Computational Protocol for Focused Ultrasound BBB Opening

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Solution Overview

Problem

The blood-brain barrier (BBB) poses a significant obstacle to treating brain diseases as it prevents large molecules, including therapeutic agents, from reaching the brain tissue, and existing microbubble-induced BBB opening methods are limited and can cause undesired tissue damage due to uncontrolled cavitation events.

Innovation Solution

A computing system that generates a protocol for focused ultrasound treatment by simulating multiple sequences of sonications and microbubble characteristics to predict and adjust tissue disruption effects, ensuring targeted BBB opening while minimizing damage to surrounding tissues, using imaging data and physical models to optimize sonication parameters and microbubble administration.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Area of stationary object

If multiple injections of microbubbles are performed to open BBB in large area or multiple target tumors, then the coverage area increases, but the complexity of treatment planning and execution increases

Engineering Contradiction:
Improvecoverage areaVSAvoidtreatment planning complexity
Core Design Contradiction:
Area of stationary objectVSDevice complexity

Solution Approach 1:

The system performs preliminary simulation of microbubble administration and ultrasound sonication sequences before actual treatment to predict tissue disruption effects and optimize treatment parameters, thereby reducing planning complexity for large-area or multi-target treatments

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system creates a virtual copy of the treatment process through computational simulation, allowing treatment parameters to be optimized in silico before physical execution, enabling complex multi-region treatments to be planned systematically

Inventive Principle:
Principle #26Copying

2Manufacturing precision

If higher concentration or larger size of microbubbles is used to increase BBB opening magnitude, then the treatment effectiveness improves, but the risk of uncontrolled cavitation and tissue damage increases

Engineering Contradiction:
ImproveBBB opening control precisionVSAvoidtissue damage risk
Core Design Contradiction:
Manufacturing precisionVSObject-affected harmful factors

Solution Approach 1:

The system simulates treatment with specified microbubble concentrations and sizes before actual administration to predict tissue disruption effects, allowing optimization of microbubble characteristics to achieve desired BBB opening while minimizing tissue damage

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system uses computational feedback from simulated treatment outcomes to iteratively optimize microbubble concentration and size parameters, balancing BBB opening effectiveness against tissue damage risk before actual treatment execution

Inventive Principle:
Principle #23Feedback

3Area of stationary object

If multiple sequences of sonications are applied to treat large area or multiple tumors, then the treatment coverage increases, but the treatment time increases

Engineering Contradiction:
Improvetreatment coverageVSAvoidtreatment time
Core Design Contradiction:
Area of stationary objectVSLoss of time

Solution Approach 1:

The system performs preliminary simulation of multiple sonication sequences to optimize treatment protocols, determining the most efficient sequence and parameters to minimize treatment time while maintaining coverage of large areas or multiple targets

Inventive Principle:
Principle #10Preliminary action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This system enables precise and controlled BBB opening, allowing therapeutic agents to reach brain tissue effectively while minimizing tissue disruption and damage, achieving desired treatment objectives through iterative simulation and adjustment of treatment plans.

Implementation Method 1

The mechanistic event underlying this effect appears to involve the reaction of microbubbles to ultrasonic pulses, which can result in an array of behaviors known as acoustic cavitation. In stable cavitation, microbubbles expand and contract with the acoustic pressure rarefaction and compression over several cycles; such action can result in dilation and contraction of blood vessels in the vicinity. In inertial cavitation, the microbubbles can expand to several factors greater than their equilibrium radius and subsequently collapse due to the inertia of the surrounding tissue.

Methodology Applied
Scientific EffectAcoustic cavitation: Acoustic Cavitation

Data Source

PatentEP3645118B1Simulation-based drug treatment planning
Publication Date: 2023.11.29 INSIGHTEC
  • EP3645118B1 patent drawingFigure 1
  • EP3645118B1 patent drawingFigure 2A~2B
  • EP3645118B1 patent drawingFigure 3A

AI summary

Various approaches for computationally generating a protocol for treatment of one or more target BBB regions within a tissue region of interest using a source of focused ultrasound include specifying (i) settings of sonication parameters for applying one or more sequence of sonications to the target BBB region using the source of focused ultrasound and (ii) a characteristic of microbubbles selected to be administered into the target BBB region; electronically simulating treatment in accordance with the protocol at least in part by computationally executing the sequence(s) of sonications and computationally administering the microbubbles having the characteristic; and computationally predicting a tissue disruption effect of the target BBB region resulting from the treatment.