for this application.
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spelling doaj.art-f54ff1e12a374cfb90ceb8c6a34b6b582023-12-28T04:15:43ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572023-12-0140110.1080/02656736.2023.2210272Histotripsy ablation for the treatment of feline injection site sarcomas: a first-in-cat in vivo feasibility studyLauren Ruger0Ester Yang1Sheryl Coutermarsh-Ott2Elliana Vickers3Jessica Gannon4Marlie Nightengale5Andy Hsueh6Brittany Ciepluch7Nikolaos Dervisis8Eli Vlaisavljevich9Shawna Klahn10Department of Biomedical Engineering and Mechanics, VA Polytechnic Institute and State University, Blacksburg, VA, USADepartment of Small Animal Clinical Sciences, Virginia-MD College of Veterinary Medicine, Blacksburg, VA, USABiomedical Sciences and Pathobiology, Virginia Polytechnic Institute and State University, Blacksburg, VA, USADepartment of Biomedical Engineering and Mechanics, VA Polytechnic Institute and State University, Blacksburg, VA, USADepartment of Biomedical Engineering and Mechanics, VA Polytechnic Institute and State University, Blacksburg, VA, USADepartment of Small Animal Clinical Sciences, Virginia-MD College of Veterinary Medicine, Blacksburg, VA, USADepartment of Small Animal Clinical Sciences, Virginia-MD College of Veterinary Medicine, Blacksburg, VA, USADepartment of Small Animal Clinical Sciences, Virginia-MD College of Veterinary Medicine, Blacksburg, VA, USADepartment of Small Animal Clinical Sciences, Virginia-MD College of Veterinary Medicine, Blacksburg, VA, USADepartment of Biomedical Engineering and Mechanics, VA Polytechnic Institute and State University, Blacksburg, VA, USADepartment of Small Animal Clinical Sciences, Virginia-MD College of Veterinary Medicine, Blacksburg, VA, USAAbstractPurpose Feline soft tissue sarcoma (STS) and injection site sarcoma (fISS) are rapidly growing tumors with low metastatic potential, but locally aggressive behavior. Histotripsy is a non-invasive focused ultrasound therapy using controlled acoustic cavitation to mechanically disintegrate tissue. In this study, we investigated the in vivo safety and feasibility of histotripsy to treat fISS using a custom 1 MHz transducer.Materials and Methods Three cats with naturally-occurring STS were treated with histotripsy before surgical removal of the tumor 3 to 6 days later. Gross and histological analyses were used to characterize the ablation efficacy of the treatment, and routine immunohistochemistry and batched cytokine analysis were used to investigate the acute immunological effects of histotripsy.Results Results showed that histotripsy ablation was achievable and well-tolerated in all three cats. Precise cavitation bubble clouds were generated in all patients, and hematoxylin & eosin stained tissues revealed ablative damage in targeted regions. Immunohistochemical results identified an increase in IBA-1 positive cells in treated tissues, and no significant changes in cytokine concentrations were identified post-treatment.Conclusions Overall, the results of this study demonstrate the safety and feasibility of histotripsy to target and ablate superficial feline STS and fISS tumors and guide the clinical development of histotripsy devices for this application.https://www.tandfonline.com/doi/10.1080/02656736.2023.2210272Soft tissue sarcomafelinehistotripsyfocused ultrasoundcancerablation
spellingShingle Lauren Ruger
Ester Yang
Sheryl Coutermarsh-Ott
Elliana Vickers
Jessica Gannon
Marlie Nightengale
Andy Hsueh
Brittany Ciepluch
Nikolaos Dervisis
Eli Vlaisavljevich
Shawna Klahn
Histotripsy ablation for the treatment of feline injection site sarcomas: a first-in-cat in vivo feasibility study
International Journal of Hyperthermia
Soft tissue sarcoma
feline
histotripsy
focused ultrasound
cancer
ablation
title Histotripsy ablation for the treatment of feline injection site sarcomas: a first-in-cat in vivo feasibility study
title_full Histotripsy ablation for the treatment of feline injection site sarcomas: a first-in-cat in vivo feasibility study
title_fullStr Histotripsy ablation for the treatment of feline injection site sarcomas: a first-in-cat in vivo feasibility study
title_full_unstemmed Histotripsy ablation for the treatment of feline injection site sarcomas: a first-in-cat in vivo feasibility study
title_short Histotripsy ablation for the treatment of feline injection site sarcomas: a first-in-cat in vivo feasibility study
title_sort histotripsy ablation for the treatment of feline injection site sarcomas a first in cat in vivo feasibility study
topic Soft tissue sarcoma
feline
histotripsy
focused ultrasound
cancer
ablation
url https://www.tandfonline.com/doi/10.1080/02656736.2023.2210272
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