DGMed ECT Portal
TR EN

Application Areas

Electrochemotherapy and electroporation-based treatments have been investigated across a range of solid tumour types, anatomical regions and treatment settings. The 2674 publications in the corpus are divided into 21 application areas. Evidence strength and clinical maturity differ markedly between indications; this page groups the areas by that maturity.

21application areas
11areas at clinical evidence levelrandomized evidence, review or guideline available
5areas at an emerging stagepreclinical or exploratory
7tumour and tissue groups
1008clinical publicationswithin 2674 publications in total

Clinical Evidence Depth by Tissue Group

The two bars measure different things. The left one is the group's literature volume, the right one what proportion of that literature is clinical. Groups are ordered by volume, so the left column shortens from top to bottom; the right column not following it is the finding itself. “Clinical” covers randomized, prospective and retrospective studies, case series and reports, plus systematic reviews and guidelines.

Tissue groupAreasLiterature volumeClinical shareEvidence maturity
Basic ScienceGeneral Principles & Biophysics Devices & Clinical Trials2
782
15%118
1 Clinical Evidence 1 Exploratory Evidence
Deep Organ TumoursLiver Tumours Pancreatic Cancer Breast Cancer Colorectal Cancer Cholangiocarcinoma Lung & Peribronchial Tumours6
751
49%366
3 Clinical Evidence 2 Early Clinical Evidence 1 Preclinical Evidence
Skin & Superficial TumoursSkin & Cutaneous Tumours Malignant Melanoma Kaposi Sarcoma3
475
58%275
2 Clinical Evidence 1 Early Clinical Evidence
Special IndicationsVeterinary Oncology Vascular Malformations Electrochemotherapy in Metastatic Disease3
178
37%66
1 Clinical Evidence 2 Early Clinical Evidence
Urogynaecological TumoursProstate & Urological Tumours Vulvar Cancer Ovarian Tumours Endometrial Cancer4
169
57%96
2 Clinical Evidence 1 Preclinical Evidence 1 Exploratory Evidence
Musculoskeletal & CNSBone & Soft Tissue Sarcomas Brain Tumours2
100
33%33
1 Clinical Evidence 1 Preclinical Evidence
Head, Neck & OrbitHead & Neck Tumours1
74
73%54
1 Clinical Evidence

Areas With Broader Clinical Evidence

Areas at clinical evidence level, ordered by clinical publication count. The figure on the right gives the strongest tier within that volume: the number of randomized trials, systematic reviews and guidelines. The order reflects publication volume, not therapeutic superiority.

Indication Directory

Areas are grouped by evidence maturity by default. Switch the view to group them by tissue group instead.

Group by

21 indications shown

Clinical Evidence 11

At least 15 clinical publications plus a randomized trial, systematic review or guideline

Skin & Cutaneous Tumours

Clinical Evidence

Skin & Superficial Tumours · 1996–2026 · In Routine Clinical Use

This is the most mature indication group for electrochemotherapy.

publications
275
clinical
174
preclinical
53

Reported outcome domains

Safety and tolerability72Complete response60Objective response45Symptom control and palliation38

Reversible · 248Irreversible · 27 View evidence →

Pancreatic Cancer

Clinical Evidence

Deep Organ Tumours · 2010–2026 · In Routine Clinical Use

In locally advanced pancreatic cancer, encasement of the coeliac and mesenteric vessels blocks surgery and thermal ablation.

publications
267
clinical
153
preclinical
59

Reported outcome domains

Survival82Safety and tolerability38Local recurrence23Symptom control and palliation21

Reversible · 40Irreversible · 227 View evidence →

Liver Tumours

Clinical Evidence

Deep Organ Tumours · 1997–2026 · In Routine Clinical Use

The liver is an organ where both electroporation regimes are used.

publications
281
clinical
125
preclinical
110

Reported outcome domains

Survival33Safety and tolerability33Local recurrence26Local tumour control14

Reversible · 75Irreversible · 206 View evidence →

Basic Science · 1991–2026 · In Routine Clinical Use

The biophysics of electroporation, the cellular and tissue effects of pulse parameters, drug transport mechanisms and treatment planning are gathered in this area.

publications
774
clinical
117
preclinical
477

Reported outcome domains

Safety and tolerability34Objective response12Local recurrence12Complete response9

Reversible · 556Irreversible · 218 View evidence →

Malignant Melanoma

Clinical Evidence

Skin & Superficial Tumours · 1996–2026 · In Routine Clinical Use

Cutaneous and subcutaneous melanoma metastases are the single tumour type most intensively studied with electrochemotherapy.

publications
175
clinical
82
preclinical
68

Reported outcome domains

Safety and tolerability34Objective response27Complete response26Symptom control and palliation20

Reversible · 168Irreversible · 7 View evidence →

Prostate & Urological Tumours

Clinical Evidence

Urogynaecological Tumours · 1998–2026 · In Routine Clinical Use

The search for focal therapy in the prostate is shaped by the aim of preserving urinary and sexual function.

publications
120
clinical
71
preclinical
25

Reported outcome domains

Safety and tolerability34Cosmetic and functional outcome21Quality of life19Local recurrence13

Reversible · 24Irreversible · 96 View evidence →

Head & Neck Tumours

Clinical Evidence

Head, Neck & Orbit · 1998–2026 · In Routine Clinical Use

Tumours in the head and neck lie close to critical anatomical structures, and in recurrent disease the surgical and radiotherapy options are often exhausted.

publications
74
clinical
54
preclinical
8

Reported outcome domains

Objective response23Safety and tolerability21Symptom control and palliation16Complete response15

Reversible · 66Irreversible · 8 View evidence →

Breast Cancer

Clinical Evidence

Deep Organ Tumours · 1991–2026 · In Routine Clinical Use

Chest wall recurrences and skin metastases of breast cancer are among the established uses of electrochemotherapy.

publications
107
clinical
48
preclinical
44

Reported outcome domains

Safety and tolerability18Objective response15Complete response15Symptom control and palliation14

Reversible · 98Irreversible · 9 View evidence →

Bone & Soft Tissue Sarcomas

Clinical Evidence

Musculoskeletal & CNS · 1997–2026 · In Routine Clinical Use

In bone metastases and soft tissue sarcomas, electrochemotherapy has been studied for pain palliation, local control and preoperative volume reduction.

publications
59
clinical
27
preclinical
24

Reported outcome domains

Quality of life9Safety and tolerability9Objective response8Local tumour control8

Reversible · 49Irreversible · 10 View evidence →

Vascular Malformations

Clinical Evidence

Special Indications · 2010–2026 · In Routine Clinical Use

Vascular malformations are the only non-oncological application area.

publications
32
clinical
24
preclinical
1

Reported outcome domains

Safety and tolerability12Cosmetic and functional outcome5Quality of life3Local recurrence2

Reversible · 32 View evidence →

Vulvar Cancer

Clinical Evidence

Urogynaecological Tumours · 1997–2026 · In Routine Clinical Use

In vulvar cancer, electrochemotherapy is considered an organ-preserving option where surgical morbidity is high and in recurrent disease.

publications
30
clinical
24
preclinical
2

Reported outcome domains

Symptom control and palliation16Objective response12Quality of life9Safety and tolerability8

Reversible · 29Irreversible · 1 View evidence →

Early Clinical Evidence 5

At least four clinical publications; no randomized evidence or guideline consensus yet

Veterinary Oncology

Early Clinical Evidence

Special Indications · 1991–2026 · Near Clinical Adoption

Electrochemotherapy has long been applied clinically in veterinary oncology, on spontaneously arising tumours in client-owned animals.

publications
119
clinical
27
preclinical
73

Reported outcome domains

Complete response10Safety and tolerability8Local tumour control6Objective response4

Reversible · 119 View evidence →

Kaposi Sarcoma

Early Clinical Evidence

Skin & Superficial Tumours · 2006–2025 · Near Clinical Adoption

The skin lesions of Kaposi sarcoma are numerous and scattered; being able to treat many nodules in a single session makes electrochemotherapy practical in this…

publications
25
clinical
19
preclinical
0

Reported outcome domains

Complete response12Safety and tolerability7Objective response5Local tumour control4

Reversible · 25 View evidence →

Colorectal Cancer

Early Clinical Evidence

Deep Organ Tumours · 1997–2026 · Near Clinical Adoption

In colorectal tumours electroporation has been studied in distinct contexts: liver metastases, local recurrence and endoscopically accessible lesions.

publications
52
clinical
18
preclinical
24

Reported outcome domains

Complete response6Safety and tolerability6Objective response3Local tumour control3

Reversible · 44Irreversible · 8 View evidence →

Cholangiocarcinoma

Early Clinical Evidence

Deep Organ Tumours · 2012–2026 · Near Clinical Adoption

Treatment options in biliary tract tumours are limited and preserving the bile duct is critical.

publications
27
clinical
17
preclinical
7

Reported outcome domains

Safety and tolerability6Survival5Symptom control and palliation5Local recurrence3

Reversible · 6Irreversible · 21 View evidence →

Special Indications · 1998–2026 · Near Clinical Adoption

The role of electrochemotherapy in metastatic disease concerns how the contribution of a local method to systemic disease should be defined.

publications
27
clinical
15
preclinical
8

Reported outcome domains

Safety and tolerability5Symptom control and palliation4Objective response3Complete response3

Reversible · 22Irreversible · 5 View evidence →

Preclinical Evidence 3

The weight lies in animal, in vitro and modelling studies; clinical series are limited

Brain Tumours

Preclinical Evidence

Musculoskeletal & CNS · 1998–2026 · Under Clinical Investigation

In the central nervous system, electroporation is investigated both for tumour ablation and for increasing drug passage by transiently opening the blood-brain…

publications
41
clinical
6
preclinical
29

Reported outcome domains

Complete response2Local tumour control1Safety and tolerability1

Reversible · 16Irreversible · 25 View evidence →

Lung & Peribronchial Tumours

Preclinical Evidence

Deep Organ Tumours · 2002–2026 · Under Clinical Investigation

Lung and peribronchial sites are technically demanding because of the electrical conductivity of air-filled tissue and respiratory motion.

publications
17
clinical
5
preclinical
8

Reported outcome domains

Objective response1Survival1Symptom control and palliation1Safety and tolerability1

Reversible · 6Irreversible · 11 View evidence →

Ovarian Tumours

Preclinical Evidence

Urogynaecological Tumours · 2009–2026 · Under Clinical Investigation

Electroporation in ovarian tumours has been studied largely through peritoneal spread and preclinical models; the number of clinical series is limited.

publications
15
clinical
0
preclinical
14

Reported outcome domains

No outcome domain detected

Reversible · 11Irreversible · 4 View evidence →

Exploratory Evidence 2

Publication counts fall below both thresholds; the area is still exploratory

Devices & Clinical Trials

Exploratory Evidence

Basic Science · 2007–2021 · Early Research Stage

Device documentation and clinical trial records are gathered under this heading.

publications
8
clinical
1
preclinical
0

Reported outcome domains

No outcome domain detected

Reversible · 5Irreversible · 3 View evidence →

Endometrial Cancer

Exploratory Evidence

Urogynaecological Tumours · 2013–2023 · Early Research Stage

Electroporation-based approaches in endometrial cancer are represented by only a handful of records in the corpus; the area is exploratory.

publications
4
clinical
1
preclinical
2

Reported outcome domains

Local recurrence1Symptom control and palliation1

Irreversible · 4 View evidence →

Method and Interpretation

How were the areas categorised, and what does maturity mean?

Every publication is assigned to a single application area derived from the source folder structure and its citation fields. Areas are gathered into seven tissue groups by shared anatomical region or clinical context.

Evidence maturity is computed from the study-type distribution of the area's publications using automatic thresholds; it is not a formal GRADE assessment and cannot be used for treatment decisions. The clinical count covers randomized, prospective and retrospective studies, case series and reports, plus systematic reviews and guidelines.

“Reported outcome domains” are an automatic match of outcome terms appearing in the titles and abstracts of the area's clinical publications. The figure is the number of publications containing the term; it is not a measure of efficacy, a response rate or an indicator of success. Listing an outcome domain does not imply that the outcome was favourable.

The portal is intended for scientific and educational information only. Indication, device approval and drug licensing vary between countries.

Related Areas Outside Scope

Electroporation-based but not tumour therapy, and therefore excluded from the indication landscape, the anatomical explorer and the evidence maturity tables above. Kept in the corpus as context.

Cardiac Pulsed-Field Ablation135 publications

Non-Oncological IRE Applications10 publications