Glioblastoma is a rare but deadly cancer, with just over 10,000 cases diagnosed in the United States each year. Patients survive an average of 12 to 15 months after diagnosis. Standard treatment involves surgery to remove as much of the tumour as possible, followed by radiation and chemotherapy. However, it is difficult for surgeons to eliminate all cancer cells, and the tumour often recurs.
Researchers at MIT have now developed a flexible implant, as thin as a sheet of cardstock, that aims to prevent that recurrence. Named LUCID (Long-term Ultrasound-enhanced Convective Injection Device), it combines a 3D-printed drug-delivery cannula with an array of 24 miniature ultrasound transducers. The implant carries about 100 microlitres of fluid, delivered by a passive osmotic pump, while a small battery that can be recharged wirelessly powers the ultrasound array. A wireless controller, operated via Bluetooth, allows doctors to program the exact ultrasound dosage.
“We have 24 transducers in one ultrasound array, which can help a given drug bypass the blood-brain barrier and enhance the drug infusion. The device also gives doctors options in terms of the size, the length, and the number of infusions,” said Canan Dagdeviren, an associate professor of media arts and sciences at MIT and senior author of the study, published today in the journal Device.
The ultrasound waves create mechanical oscillations that temporarily increase the permeability of the blood-brain barrier and generate convective flows, helping drug molecules travel farther into brain tissue. In tests using a gel-like material that mimics human tissue, the researchers found that ultrasound-aided delivery spread drug molecules much farther than delivery without ultrasound. They also tested the system in mice, where a delivered contrast agent spread further through the brain when the ultrasound array was activated.
“Getting a drug into the brain is only part of the challenge. It also needs to spread through the surrounding tissue. We brought a delivery channel and a tiny ultrasound array together in one implant to help molecules reach a larger area, even during slow infusion,” said Jason Hou, a co-lead author and PhD graduate.
If developed for patients, the drug cannula and ultrasound array would sit inside the skull, while the battery and electronics would rest outside. The researchers say the technology could also be adapted to deliver immunotherapies, nucleic acids, or gene therapies, and could potentially be used in organs other than the brain.
“We started with the brain as a follow-up to our ImPULS technology, but eventually this can be used for other soft tissue treatments for different types of drugs, different types of interventions in deep body tissue,” Dagdeviren said. “We are showing that we can make any kind of payload be distributed in a better way.”
