14 April 2013

Irreversible Electroporation (IRE) Treatment of Cancer Discussed In Interventional Radiology Gathering

Preliminary studies on the safe benefits of using irreversible electroporation (IRE) in treating cancer are being discussed by doctors and scientists at the Society of Interventional Radiology's 38th Annual Scientific Meeting in New Orleans.

Irreversible Electroporation (IRE) is a technique used to teat soft tissue tumors in hard to access areas of the body such as the liver, lung, pancreas, and prostate.

Using electrical energy to target cancerous tumors at the cellular level, irreverssible electroporation is one of the safest options for patients whose tumors may be located in compromised areas such as those near blood vessels or hard to reach organs such as the pancreas.

Electrical pulses are used to break open the cellular walls of the tumor causing the cancer cells to die. IRE does not produce any extreme temperatures (hot or cold) but utitlizes the generated electrical field making it safer. It also selectively damage particular cells leaving other healthy cells intact and undamaged. Irreversible electroporation is a viable option in the treatment of complicated cancer conditions such as liver cancer, lung cancer and pancreatic cancer without any major complications.

IRE has been successfully used in the treatment of primary and metastatic liver cancer and is now in its early stages as a treatment for pancreatic cancer.

A Promising Treatment in Irreversible Electroporation (IRE)

A new, minimally invasive treatment that tears microscopic holes in tumors without harming healthy tissue is a promising treatment for challenging cancers, suggests a preliminary study being presented at the Society of Interventional Radiology's 38th Annual Scientific Meeting in New Orleans.

"Irreversible electroporation (or IRE) is a new way to attack cancer, using microsecond electrical pulses to kill cancer at the cellular level without damaging healthy tissue nearby. It may be especially beneficial in treating liver, lung, pancreatic and other cancers that are close to blood vessels, nerves and other sensitive structures," said Constantinos T. Sofocleous, M.D., Ph.D., FSIR, lead author and interventional radiologist at Memorial Sloan-Kettering Cancer Center in New York, N.Y. "IRE appears to be especially beneficial in people with cancer that has spread beyond the primary tumor who do not have good treatment options," he added. "IRE uses strong electric fields to create tiny holes in the cell membrane, killing the cancer by disrupting the balance between the molecules inside and outside the cell—without resulting in other cell damage. This makes IRE potentially ideal for treating tumors close to sensitive structures," said Sofocleous.

Whereas other treatments—such as surgery, or heating and freezing (also known as thermal ablation)—can damage healthy tissue near the tumor, IRE precisely perforates the cancer cells, posing fewer risks to major blood vessels, nerves, bile ducts and other vital structures, he said.

Video: Irreversible Electroporation with NanoKnife Technology

IRE has been shown to be safe in the treatment of cancers that have metastasized, or spread, to the liver, lung, bladder and the pelvic region. In this study, 25 participants with a total of 40 metastases to the liver from lung, pancreas, thyroid gland, prostate, uterus and uterine lining, ovaries and rectum primaries, were treated with IRE. The average size of the tumors was about two centimeters. IRE was used due to the location of the lesions, near critical structures that would be affected by thermal ablation. Researchers completed all 30 treatment sessions with no major complications, showing IRE to be safe enough for further investigation and expansion of its use to large clinical trials.

IRE is on the frontier of interventional radiology treatments that are nonsurgical and involve minimal risk and downtime for cancer patients. Interventional radiologist treatments involve making incisions the size of a pencil tip and use medical imaging to guide tiny instruments to the targeted tumors.

"Using the least-invasive treatments available, interventional radiologists are able to destroy entire tumors with a needle and image guidance," said Sofocleous. "We often treat patients who have no other conventional treatment options or have such poor health that even minimally invasive surgery is too dangerous. Researchers are working to increase the effectiveness of IRE and eventually will test it against other treatments for these tumors, including radiofrequency ablation, microwave ablation and cryoablation," he noted.


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