Methods and apparatus for image-guided ultrasound delivery of compounds through the blood-brain barrier
Patent 5752515 Issued on May 19, 1998. Estimated Expiration Date: August 21, 2016. Estimated Expiration Date is calculated based on simple USPTO term provisions. It does not account for terminal disclaimers, term adjustments, failure to pay maintenance fees, or other factors which might affect the term of a patent.
600/458, Contrast enhancement600/411, Combined with therapeutic or diverse diagnostic device600/437, Ultrasonic604/22With means for cutting, scarifying, or vibrating (e.g., ultrasonic, etc.) tissue
Image-guide methods and apparatus for ultrasound delivery of compounds through the blood-brain barrier to selected locations in the brain target a selected location in the brain and applying ultrasound to effect in the tissues and/or fluids at that location a change detectable by imaging. At least a portion of the brain in the vicinity of the selected location is imaged, e.g., via magnetic resonance imaging, to confirm the location of that change. A compound, e.g., a neuropharmaceutical, in the patient's bloodstream is delivered to the confirmed location by applying ultrasound to effect opening of the blood-brain barrier at that location and, thereby, to induce uptake of the compound there.
Other References
Ryan et al, "Experimental Brain Hyperthermia: Techniques for Heat Delivery and Thermometry", Int J. Radiation Oncology Biol. Phys. vol. 20., pp. 739-750, 1991
Le Bihan and Turner, "The Capillary Network: A Link between IVIM and Classical Perfusion", Magnetic Resonance in Medicine vol. 27, pp. 171-178, 1992
Hills and James, "Microbubble Damage to the Blood-Brain Barrier: Relevance to Decompression Sickness", Undersea Biomedical Research, vol. 18, No. 2, pp. 111-116, 1991
Polyashuk, "Permeability of Hemato-Encephasic Barrier Under the Effect of Supersonic Vibrations", Permeability of Hemato-Encephalic Barrier, p. 415 (parent abstract)
J.T. Patrick et al, "Focal Modification of the Blood-Brain Barrier with High Intensity Ultrasound: Experimental Results and Potential Application for Brain Tumor Therapy" Clinical Research, vol. 35, No. 1, 1987 (Parent abstract)
Mitragotri et al, "Ultrasound-Mediated Transdermal Protein Delivery" Science vol. 269, pp. 850-853, Aug. 11, 1993
Vykhodtseva et al, "Histologic Effects of High Intensity Pulsed Ultrasound Exposure With Subharmonic Emission in Rabbit Brain In Vivo", Ultrasound in Med. & Biol. vol. 21, Not. 7, pp. 969-979, 1995
J.T. Patrick et al, "Ultrasound and the Blood-Brain Barrier" In Consensus on Hyperthermia for the 1990s, Ed. H. I. Bicher et al, Plenum Press, New York 199