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Group: Musculoskeletal & CNS

IRE: Exploratory / low-volume literature30 publications ECT: Exploratory / low-volume literature7 publications

Brain Tumours

In the central nervous system, electroporation is investigated both for tumour ablation and for increasing drug passage by transiently opening the blood-brain barrier. The area is predominantly preclinical.

47publication records46 unique studies once versions are merged
2clinical publication records
38preclinical publication records
5reviews
1993–2026publication span

Clinical publications: randomized, prospective and retrospective studies, case series and case reports. Preclinical publications: animal, in vitro, modelling and experimental biophysics studies.

Clinical and Technical Data Reported in the Publications

The sum of the fields reported in the full text of 46 of the 47 publications in this area. The numbers are summed, not interpreted.

Sum of the patient counts reported across publications1 (reported in 1 publications)
Total lesions reported13 (in 4 publications)
Devices used (25 publications naming a device)BTX ECM830 (5) · NanoKnife (5) · custom pulse generator (3) · custom-built H-FIRE pulse generator (2) · BTX 600 (1) · Cliniporator (1)
Agent delivered and route (16 publications reporting an agent)bleomycin (6) · bleomycin · intravenous (3) · other · other route (2) · bleomycin · intratumoural (1) · cisplatin · intravenous (1) · other (1)
Approach (22 publications report it)percutaneous (10) · open surgical (10) · transcutaneous surface (2)
Image guidance (17 publications report it)magnetic resonance imaging (7) · direct vision (6) · ultrasound (4) · computed tomography (2)
Response criteria (4 publications report it)histological (2) · other (1) · clinical examination (1)
Combination therapy (15 publications report it)systemic chemotherapy (8) · other combination (6) · radiotherapy (1)
Publications reporting retreatment2 of 36 publications (10 do not report it)
Field strength280–3000 V/cm (20 records, median 1000)
Applied voltage100–3100 V (18 records, median 600)
Number of pulses8–10000 (32 records, median 90)
Pulse duration0.1–70000 µs (36 records, median 100)

The totals are not a count of unique patients: the same cohort may have been reported in more than one publication.

Literature Status by Method

Publication count, clinical and preclinical split, literature volume and publication span for each clinical method. The badges at the top of the page summarise the IRE and ECT records separately; the full split by method is here.

Electrochemotherapy (ECT)

7publication records
1clinical publication records
3preclinical publication records

Exploratory / low-volume literaturethreshold 1/7 records

Clinical and preclinical split of that figure: 0 clinical, 0 preclinical.

1998–2026

Irreversible electroporation (IRE)

30publication records
1clinical publication records
27preclinical publication records

Exploratory / low-volume literaturethreshold 2/30 records

Clinical and preclinical split of that figure: 0 clinical, 2 preclinical.

2011–2026

Gene electrotransfer

1publication records
0clinical publication records
1preclinical publication record

Exploratory / low-volume literaturethreshold 0/1 records

No record for this method feeds the volume label.

2018–2018

Other electroporation applications

9publication records
0clinical publication records
7preclinical publication records

This set does not name a single clinical method; no literature volume is assigned.

1993–2025

Mechanisms Mentioned in Abstracts

The figure is the number of abstracts mentioning the mechanism. A mention does not mean it was demonstrated in that study.

Reversible Membrane Permeabilisation 34 Irreversible Pore Formation and Cell Death 32 Electric Field Distribution and Modelling 15 Increased Blood–Brain Barrier Permeability 12 Optimisation of Pulse Parameters 11 Increased Intracellular Bleomycin Accumulation 7 Potentiation of Cytotoxic Drug Permeability 7 Thermal Effect and Joule Heating 7 Necrosis and Necroptosis 5 Apoptosis Induction 5 Muscle Contraction and Anaesthesia Requirement 4 Tissue Conductivity and Impedance Change 3

Study Type Distribution

The percentage gives the share of the whole area.

Study typePublicationsShare within this area
Case Report2
4%
Review5
11%
Animal Study20
43%
In Vitro Study13
28%
In Silico / Modelling4
9%
Experimental Biophysics Study1
2%
Preprint1
2%
Not reported1
2%

Publication Table

47 publication records sorted by study design. Click a title to open the citation, mechanism and full abstract drawer.

Classifications are generated automatically and can be wrong for individual records. Methodology

47 publication records shown

RegimePublicationYearStudy typeModelMechanismPatients / lesionsDeviceAgent and routeReported outcomeAbstract
ECT
Cassanelli et al · CVIR Oncol.
2026Case ReportHumanIncreased Intracellular Cisplatin Accumulation1 / 1Cliniporator VITAEcisplatin · intratumourallocal control 1 other (1 patients)Introduction Percutaneous ablation techniques are increasingly used in pediatric oncology, yet electrochemotherapy has not been widely explored in children. Case report We report a 7-year-ol…
IRE
Garcia et al · Technol Cancer Res Treat
2011Case ReportAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death– / 1NanoKnife–complete response 1 count (1 patients)Non-thermal irreversible electroporation (N-TIRE) has shown promise as an ablative therapy for a variety of soft-tissue neoplasms. Here we describe the therapeutic planning aspects and first…
Other EP
Fang et al · J Biomech Eng
2021ReviewAnimal (In Vivo)Increased Blood–Brain Barrier Permeability, Reversible Membrane Permeabilisation––––Electroporation-based therapy (EBT), as a high-voltage-pulse technology has been prevalent with favorable clinical outcomes in the treatment of various solid tumors. This review paper aims t…
IRE
Jenkins et al · Adv Sci (Weinh)
2021ReviewHumanIrreversible Pore Formation and Cell Death, Increased Blood–Brain Barrier Permeability––bleomycin–Non-thermal, intermediate frequency (100-500 kHz) electrotherapies present a unique therapeutic strategy to treat malignant neoplasms. Here, pulsed electric fields (PEFs) which induce revers…
ECT
Linnert et al · Radiol Oncol
2012ReviewHumanIncreased Intracellular Bleomycin Accumulation––bleomycin · intravenous–Background: Due to the advanced oncological treatments of cancer, an overall increase in cancer incidence, and better diagnostic tools, the incidence of brain metastases is on the rise. This…
ECT
Linnert et al · Tumors of the Central Nervous system, Volume 3
2011ReviewLiterature AnalysisIncreased Intracellular Bleomycin Accumulation––bleomycin–There is an increasing clinical challenge in the treatment of primary and secondary brain tumors, mostly because of a rise in the number of patients diagnosed with brain metastases and the l…
ECT
Linnert et al · Anticancer Drugs
2009ReviewHumanIncreased Intracellular Bleomycin Accumulation––bleomycin–Bleomycin has been used in the treatment of brain tumors for over 30 years. Currently, we are evaluating electrochemotherapy (the use of electric pulses to enhance uptake of bleomycin) for p…
Other EP
Qian et al · IEEE Trans Biomed Eng
2025Animal StudyAnimal (In Vivo)Potentiation of Cytotoxic Drug Permeability, Increased Blood–Brain Barrier Permeability–laboratory-made pulsed voltage generator––Two major reasons why chemotherapy and immunotherapy have limited efficacy in treating gliomas are the blood-brain barrier and the dense, solid structure of the glioma. Pulsed electric field…
IRE
Yadav · Nat Commun
2025Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death––––Current electrode technologies are too rigid for safe and effective delivery of electrotherapy in the brain, and patients with glioblastoma continue to face a devastating prognosis, with med…
IRE
Matta · Sensors (Basel)
2024Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation––––The primary method of treatment for patients suffering from drug-resistant focal-onset epilepsy is resective surgery, which adversely impacts neurocognitive function. Radio frequency (RF) ab…
IRE
Murphy · Sci Rep
2024Animal StudyAnimal (In Vivo)Increased Blood–Brain Barrier Permeability, Reversible Membrane Permeabilisation–custom-built H-FIRE pulse generator––High-frequency irreversible electroporation (H-FIRE), a nonthermal brain tumor ablation therapeutic, generates a central tumor ablation zone while transiently disrupting the peritumoral bloo…
IRE
Campelo et al · Front Oncol
2023Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation–custom pulse generator, custom pulse generator (VoltMed Inc.)–overall survival 50% (6 animals)Background: Irreversible electroporation (IRE) has been previously investigated in preclinical trials as a treatment for intracranial malignancies. Here, we investigate next generation high-…
IRE
Murphy et al · Bioelectrochemistry
2022Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death–custom-built H-FIRE pulse generator––Improved therapeutics for malignant brain tumors are urgently needed. High-frequency irreversible electroporation (H-FIRE) is a minimally invasive, nonthermal tissue ablation technique, whic…
IRE
Partridge · Biomedicines
2022Animal StudyAnimal (In Vivo)Increased Blood–Brain Barrier Permeability, Reversible Membrane Permeabilisation––––Glioblastoma is the deadliest malignant brain tumor. Its location behind the blood-brain barrier (BBB) presents a therapeutic challenge by preventing effective delivery of most chemotherapeu…
IRE
Lorenzo · Pharmaceuticals (Basel)
2021Animal StudyAnimal (In Vivo)Increased Blood–Brain Barrier Permeability, Reversible Membrane Permeabilisation–custom bipolar pulse generator–complete response 100% (4 animals)The treatment of CNS disorders suffers from the inability to deliver large therapeutic agents to the brain parenchyma due to protection from the blood-brain barrier (BBB). Herein, we investi…
Other EP
Sharabi et al · Sci Rep
2020Animal StudyAnimal (In Vivo)Increased Intracellular Cisplatin Accumulation, Increased Blood–Brain Barrier Permeability–BTX ECM830cisplatin · intravenousobjective response 57%The prognosis of Glioblastoma Multiforme patients is poor despite aggressive therapy. Reasons include poor chemotherapy penetration across the blood-brain barrier and tumor infiltration into…
IRE
Garcia et al · Med Phys
2017Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Electric Field Distribution and Modelling– / 7NanoKnife–objective response 80% (5 patients)Purpose: Irreversible electroporation (IRE) has been developed as a promising minimally invasive treatment to ablate spontaneous brain tumors with pulsed electric fields in canine patients. …
IRE
Sharabi et al · Radiol Oncol
2016Animal StudyAnimal (In Vivo)Increased Blood–Brain Barrier Permeability, Irreversible Pore Formation and Cell Death––––Background: Electroporation-based therapies such as electrochemotherapy (ECT) and irreversible electroporation (IRE) are emerging as promising tools for treatment of tumors. When applied to …
IRE
Garcia et al · Tumors of the Central Nervous System
2013Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation––––This publication has no abstract.
IRE
Rossmeisl et al · J Vet Sci
2013Animal StudyAnimal (In Vivo)Apoptosis Induction, Reversible Membrane Permeabilisation–NanoKnife––This study describes the neuropathologic features of normal canine brain ablated with non-thermal irreversible electroporation (N-TIRE). The parietal cerebral cortices of four dogs were trea…
IRE
Hjouj et al · PLoS One
2012Animal StudyAnimal (In Vivo)Increased Blood–Brain Barrier Permeability, Irreversible Pore Formation and Cell Death–BTX 830bleomycin–Electroporation, is known to induce cell membrane permeabilization in the reversible (RE) mode and cell death in the irreversible (IRE) mode. Using an experimental system designed to produce…
ECT
Agerholm-Larsen et al · Cancer Res
2011Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Potentiation of Cytotoxic Drug Permeability–Cliniporator, 8-electrode device, 4-electrode device, switch boxbleomycin · intratumouralcomplete response 69% (13 animals)Electrochemotherapy represents a strategy to enhance chemotherapeutic drug uptake by delivering electrical pulses which exceed the dielectric strength of the cell membrane, causing transient…
IRE
Arena · Biomed Eng Online
2011Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Muscle Contraction and Anaesthesia Requirement–custom pulse generator, BTX ECM830––Background: Therapeutic irreversible electroporation (IRE) is an emerging technology for the non-thermal ablation of tumors. The technique involves delivering a series of unipolar electric p…
IRE
Schoellnast et al · Radiology
2011Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation–NanoKnife––Purpose: To evaluate whether irreversible electroporation (IRE) has the potential to damage nerves in a porcine model and to compare histopathologic findings after IRE with histopathologic f…
IRE
Ellis et al · J Neurosurg
2011Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death–NanoKnifebleomycinablation volume 1.655 cm³Object: Nonthermal irreversible electroporation (NTIRE) is a novel, minimally invasive technique to treat cancer, which is unique because of its nonthermal mechanism of tumor ablation. This …
ECT
Engström et al · Bioelectrochemistry and Bioenergetics
1998Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Increased Intracellular Bleomycin Accumulation–BTX 600bleomycin · intravenous–This study reports a non-invasive technique to continuously study the uptake and retention of radiopharmaceuticals after in vivo electropermeabilization in tumour bearing rats. A gamma camer…
Other EP
Salford et al · Biochem Biophys Res Commun
1993Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Reversible Membrane Permeabilisation––––The potentials of in vivo electropermeabilization in combination with bleomycin in brain tumor treatment have been explored. In the brain of normal Fischer 344 rats, 2 electrodes were placed…
Other EP
Arroyo et al · Bioelectrochemistry
2025In Vitro StudyCell CultureOptimisation of Pulse Parameters, Transmembrane Potential Change–custom pulse generator––Currently, the leading 3D cell culture models for characterizing and validating pulsed electric fields (PEFs) are spheroids and cell-laden hydrogels. We hypothesize that incorporating a glio…
IRE
Blazic et al · Radiol Oncol
2025In Vitro StudyCell CultureReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death–L-PORbleomycin · intravenousother 3.74 count (3 not reported)Background: Electroporation-based therapies are being explored in glioblastoma (GB) treatment, as means of enhancing drug delivery or achieving nonthermal ablation. Yet, little is known abou…
Other EP
Alkis et al · Chem Biodivers
2023In Vitro StudyCell Culture––BTX GeminiX2other–Schiff base ligand (L) was obtained by condensation reaction between 4-aminopyrimidin-2(1H)-one (cytosine) with 2-hydroxybenzaldehyde. The synthesized Schiff base was used for complexation w…
IRE
Shu et al · J Biomech Eng
2022In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Increased Blood–Brain Barrier Permeability–BTX ECM830––The lethal electric field (LEF) thresholds for three typical cerebral cells, including a malignant glioblastoma (GBM) cell line and two cell lines from the healthy blood-brain barrier (BBB),…
IRE
Yu et al · Brain Sci
2022In Vitro StudyCell CultureApoptosis Induction, Irreversible Pore Formation and Cell Death––––The heat-sink effect and thermal damage of conventional thermal ablative technologies can be minimized by irreversible electroporation (IRE), which results in clear ablative boundaries and c…
Other EP
Alkış et al · Med Oncol
2021In Vitro StudyCell Culture––BTX Gemini X2 EP deviceother · other route–Zn(II) complex of Schiff base derived from the condensation of 4-aminopyrimidine-2(1H)-one with salicylaldehyde was prepared and characterized by various physico-chemical and spectral method…
IRE
Fesmire et al · Bioelectrochemistry
2020In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Electric Field Distribution and Modelling––––Irreversible electroporation (IRE) is generally considered to be a non-thermal ablation modality. This study was designed to examine the relative effect of temperature on IRE ablation sizes …
IRE
Ivey et al · Research (Wash D C)
2019In Vitro StudyCell CultureReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death–INSPIRE 2.0––High-frequency irreversible electroporation (H-FIRE) is a technique that uses pulsed electric fields that have been shown to ablate malignant cells. In order to evaluate the clinical potenti…
Gene ET
Dermol-Černe et al · Bioelectrochemistry
2018In Vitro StudyCell CultureReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death–FPG 10-1NM-T, laboratory prototype pulse generator, Electro cell B10–cell viability 0%In electroporation-based medical treatments, excitable tissues are treated, either intentionally (irreversible electroporation of brain cancer, gene electrotransfer or ablation of the heart …
IRE
Sano · Sci Rep
2017In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation––––Irreversible electroporation (IRE) is a promising non-thermal treatment for inoperable tumors which uses short (50-100 μs) high voltage monopolar pulses to disrupt the membranes of cells wit…
IRE
Wasson et al · Ann Biomed Eng
2017In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation–BTX ECM830calcium chloride · topical–Irreversible electroporation (IRE) is a cellular ablation method used to treat a variety of cancers. IRE works by exposing tissues to pulsed electric fields which cause cell membrane disrupt…
ECT
Chiang et al · Clin Exp Pharmacol Physiol
2014In Vitro StudyCell CultureTissue Conductivity and Impedance Change––other · other route–Membrane electroporation (MEP) increases the electrical conductivity of the plasma membrane by addition of an external electrical field. Combining MEP-induced current (IMEP ) with antineopla…
IRE
Neal et al · Ann Biomed Eng
2013In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation–BTX ECM830bleomycincell viability 10%Irreversible electroporation (IRE) achieves targeted volume non-thermal focal ablation using a series of brief electric pulses to kill cells by disrupting membrane integrity. Electrochemothe…
IRE
Guo et al · Bioelectrochemistry
2026In Silico / ModellingComputational ModelOptimisation of Pulse Parameters, Reversible Membrane Permeabilisation––––Prior studies have left the selection of high frequency irreversible electroporation (H-FIRE) pulse parameters in glioma ablation ambiguous. We developed a pulse waveform-depended glioma abl…
IRE
Jiang et al · Med Phys
2025In Silico / ModellingComputational ModelReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death– / 4––tumour volume change 81.3% (14 patients)Background: High-frequency irreversible electroporation (H-FIRE) has gradually become an attractive alternative treatment of intracranial tumors due to its clinically favorable characteristi…
IRE
Campelo · APL Bioeng
2024In Silico / ModellingComputational ModelIncreased Blood–Brain Barrier Permeability, Muscle Contraction and Anaesthesia Requirement––––The blood-brain barrier (BBB) limits the efficacy of treatments for malignant brain tumors, necessitating innovative approaches to breach the barrier. This study introduces burst sine wave e…
IRE
Mercadal et al · Phys Med Biol
2017In Silico / ModellingComputational ModelReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death––––Electroporation based treatments consist in applying one or multiple high voltage pulses to the tissues to be treated. As an undesired side effect, these pulses cause electrical stimulation …
Other EP
Alinezhadbalalami N · –
2022Experimental Biophysics StudyCell Culture–––––This publication has no abstract.
IRE
Yadav et al · –
2025PreprintCell CultureReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death–––complete response 100 daysCurrent electrode technologies are too rigid for safe and effective delivery of electrotherapy in the brain, and patients with glioblastoma continue to face a devastating prognosis, with med…
Other EP
Guo et al · Materials & Design
2025Not reported––––––A mechanism model that considered the effect of electroporation (EP) current to simulate the nerve fiber excitability during pulsed electric field tumor ablation in the human brain was devel…

Limitations

Publication volume is not clinical efficacy or evidence quality. It describes how much literature exists in the area and of what kind; it does not indicate how strongly the treatment is supported, guideline endorsement or regulatory status.

Patient totals are not a count of unique patients. The same cohort may have been reported in more than one publication; the totals are not a meta-analysis.

How the corpus was assembled, the tier thresholds, the definition of a clinical publication and why methods are counted separately: Literature Map.