Acute blood-brain barrier disruption using electrical energy based therapy
A method is provided for ablating brain tissue of a living mammal comprising: placing first and second electrodes in a brain of the living mammal; applying a plurality of electrical pulses through the first and second placed electrodes which are predetermined to: cause irreversible electroporation (IRE) of brain tissue of the mammal within a target ablation zone; and cause a temporary disruption of a blood brain barrier (BBB) within a surrounding zone that surrounds the target ablation zone to allow material in a blood vessel to be transferred to the surrounding zone through the temporarily disrupted BBB. Such methods are useful for delivering large molecule material within a blood vessel of the brain across the BBB, where the large molecule is otherwise blocked by the BBB from passing through the blood vessel into the brain.
1. An ablation system comprising:
a first and second electrode;
a voltage generator programmed to generate a plurality of electrical pulses between the first and second electrodes placed at a selected separation distance therebetween according to one or more pulse parameters which comprise a voltage-to-distance ratio which is predetermined to:
cause irreversible electroporation (IRE) of tissue of the mammal within a target ablation zone but insufficient to cause irreversible electroporation in a non-target zone adjacent the target ablation zone; and
increase susceptibility of the non-target zone to exogenous agents;
wherein the voltage-to-distance ratio is predetermined to cause temporary disruption of a blood brain barrier (BBB) within the non-target zone;
wherein the system is adapted to provide for a display of an anticipated ablation zone and an anticipated zone of BBB disruption based on an electric field distribution expected by the plurality of electrical pulses.
2. The system of claim 1 , further comprising a detector that detects the occurrence of IRE in the target ablation zone.
3. The system of claim 1 , wherein the voltage generator is programmed to generate each electrical pulse as a direct current pulse having a pulse duration of at least 5 microseconds and provide for a voltage-to-distance ratio of from about 10 V/cm to about 10,000 V/cm.
4. The system of claim 1 , wherein the voltage generator is programmed to generate each electrical pulse as a direct current pulse having a pulse duration of between 5 and 100 microseconds and provide for a voltage-to-distance ratio of from about 10 V/cm to about 10,000 V/cm.
5. An ablation system comprising:
a first and second electrode;
a memory;
a processor coupled to the memory; and
a voltage generator programmed to generate a plurality of electrical pulses between the first and second electrodes placed at a selected separation distance therebetween and according to one or more pulse parameters which comprise a voltage-to-distance ratio which is predetermined to be:
sufficiently strong to cause non-thermal irreversible electroporation (NTIRE) of tissue of the mammal within a target ablation zone but insufficient to cause irreversible electroporation in a non-target zone adjacent the target ablation zone; and
increase susceptibility of the non-target zone to exogenous agents;
wherein the voltage-to-distance ratio is predetermined to cause temporary disruption of a blood brain barrier (BBB) within the non-target zone;
wherein the system is adapted to provide for a display of an anticipated ablation zone and an anticipated zone of BBB disruption based on an electric field distribution expected by the plurality of electrical pulses.
6. The system of claim 5 , further comprising a detector that detects the occurrence of IRE in the target ablation zone.
7. The system of claim 5 , wherein the voltage generator is programmed to generate each electrical pulse as a direct current pulse having a pulse duration of at least 5 microseconds and provide for a voltage-to-distance ratio of from about 10 V/cm to about 10,000 V/cm.
8. The system of claim 5 , wherein the voltage generator is programmed to generate each electrical pulse as a direct current pulse having a pulse duration of between 5 and 100 microseconds and provide for a voltage-to-distance ratio of from about 10 V/cm to about 10,000 V/m.
9. An ablation system comprising:
a first and second electrode;
a voltage generator programmed to:
generate a plurality of electrical pulses between the first and second electrodes placed at a selected separation distance therebetween and according to one or more pulse parameters which comprise a voltage-to-distance ratio predetermined to:
cause electroporation of brain tissue within a target ablation zone;
cause temporary disruption of a blood brain barrier (BBB) within a non-target zone adjacent the target ablation zone; and
increase susceptibility of the non-target zone to exogenous agents; and
wherein the system is adapted to provide for a display of an anticipated ablation zone and an anticipated zone of BBB disruption based on an electric field distribution expected by e plurality of electrical pulses.
10. The system of claim 9 , wherein the display of the anticipated treatment zone is based on a mathematical model.
11. The system of claim 9 , wherein the display of the anticipated treatment zone is based on a numerical model.
12. The system of claim 9 , wherein the display of the anticipated treatment zone is based on finite element software.
13. The system of claim 9 , further comprising a detector that detects electroporation in the target ablation zone and temporary BBB disruption in the non-target zone.
14. The system of claim 9 , wherein the voltage generator is programmed to generate direct current pulses.
15. The system of claim 9 , wherein the voltage generator is programmed to generate pulses with a duration of at least 5 microseconds.
16. The system of claim 9 , wherein the voltage generator is programmed to generate pulses with a voltage-to-distance ratio of from about 10 V/cm to about 10,000 V/cm.
17. The system of claim 9 , wherein the voltage generator is programmed to generate pulses with a duration of between 5 and 100 microseconds.
18. The system of claim 17 , wherein the voltage generator is programmed to generate pulses with a voltage-to-distance ratio of from about 10 V/cm to about 10,000 V/cm.