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Focused ultrasound & histotripsy

Destroying tumours from outside the body with tightly focused sound waves, using either heat or microscopic bubbles.

HIFU is approved for prostate cancer focal therapy and uterine fibroids. Histotripsy (HistoSonics Edison, FDA 2023) mechanically liquefies liver tumours without heat, with early evidence of immune activation. Trials extend to kidney and pancreas.

Schematic · not to scale
Focused transducer · Focal spot: heat or cavitation

How it works

Extracorporeal transducer focuses acoustic energy; thermal coagulation (HIFU) or cavitation-driven mechanical fractionation (histotripsy).

Strengths
  • Completely non-invasive
  • No ionising radiation
Limitations
  • Acoustic window (ribs, bowel gas)
  • Long-term oncologic data limited

Latest papers

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Literature trend556 papers in the last 12 months+15% vs prior 12How this is computed
Latest papers · live from Europe PMC
Open in Europe PMC

Query for this technology: (TITLE:"high-intensity focused ultrasound" OR ABSTRACT:"high-intensity focused ultrasound" OR TITLE:"histotripsy" OR ABSTRACT:"histotripsy" OR TITLE:"focused ultrasound" OR ABSTRACT:"focused ultrasound") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Focused ultrasound & histotripsy, not a curated reading list.

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