PT  - JOURNAL ARTICLE
AU  - Chen, Stephen R
AU  - Chen, Melissa M
AU  - Ene, Chibawanye
AU  - Lang, Frederick F
AU  - Kan, Peter
TI  - Perfusion-guided endovascular super-selective intra-arterial infusion for treatment of malignant brain tumors
AID  - 10.1136/neurintsurg-2021-018190
DP  - 2022 Jun 01
TA  - Journal of NeuroInterventional Surgery
PG  - 533--538
VI  - 14
IP  - 6
4099  - http://jnis.bmj.com/content/14/6/533.short
4100  - http://jnis.bmj.com/content/14/6/533.full
SO  - J NeuroIntervent Surg2022 Jun 01; 14
AB  - Background Survival for glioblastoma remains very poor despite decades of research, with a 5-year survival of only 5%. The technological improvements that have revolutionized treatment of ischemic stroke and brain aneurysms have great potential in providing more precise and selective delivery of cancer therapeutic agents to brain tumors.Methods We describe for the first time the use of perfusion guidance to enhance the precision of endovascular super-selective intra-arterial (ESIA) infusions of mesenchymal stem cells loaded with Delta-24 (MSC-D24) in the treatment of glioblastoma (NCT 03896568).Results MRI imaging, which best defines the location of the tumor, is co-registered and fused with the patient’s position using cone beam CT, resulting in optimal vessel selection and confirmation of targeted delivery through volumetric perfusion imaging.Conclusions This technique of perfusion guided-ESIA injections (PG-ESIA) enhances our ability to perform targeted super-selective delivery of therapeutic agents for brain tumors.