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Clinical Evidence 281 publications

Liver Tumours

Deep Organ Tumours

The liver is an organ where both electroporation regimes are used. In lesions adjacent to large vessels and bile ducts, heat spread from thermal ablation is problematic; electroporation is considered as an alternative because it preserves the matrix scaffold of these structures.

281total publications
97clinical studies
110preclinical studies
40reviews
1997–2026publication span

Evidence Status by Regime

Reversible electroporation (RE-ECT)

75publications
21clinical
34preclinical

Clinical Evidence

1997–2026 · In Routine Clinical Use

Irreversible electroporation (IRE-ECT)

206publications
76clinical
76preclinical

Clinical Evidence

2006–2026 · In Routine Clinical Use

Mechanisms Reported in This Area

Terms were detected by automatic matching over publication abstracts; the figure gives the number of publications containing the term.

Reversible Membrane Permeabilisation 228 Irreversible Pore Formation and Cell Death 224 Electric Field Distribution and Modelling 35 Necrosis and Necroptosis 32 Apoptosis Induction 27 Electrode Geometry and Placement 21 Increased Intracellular Bleomycin Accumulation 19 Thermal Effect and Joule Heating 18 Optimisation of Pulse Parameters 16 Tissue Conductivity and Impedance Change 13 Muscle Contraction and Anaesthesia Requirement 7 Gene Electrotransfer (Plasmid DNA) 6

Study Type Distribution

Bar length is scaled to the most common study type; the percentage gives the share of the whole area. Colour marks the evidence tier of the study type, the same scale as the evidence map.

Study typePublicationsShare within this area
Randomized Clinical Trial5
2%
Prospective Clinical Study10
4%
Clinical Study57
20%
Retrospective Clinical Study16
6%
Case Series9
3%
Case Report15
5%
Systematic Review / Meta-Analysis12
4%
Guideline / Consensus1
<1%
Review28
10%
Animal Study86
31%
In Vitro Study9
3%
In Silico / Modelling13
5%
Technical / Device Study2
<1%
Experimental Biophysics Study2
<1%
Preprint4
1%
Conference Abstract3
1%
Editorial / Letter6
2%
Not reported3
1%

Literature Evidence Table

281 publications listed in order of evidence strength. Click a title to open the citation, mechanism and full abstract drawer.

RegimePublicationYearStudy typeModelMechanismAbstract
Irreversible
Cheng · World J Surg Oncol
2024Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: At present, the main clinical application of local ablation therapy, such as radiofrequency ablation (RFA), is to heat the tissue to a certain temperature. However, high temperat…
Irreversible
Zhang · Front Oncol
2022Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a soft tissue ablation technique that uses short electrical fields which induce the death of target cells. To evaluate the safety and efficacy of an IRE…
Irreversible
Yang et al · Cardiovasc Intervent Radiol
2018Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: This study aimed to investigate the safety and short-term efficacy of irreversible electroporation (IRE) combined with allogenic natural killer (NK) cell immunotherapy in the treatm…
Irreversible
Narayanan et al · Cardiovasc Intervent Radiol
2012Randomized Clinical TrialHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To retrospectively compare the postprocedure pain of hepatocellular carcinoma treated with irreversible electroporation (IRE) with radiofrequency ablation (RFA). Methods: This Healt…
Irreversible
Narayanan · Gastroenterol Hepatol (N Y)
2011Randomized Clinical TrialHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathGovindarajan Narayanan, MD Chief of Vascular and Interventional Radiology Miller School of Medicine University of Miami Miami, Florida G&H How does the NanoKnife work? GN The NanoKnife (Angi…
Irreversible
Liu et al · Int J Med Sci
2026Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: To evaluate the short- to intermediate-term radiological evolution of ablation zones using contrast-enhanced MRI and to assess clinically relevant outcomes following irreversible…
Reversible
Rakoczy et al · Applied Sciences
2022Prospective Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathElectroporation (EP) allows for the transport of molecules into the cytoplasm with significant effectiveness by forming transient pores in the cell membrane using electric pulses. This can b…
Reversible
Djokic et al · Cancers (Basel)
2020Prospective Clinical StudyHumanThe aim of this clinical study was to investigate the effectiveness and long-term safety of electrochemotherapy as an emerging treatment for HCC in patients not suitable for other treatment …
Reversible
Cornelis et al · Diagn Interv Imaging
2019Prospective Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Deathliver metastasis from renal cell cancer F.H. Cornelis a,∗, C. Korenbaum b, M. Ben Ammar a, S. Tavolaro a, M. Nouri-Neuville a, J.P. Lotz b a Department of Radiology, Tenon Hospital, Sorbonne…
Reversible
Djokic et al · Eur J Surg Oncol
2018Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Increased Intracellular Bleomycin AccumulationBackground and objectives: Electrochemotherapy provides non-thermal ablation of cutaneous as well as deep seated tumors. Based on positive results of the treatment of colorectal liver metast…
Reversible
Gasljevic et al · PLoS One
2017Prospective Clinical StudyHumanNecrosis and NecroptosisElectrochemotherapy of colorectal liver metastases has been proven to be feasible, safe and effective in a phase I/II study. In that study, a specific group of patients underwent two-stage o…
Irreversible
Beyer et al · PeerJ
2016Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose. The purpose of this study was to compare CT-navigated stereotactic IRE (SIRE) needle placement to non-navigated conventional IRE (CIRE) for percutaneous ablation of liver malignanci…
Irreversible
Niessen et al · J Vasc Interv Radiol
2016Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the safety and efficacy of percutaneous irreversible electroporation (IRE) of primary and secondary liver cancer unsuitable for resection or thermal ablation. Materials …
Irreversible
Sugimoto et al · Jpn J Radiol
2015Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: This clinical study was conducted to evaluate the safety and short-term outcomes of irreversible electroporation (IRE) for the treatment of patients with hepatocellular carcinoma (H…
Irreversible
Cannon et al · J Surg Oncol
2012Prospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Irreversible electroporation (IRE) has shown promise for ablation of lesions in proximity to vital structures in the preclinical setting. This study aims to evaluate the safety…
Irreversible
Berman et al · J Vasc Interv Radiol
2026Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPurpose: To report initial experience and learning curve with robotic-assisted percutaneous ablations of abdominal lesions. Materials and methods: Fifty-four consecutive patients undergoing …
Irreversible
Xu et al · JHEP Rep
2026Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground & aims: Irreversible electroporation (IRE) and stereotactic body radiotherapy (SBRT) are important therapeutic alternatives for hepatocellular carcinoma (HCC) unsuitable for therm…
Reversible
Xu et al · Int J Surg
2025Clinical StudyHumanNanosecond Pulsed Electric Field (nsPEF), Irreversible Pore Formation and Cell DeathBackground: Preclinical studies have shown that nanosecond pulsed electric field ablation (nsPEF) is a novel nonthermal ablation modality that can eradicate tumors near critical structures. …
Irreversible
Sutter et al · Phys Med Biol
2025Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective. To correlate numerical simulations of the electric dose distribution with early post-operative MRI following irreversible electroporation (IRE) treatment of hepatocellular carcino…
Irreversible
Xu et al · Eur Radiol
2025Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: Irreversible electroporation (IRE) is a relatively recent non-thermal ablation technique for hepatocellular carcinoma (HCC) in high-risk anatomical locations, but post-procedural…
Irreversible
Zhao · BMC Cancer
2025Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: This study aimed to assess the effectiveness and safety of conventional transarterial chemoembolization (c-TACE) followed by irreversible electroporation (IRE) for the treatment …
Irreversible
Frühling et al · Eur J Surg Oncol
2024Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: A nationwide multicenter study was performed to examine whether there is a correlation between decrease in tissue resistance and time to local tumor recurrence after irreversib…
Irreversible
Zhang et al · Liver Int
2024Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: This study aimed to develop a quantitative intratumoral heterogeneity (ITH) model for assessing the risk of early recurrence (ER) in pre-treatment multimodal imaging for hepatoce…
Irreversible
Frühling et al · Eur J Surg Oncol
2023Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: A nationwide multicenter study was performed to examine short- and long-term effects of irreversible electroporation (IRE) for hepatocellular carcinoma (HCC) and colorectal can…
Reversible
Kovács et al · J Pers Med
2022Clinical StudyHumanPurpose: To evaluate local tumour control (LTC) by local ablation techniques (LAT) in liver malignancies. Materials and methods: In patients treated with LAT between January 2013 and October…
Irreversible
Bäumler · Diagnostics (Basel)
2022Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationEarly detection of local tumor progression (LTP) after irreversible electroporation (IRE) and microwave ablation (MWA) of hepatocellular carcinoma (HCC) remains challenging. The goal of this…
Irreversible
Hitpass · Cardiovasc Intervent Radiol
2022Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To examine the safety and short-term oncologic outcomes of computer-tomography-guided (CT-guided) irreversible electroporation (IRE) of recurrent, irresectable colorectal liver meta…
Irreversible
Freeman et al · Scand J Gastroenterol
2021Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground and aims: Irreversible electroporation (IRE) is a relatively new non-thermal ablative method for unresectable hepatocellular carcinoma (HCC). We aimed to compare the longer-term e…
Irreversible
Ridouani et al · Medicina (Kaunas)
2021Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground and Objectives : To compare ablation zone involution following microwave ablation (MWA) or irreversible electroporation (IRE) of liver tumors. Materials and Methods : MWA or IRE p…
Irreversible
Stillström et al · Cardiovasc Intervent Radiol
2021Clinical StudyHumanElectrode Geometry and Placement, Irreversible Pore Formation and Cell DeathPurpose: Evaluate the accuracy of multiple electrode placements in IRE treatment of liver tumours using a stereotactic CT-based navigation system. Method: Analysing data from all IRE treatme…
Reversible
Edhemovic et al · Eur J Surg Oncol
2020Clinical StudyHumanIncreased Intracellular Bleomycin AccumulationBackground and objectives: A previous pilot study proved the feasibility, safety and efficacy of electrochemotherapy in the treatment of colorectal liver metastases. The aim of this study wa…
Reversible
Jarm et al · Biomed Eng Online
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: The effectiveness of electrochemotherapy of tumors (ECT) and of irreversible electroporation ablation (IRE) depends on different mechanisms and delivery protocols. Both therapies…
Irreversible
Freeman et al · Cardiovasc Intervent Radiol
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground and aims: Irreversible electroporation (IRE) is a non-thermal ablation technique for unresectable hepatocellular carcinoma (HCC) not amenable to standard thermal ablation. The aim…
Irreversible
Tamura et al · J Vasc Interv Radiol
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To examine predictors of midterm occlusion in portal and hepatic veins within or adjacent to the ablation zone after irreversible electroporation (IRE) of liver tumors. Materials an…
Irreversible
Wang et al · J Interv Med
2020Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: To preliminarily evaluate the clinical effectiveness and safety of computed tomography (CT) image-guided irreversible electroporation (IRE) for the treatment of recurrent hepatoc…
Reversible
Boetto et al · HPB
2019Clinical StudyHumanBackground: Laparoscopic Microwave Ablation and Portal Vein Occlusion for Staged Hepatectomy (LAPS) is a new surgical technique based on ALPPS principle. Methods: Ten patients with primary o…
Irreversible
Bäumler et al · Sci Rep
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe incidence and evolution of venous thrombosis adjacent to the ablation zone after percutaneous irreversible electroporation (IRE) were evaluated to identify potential risk factors in pati…
Irreversible
Jiang et al · Exp Ther Med
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationMetastatic retroperitoneal tumors constitute an end-stage disease with poor prognosis that represents a heavy global health burden. The present study aimed to explore the efficacy of irrever…
Irreversible
Rennert et al · J Gastrointestin Liver Dis
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationAim: Evaluation of the post-interventional success following irreversible electroporation (IRE) using a new color coded perfusion quantification software with contrast-enhanced ultrasound (C…
Irreversible
Sugimoto et al · J Vasc Interv Radiol
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: Irreversible electroporation (IRE) differs from thermal radiofrequency (RF) ablation, especially in terms of the reparative process in the ablation zone induced. To elucidate this, …
Irreversible
Verloh et al · Radiol Oncol
2019Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground To compare the frequency of adverse events of thermal microwave (MWA) and radiofrequency ablation (RFA) with non-thermal irreversible electroporation (IRE) in percutaneous ablatio…
Reversible
Boc et al · Radiol Oncol
2018Clinical StudyHumanElectric Field Distribution and ModellingBackground The aim of the study was to characterize ultrasonographic (US) findings during and after electrochem-otherapy of liver tumors to determine the actual ablation zone and to verify t…
Irreversible
Alnaggar et al · Cell Physiol Biochem
2018Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/aims: We evaluated the clinical effectiveness of irreversible electroporation (IRE) in combination with immunotherapy using allogenic natural killer cells (NK) for stage IV hepato…
Irreversible
Ruarus et al · Cardiovasc Intervent Radiol
2018Clinical StudyHumanIrreversible Pore Formation and Cell Death, Tissue Conductivity and Impedance ChangePurpose: Irreversible electroporation (IRE) induces apoptosis with high-voltage electric pulses. Although the working mechanism is non-thermal, development of secondary Joule heating occurs.…
Irreversible
Scheck et al · Korean J Radiol
2018Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: To compare short-, mid-, and long-term follow-up ablation zone volume alterations as well as imaging features on contrast-enhanced computed tomography (CT) after irreversible elec…
Reversible
Coletti et al · Int J Surg
2017Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Electrode Geometry and PlacementBackground and objectives: Electrochemotherapy is a novel ablation technique combining chemotherapeutic agents with reversible cell membrane electroporation. Previous experiences have shown …
Irreversible
Distelmaier et al · Radiology
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose To investigate the efficacy and safety of irreversible electroporation (IRE) in the treatment of hepatic tumors not suitable for thermal ablation (radiofrequency ablation [RFA] or mi…
Irreversible
Frühling et al · Eur J Surg Oncol
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: A single-center nonrandomized clinical trial was performed to assess the safety and efficacy of IRE ablation of liver tumors in humans. Methods: 38 malignant liver tumors on 30…
Irreversible
Langan et al · J Surg Oncol
2017Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) has emerged as a novel, safe ablative therapy for peri-vascular lesions. However, there remains a paucity of data on long-term outcomes. Method…
Irreversible
Bhutiani et al · HPB (Oxford)
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Few studies have assessed the tolerability and efficacy of irreversible electroporation (IRE) in the treatment of Child-Pugh B (7/8) patients with hepatocellular carcinoma (HCC…
Irreversible
Sugimoto et al · J Med Ultrason (2001)
2016Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To assess the diagnostic accuracy of contrast-enhanced ultrasound (CEUS), contrast-enhanced multiphase CT (CECT), and gadoxetic acid-enhanced MRI (EOB-MRI) in identifying residual t…
Irreversible
Zeng et al · Technol Cancer Res Treat
2016Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathThis study aimed to investigate the safety and effectiveness of irreversible electroporation ablation for unresectable large liver cancer. Fourteen patients were enrolled: 8 with large hepat…
Reversible
Mali et al · Biomed Eng Online
2015Clinical StudyHumanBackground: Electrochemotherapy (ECT) is a combined treatment in which high voltage electroporation (EP) pulses are used to facilitate the uptake of a chemotherapeutic drug into tumor cells,…
Reversible
Marčan et al · PLoS One
2015Clinical StudyHumanElectric Field Distribution and ModellingElectroporation-based treatments rely on increasing the permeability of the cell membrane by high voltage electric pulses applied to tissue via electrodes. To ensure that the whole tumor is …
Irreversible
Dollinger et al · Diagn Interv Radiol
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: We aimed to describe the frequency of adverse events after computed tomography (CT) fluoroscopy-guided irreversible electroporation (IRE) of malignant hepatic tumors and their risk …
Irreversible
Dollinger et al · PLoS One
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate risk factors associated with alterations in venous structures adjacent to an ablation zone after percutaneous irreversible electroporation (IRE) of hepatic malignancies …
Irreversible
Granata et al · Radiol Med
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: Irreversible electroporation (IRE) is a new ablation modality. Our purpose was to describe the effectiveness and the safety of the treatment and to evaluate the magnetic resonance…
Irreversible
Granata et al · AJR Am J Roentgenol
2015Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathObjective: Irreversible electroporation is a new ablation modality. Our purpose was to describe the MRI findings after irreversible electroporation treatment of hepatocellular carcinoma (HCC…
Irreversible
Rossmeisl et al · J Neurosurg
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObject: Irreversible electroporation (IRE) is a novel nonthermal ablation technique that has been used for the treatment of solid cancers. However, it has not been evaluated for use in brain…
Irreversible
Scheffer et al · BMC Cancer
2015Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel image-guided tumor ablation technique that has shown promise for the ablation of lesions in proximity to vital structures such as bl…
Reversible
Marcan et al · Radiol Oncol
2014Clinical StudyHumanElectric Field Distribution and ModellingIntroduction: Electroporation-based treatments rely on increasing the permeability of the cell membrane by high voltage electric pulses delivered to tissue via electrodes. To ensure that the…
Irreversible
Dollinger et al · J Vasc Interv Radiol
2014Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To describe findings on contrast-enhanced computed tomography (CT) images of malignant hepatic tumors 24-72 hours after percutaneous ablation by irreversible electroporation (IRE) a…
Irreversible
Eller et al · Cardiovasc Intervent Radiol
2014Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: This study was designed to assess efficacy and safety in the treatment of perivascular malignant liver lesions using percutaneous, computed tomography (CT)-guided irreversible elect…
Irreversible
Neal et al · Cardiovasc Intervent Radiol
2014Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Irreversible electroporation (IRE) ablation uses a series of brief electric pulses to create nanoscale defects in cell membranes, killing the cells. It has shown promise in num…
Irreversible
Scheffer et al · Eur Radiol
2014Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: Irreversible electroporation (IRE) is a new ablation technique that relies on high-voltage electrical pulses. This clinical study evaluates the pathological response of colorecta…
Irreversible
Cheung et al · Technol Cancer Res Treat
2013Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe aims of this study were to evaluate the safety, feasibility and tumour response of _irreversible electroporation, a non-thermal ablation technique, for the treatment of unresectable hepa…
Irreversible
Martin · Curr Colorectal Cancer Rep
2013Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) has shown promise for ablation of lesions in proximity to vital structures in the preclinical and now clinical setting. Studies of patients undergoing IRE …
Irreversible
Neal II et al · JBiSE
2012Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationTherapeutic irreversible electroporation (IRE) is a relatively new technique for targeted tumor ablation. Needle electrodes are placed into or around the targeted region to deliver a series …
Irreversible
Wiggermann et al · Clin Hemorheol Microcirc
2012Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: The aim of this study is to describe the image findings of contrast-enhanced ultrasound (CEUS) after irreversible electroporation (IRE), and to assess its usefulness in relation to …
Reversible
Edhemovic et al · Technol Cancer Res Treat
2011Clinical StudyHumanElectric Field Distribution and Modelling, Electrode Geometry and PlacementElectrochemotherapy is now in development for treatment of deep-seated tumors, like in bones and internal organs, such as liver. The technology is available with a newly developed electric p…
Irreversible
Pech et al · Cardiovasc Intervent Radiol
2010Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: Irreversible electroporation (IRE) is a newly developed nonthermal tissue-ablation technique in which high-voltage electrical pulses of microsecond duration are applied to induce ir…
Reversible
Cho et al · AJR Am J Roentgenol
2006Clinical StudyHumanObjective: Our objective was to compare the prognosis of subcapsular and nonsubcapsular hepatocellular carcinoma after percutaneous radiofrequency ablation using multitined expandable electr…
Irreversible
Jouni · Technol Cancer Res Treat
2025Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectivesIrreversible Electroporation (IRE) is both open surgery and minimally invasive cancer therapy used in the treatment of liver tumors. The therapy demands precision and accuracy to e…
Irreversible
Narayanan et al · Cancers (Basel)
2025Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives : This single-center retrospective study evaluates the clinical efficacy and safety of percutaneous ablation using microwave ablation (MWA) and irreversible electroporation (IRE) …
Irreversible
Pescatori et al · Int J Hyperthermia
2025Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) in hepatocellular carcinoma (HCC) triggers apoptosis instead of thermal coagulation, resulting in specific modifications within ablation zones.…
Irreversible
Wang et al · Acad Radiol
2025Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationRationale and objectives: The therapeutic efficacy of irreversible electroporation (IRE) for treating subcapsular hepatocellular carcinoma (HCC) remains under-explored. The current study aim…
Irreversible
Gong · Front Oncol
2024Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation has been proved as a feasible and safe method against tumor in liver. However, few studies focused on tumors adjacent to perihepatic important struct…
Irreversible
Narayanan et al · J Vasc Interv Radiol
2024Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Preservation of Nerve and Vascular StructuresPurpose: To evaluate the safety, effectiveness, and oncological outcomes of irreversible electroporation (IRE) of unresectable colorectal liver metastases (CRLMs) close to critical structure…
Irreversible
Amygdalos · Langenbecks Arch Surg
2023Retrospective Clinical StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPurpose: Colorectal liver metastases (CRLM) are the predominant factor limiting survival in patients with colorectal cancer. Multimodal treatment strategies are frequently necessary to achie…
Irreversible
Pan et al · Cancers (Basel)
2021Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: To explore the feasibility, safety, and efficiency of ethiodized oil tumor marking combined with irreversible electroporation (IRE) for small hepatocellular carcinomas (HCCs) t…
Irreversible
Cornelis et al · Cardiovasc Intervent Radiol
2019Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the effect of peri-tumoral metallic implants (MI) on the safety and efficacy of percutaneous irreversible electroporation (IRE) of colorectal liver metastasis (CRLM). Ma…
Irreversible
Schicho et al · Cancer Manag Res
2018Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: For colorectal liver metastases (CRLM) that are not amenable to surgery or thermal ablation, irreversible electroporation (IRE) is a novel local treatment modality and additional…
Irreversible
Niessen et al · Sci Rep
2017Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationAim of this retrospective analysis was to evaluate the survival times after percutaneous irreversible electroporation (IRE) in inoperable liver tumors not amenable to thermal ablation. 71 pa…
Irreversible
Beyer et al · Int J Comput Assist Radiol Surg
2016Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: Comparison of conventional CT-guided manual irreversible electroporation (IRE) of malignant liver tumors and a robot-assisted approach regarding procedural accuracy, intervention …
Irreversible
Padia et al · Radiology
2016Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To assess the postprocedure findings of irreversible electroporation (IRE) in patients with hepatocellular carcinoma (HCC) at magnetic resonance (MR) imaging. Materials and methods:…
Irreversible
Froud et al · Tech Vasc Interv Radiol
2015Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a relatively new ablation modality that uses electric currents to cause cell death. It is commonly used to treat primary and secondary liver tumors in p…
Irreversible
Hosein et al · J Vasc Interv Radiol
2014Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To describe an initial experience with irreversible electroporation (IRE) in patients with colorectal liver metastasis (CLM). Materials and methods: A retrospective analysis of pati…
Irreversible
Kingham et al · J Am Coll Surg
2012Retrospective Clinical StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Ablation is increasingly used to treat primary and secondary liver cancer. Ablation near portal pedicles and hepatic veins is challenging. Irreversible electroporation (IRE) is a…
Irreversible
Brichard et al · Front Surg
2026Case SeriesHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: The incidence of intrahepatic cholangiocarcinoma (iCCA) is increasing worldwide and remains associated with a poor prognosis. Surgical resection is the only potentially curativ…
Irreversible
Wada et al · Cancers (Basel)
2023Case SeriesHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Despite the diversity of thermal ablations, such as radiofrequency ablation (RFA) and microwave ablation (MWA), and non-thermal ablation, such as irreversible electroporation (IR…
Reversible
Spallek et al · Radiol Oncol
2022Case SeriesHumanElectric Field Distribution and ModellingBackground: Local nonsurgical tumor ablation currently represents a further option for the treatment of patients with liver tumors or metastases. Electrochemotherapy (ECT) is a welcome addit…
Irreversible
Stillström et al · Eur J Radiol Open
2019Case SeriesHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Thermal ablation of liver tumours is an established technique used in selected patients with relatively small tumours that can be ablated with margin. Thermal ablation methods …
Irreversible
Sutter et al · Radiology
2017Case SeriesHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose To assess the safety and efficacy of irreversible electroporation (IRE) in the treatment of patients with inoperable hepatocellular carcinoma (HCC) who are ineligible for thermal abl…
Reversible
Tarantino et al · Digestive and Liver Disease
2016Case SeriesHumanReversible Membrane Permeabilisationand aim: Cirrhotic patients with malignant main portal vein thrombosis (MMPVT) from hepatocellular carcinoma (HCC) are excluded from any known curative treatment. A single previous report ad…
Reversible
Tarantino et al · Journal of Hepatology
2016Case SeriesHumanand Aims: We evaluated the impact of variceal bleeding on the long-term outcome of newly-diagnosed hepatocellular carcinoma (HCC) patients. Methods: A retrospective cohort of 898, newly-diag…
Reversible
Tarantino et al · Digestive and Liver Disease
2016Case SeriesHumanIrreversible Pore Formation and Cell Deathand aim: Cirrhotic patients with malignant main portal vein thrombosis (MMPVT) from Hepatocellular Carcinoma (HCC) are excluded from any known curative treatment. Electrochemotherapy (ECT) i…
Irreversible
Niessen et al · J Vasc Interv Radiol
2015Case SeriesHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the risk factors associated with short-term local recurrence of malignant liver lesions after irreversible electroporation (IRE). Materials and methods: Thirty-nine cons…
Reversible
Gad et al · Front Immunol
2026Case ReportHumanSystemic / Abscopal Immune Response, Immune Checkpoint Inhibitor CombinationAdrenocortical carcinoma (ACC) is a rare and aggressive endocrine malignancy, typically presenting at an advanced stage with distant metastases. We report a unique case of a 49-year-old fema…
Irreversible
Dantas Henrique et al · J Vasc Interv Radiol
2026Case ReportHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Deathversible Electroporation From: Marina Dantas Henrique, MD Mariana Berqu ´o Peleja, MD Breno Boueri Affonso, MD Rodrigo Gobbo Garcia, MD, PhD Juliano Ribeiro de Andrade, MD Felipe Nasser, MD,…
Irreversible
Romeo et al · Radiol Case Rep
2026Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationInterventional ultrasound (IUS) supported by contrast-enhanced ultrasound (CEUS) enables accurate real-time characterization and image-guided treatment of focal liver lesions. In nonsurgical…
Irreversible
Cacciatore · Cancer Control
2025Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroductionEpithelioid Hemangioendothelioma is a rare vascular neoplasm unresponsive to chemotherapy, radiotherapy, or immunotherapy. Surgical options are considered; however, recurrence ra…
Irreversible
L'Huillier et al · Diagn Interv Imaging
2023Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane Permeabilisation, Irreversible electroporation (IRE) is a non-thermal ablative approach used for the treatment of liver cancers, including hepatocellular carcinoma (HCC) and liver metastases [1−4]. It allow…
Irreversible
Onafowokan et al · BMJ Case Rep
2022Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a non-thermal ablative technique for unresectable liver malignancies deemed unsuitable for traditional thermal ablation due to proximity to biliary and/…
Reversible
Stefano et al · Front Surg
2021Case ReportHumanNecrosis and Necroptosis, Increased Intracellular Bleomycin AccumulationIntroduction: Cholangiocarcinoma (CCA) is the second most common primary tumor of the liver, and the recurrence after hepatic resection (HR), the only curative therapy, is linked with a wors…
Reversible
Pacella et al · Interv Med Clin Imaging
2019Case ReportHumanIrreversible Pore Formation and Cell Death, Preservation of Extracellular Matrix and Tissue ScaffoldIntroduction: Electrochemotherapy (ECT) is a locally enhanced chemotherapy that combines the administration of chemotherapeutic drugs with welldosed electric pulses for cell membrane Electro…
Irreversible
Chai et al · Ultrasound Q
2017Case ReportHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death*Department of Ultrasonography and †State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou…
Irreversible
Herwald et al · J Vasc Interv Radiol
2016Case ReportHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathCarcinoma Adjacent to the Gallbladder From: Sanna E. Herwald, BA Jonathan H. Chen, MD, PhD Ronald S. Arellano, MD, FSIR Tufts University School of Medicine (S.E.H.) 145 Harrison Avenue Bosto…
Irreversible
Cheng et al · J Vasc Interv Radiol
2015Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To describe full explant pathology and radiographic correlation in patients with hepatocellular carcinoma (HCC) treated with irreversible electroporation (IRE) who subsequently unde…
Irreversible
Sugimoto et al · Springerplus
2015Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Irreversible electroporation (IRE) is a promising technique for the focal treatment of soft tissue tumors. Even though the local application of an excessive electric field is a…
Irreversible
Scheffer et al · Cardiovasc Intervent Radiol
2014Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a novel image-guided ablation technique that is rapidly gaining popularity in the treatment of malignant liver tumors located near large vessels or bile…
Irreversible
Niessen et al · Korean J Radiol
2013Case ReportHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationWe report in a 65-year-old man hepatocellular carcinoma adjacent to a transjugular intrahepatic portosystemic shunt stent-graft which was successfully treated with irreversible electroporati…
Irreversible
Mannelli et al · Liver Int
2012Case ReportHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell Death(a) (d) (c) (b) (e) (f) (g) Fig. 1. A 70 year old Caucasian man with a history of recently resected moderately-differentiated invasive adenocarcinoma of the colon presented with a 1.8 cm foc…
Reversible
Dong · J Gastrointest Oncol
2026Systematic Review / Meta-AnalysisLiterature AnalysisReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathBackground: Ablation therapies have attracted sustained research interest in the management of liver tumours. This study aimed to systematically map global research trends, collaboration pat…
Irreversible
Iqbal et al · Cureus
2026Systematic Review / Meta-AnalysisLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe aim of this study was to systematically pool all direct comparative evidence from two-arm studies comparing irreversible electroporation (IRE) and radiofrequency ablation (RFA) for hepat…
Irreversible
Cribbs · PLoS One
2025Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Locoregional treatments for early-stage unresectable hepatocellular carcinoma (HCC) are widely used, with irreversible electroporation (IRE) and transarterial chemoembolization (…
Reversible
Barbieri et al · Curr Oncol
2024Systematic Review / Meta-AnalysisHumanBackground: The global incidence of secondary liver cancer is rising due to multiple risk factors, presenting significant challenges in public health. Similarly, colorectal cancer (CRC) rema…
Irreversible
Xing · Open Life Sci
2024Systematic Review / Meta-AnalysisLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBoth irreversible electroporation (IRE) and radiofrequency ablation (RFA) are viable ablation methods for localized treatment of liver tumors. We conducted a meta-analysis to access the effi…
Reversible
Granata et al · Diagnostics (Basel)
2023Systematic Review / Meta-AnalysisLiterature AnalysisThe aim of the study was to analyse papers describing the use of Electrochemotherapy (ECT) in local treatment of primary and secondary liver tumours located at different sites and with diffe…
Irreversible
Spiers · Cancers (Basel)
2023Systematic Review / Meta-AnalysisLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a non-thermal form of ablation based on the delivery of pulsed electrical fields. It has been used to treat liver lesions, particularly thos…
Irreversible
Nieuwenhuizen · Curr Oncol Rep
2022Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose of review: Based on good local control rates and an excellent safety profile, guidelines consider thermal ablation the gold standard to eliminate small unresectable colorectal liver …
Irreversible
Yu et al · Eur J Surg Oncol
2022Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: To evaluate the efficacy and safety of IRE in the treatment of hepatic malignant tumors, especially the damage to the gastrointestinal tract, bile ducts, and vital vessels. Method…
Irreversible
Gupta et al · Eur Radiol
2021Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: The data regarding overall survival (OS) and progression-free survival (PFS) following irreversible electroporation (IRE) is scarce. We performed a systematic review of the safety…
Irreversible
Vogel et al · Technol Cancer Res Treat
2019Systematic Review / Meta-AnalysisAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathIrreversible electroporation causes cell death through low frequency, high voltage electrical pulses and is increasingly used to treat non-resectable cancers. A recent systematic review reve…
Irreversible
Tian et al · Oncotarget
2016Systematic Review / Meta-AnalysisHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) ablation is a new technique that is used to eliminate malignant tumors through nonthermal approaches. Objective: The purpose of this review was…
Irreversible
Xu et al · Hepatobiliary Pancreat Dis Int
2022Guideline / ConsensusHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathLiver cancer remains a global health challenge, and its incidence is increasing worldwide. It is estimated that by 2025, more than one million individuals will be affected by liver cancer an…
Reversible
Seda · ESMO Gastrointest Oncol
2026ReviewLiterature AnalysisReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathLiver cancer, especially hepatocellular carcinoma (HCC), which accounts for ∼75%-85% of primary liver cancers, remains a major global health challenge. Because of its high incidence, late di…
Irreversible
Liang et al · Zhonghua Gan Zang Bing Za Zhi
2026ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThermal ablation has become an important treatment option for early-stage hepatocellular carcinoma with the development of interventional ultrasound technology. However, in the treatment of …
Reversible
Li · J Hepatocell Carcinoma
2025ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationEarly-stage hepatocellular carcinoma (HCC) represents a critical window for curative treatment. However, treatment selection is complicated by significant heterogeneity in tumor biology, liv…
Irreversible
Abu Zahra et al · Cancers (Basel)
2025ReviewLiterature AnalysisReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathHepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality worldwide, with curative surgical interventions feasible for a minority of patients. This review highlights rece…
Irreversible
Gao · Int J Nanomedicine
2025ReviewAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationHepatocellular carcinoma (HCC) remains one of the most prevalent and lethal primary liver malignancies worldwide. Despite significant advances in surgical resection and local ablation therap…
Irreversible
Giorgio et al · World J Gastroenterol
2025ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationUltrasound-guided percutaneous thermal ablation has gained popularity as treatment for malignant hepatic tumors. It was first introduced as ablation therapy for hepatocellular carcinoma and …
Irreversible
Xenos · Biomedicines
2025ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationCancer is a leading cause of cancer-related death. Liver metastases develop in over one-third of patients and are associated with worse prognosis. The evolution in the field of interventiona…
Irreversible
Chlorogiannis et al · Medicina (Kaunas)
2024ReviewHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathColorectal cancer is a major cause of cancer-related mortality, with liver metastases occurring in over a third of patients, and is correlated with poor prognosis. Despite surgical resection…
Irreversible
Narayanan et al · Medicina (Kaunas)
2024ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationLiver cancer remains a leading cause of cancer-related deaths worldwide despite numerous advances in treatment. While surgical resection remains the gold standard for curative treatment, it …
Irreversible
Zhao · J Cancer
2024ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationWith the development of guidance technology and ablation equipment, ablative procedures have emerged as important loco-regional alternatives to surgical resection for recurrent hepatocellula…
Reversible
Wang · World J Hepatol
2023ReviewLiterature AnalysisReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathHepatocellular carcinoma (HCC) is the most common primary liver cancer and is the fifth leading cause of cancer death worldwide and the third leading cause of all diseases worldwide. Liver t…
Irreversible
Koza et al · Biomedicines
2023ReviewLiterature AnalysisReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathThe management of hepatocellular carcinoma (HCC) remains complex and will continue to rely on the multidisciplinary input of hepatologists, surgeons, radiologists, oncologists and radiothera…
Irreversible
Qu et al · Med Sci Monit
2023ReviewHumanMuscle Contraction and Anaesthesia Requirement, Reversible Membrane PermeabilisationBACKGROUND Ablation has been developed as a radical surgical procedure for liver tumors. Local anesthesia in combination with general anesthesia or intravenous sedation is needed in ablative…
Reversible
Papalexis et al · Curr Oncol
2022ReviewHumanMetastases are the main type of malignancy involving bone, which is the third most frequent site of metastatic carcinoma, after lung and liver. Skeletal-related events such as intractable pa…
Irreversible
Cano · An Sist Sanit Navar
2022ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationCurrently, among the possible treatments for hepatocellular carcinoma there is group of minimally invasive ablation techniques with wide clinical acceptance due to their greater efficacy and…
Irreversible
De Re et al · Front Oncol
2022ReviewLiterature AnalysisImmunogenic Cell Death (ICD), Reversible Membrane PermeabilisationAblative and locoregional treatment options, such as radiofrequency, ethanol injection, microwave, and cryoablation, as well as irreversible electroporation, are effective therapies for earl…
Irreversible
Koethe et al · Int J Hyperthermia
2022ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) ablation is gaining popularity over the last decade as a nonthermal alternative to thermal ablation technologies such as radiofrequency ablation (RFA) and …
Irreversible
Eresen et al · Ann Transl Med
2021ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationHepatocellular carcinoma (HCC) is among the most lethal cancer types despite great advancement in overall survival of the patients over the last decades. Surgical resection or partial hepate…
Reversible
Liu et al · World J Gastroenterol
2020ReviewAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathThe number of liver cancer patients is likely to continue to increase in the coming decades due to the aging of the population and changing risk factors. Traditional treatments cannot meet t…
Irreversible
Blazevski et al · BJU Int
2019ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Whilst whole-gland radical treatment is highly effective for prostate cancer control, it has significant impact on quality of life and is unnecessary 'over-treatment' in many m…
Irreversible
Cohen et al · Expert Rev Med Devices
2018ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Irreversible electroporation (IRE) has developed as a novel percutaneous ablative technique over the past decade and its utility in the treatment of primary and metastatic live…
Irreversible
Nault et al · J Hepatol
2018ReviewHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPercutaneous treatment of hepatocellular carcinoma (HCC) encompasses a vast range of techniques, including monopolar radiofrequency ablation (RFA), multibipolar RFA, microwave ablation, cryo…
Reversible
Edhemovic et al · Handbook of Electroporation
2017ReviewLiterature AnalysisIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin AccumulationElectrochemotherapy (ECT) is a local treatment modality of malignant tumors. It uses electroporation which significantly increases the concentration of bleomycin or cisplatin in cells and the…
Reversible
Trotovšek et al · Handbook of Electroporation
2017ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIncidence of primary liver cancer (PLC) is rising across the world. Hepatocellular carcinoma (HCC) is the most common (90%) and together with intrahepatic cholangiocarcinoma represents more …
Irreversible
Zimmerman et al · J Hepatocell Carcinoma
2017ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a novel form of tissue ablation that uses high-current electrical pulses to induce pore formation of the cell lipid bilayer, leading to cell death. The …
Irreversible
Lencioni et al · Tech Vasc Interv Radiol
2015ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a new nonthermal ablation modality that can be used to treat primary and metastatic lesions in the liver. This article describes the way IRE works, revi…
Irreversible
Scheffer et al · Tech Vasc Interv Radiol
2015ReviewHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationImage-guided tumor ablation techniques have significantly broadened the treatment possibilities for primary and secondary hepatic malignancies. A new ablation technique, irreversible electro…
Irreversible
Narayanan et al · Semin Intervent Radiol
2013ReviewLiterature AnalysisIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationHepatocellular carcinoma (HCC) is a worldwide problem of epidemic proportions, best treated in a multidisciplinary setting. Major advances have been made in all specialties that manage patie…
Irreversible
Huo et al · JHEP Rep
2026Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Immune Checkpoint Inhibitor CombinationBackground & aims: Local ablation triggers anti-tumor response and is regarded as an encouraging treatment combined with immunotherapy for hepatocellular carcinoma (HCC). Irreversible electr…
Irreversible
López-Alonso et al · Sci Rep
2026Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Increased Intracellular Bleomycin AccumulationElectroporation-based therapies are established non-thermal ablation strategies for targeted tissue destruction. Here, a custom high-voltage pulse generator and a parallel-plate electrode sy…
Irreversible
Park · Signal Transduct Target Ther
2026Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationChimeric antigen receptor natural killer (CAR-NK) cell therapy has emerged as a promising immunotherapeutic modality with potent cytotoxicity and a favorable safety profile. However, its the…
Irreversible
Zhou et al · Radiol Oncol
2026Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathBackground: This study aimed to explore the ultrasound and contrast-enhanced ultrasound (CEUS) imaging characteristics and dimensions of ablation lesions after irreversible electroporation o…
Reversible
Spiliotis et al · Cancers (Basel)
2025Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Apoptosis InductionBackground/objectives: Electrochemotherapy (ECT) has been shown to be effective in treating colorectal liver metastases when combined with bleomycin (BLM). Based on this promising finding, w…
Irreversible
Fong · Cancers (Basel)
2025Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjectives: There is a critical need for effective focal therapies for patients with inoperable or anatomically complex tumors where conventional ablation techniques pose high risk or are in…
Irreversible
Wang · Sci Rep
2025Animal StudyAnimal (In Vivo)Tissue Conductivity and Impedance Change, Irreversible Pore Formation and Cell DeathThe safety and efficacy of irreversible electroporation (IRE) in tumor therapy has been validated over many years by clinical application. An in-depth study, however, is required to assess t…
Irreversible
Yu et al · World J Gastroenterol
2025Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Duodenal mucosal ablation (DMA) using irreversible electroporation (IRE) with a glucagon-like peptide-1 receptor agonist has been clinically shown to reduce liver lipid depositio…
Reversible
Spiliotis et al · Sci Rep
2024Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Necrosis and NecroptosisElectrochemotherapy (ECT) combines the reversible electroporation (rEP) with intravenous (i.v.) or intratumoral (i.t.) administration of chemotherapeutic drugs. We conducted this study to co…
Irreversible
Li et al · Cancer Med
2024Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathBackground: Malignant liver tumors seriously endanger human health. Among different therapeutic approaches, high-frequency irreversible electroporation (H-FIRE) is a recently emerging tumor …
Reversible
Cvetkoska et al · J Cardiovasc Dev Dis
2023Animal StudyAnimal (In Vivo)Optimisation of Pulse Parameters, Muscle Contraction and Anaesthesia RequirementElectroporation is used in medicine for drug and gene delivery, and as a nonthermal ablation method in tumor treatment and cardiac ablation. Electroporation involves delivering high-voltage …
Reversible
Spiliotis et al · Cancers (Basel)
2023Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Necrosis and NecroptosisBackground: The available ablative procedures for the treatment of hepatic cancer have contraindications due to the heat-sink effect and the risk of thermal injuries. Electrochemotherapy (EC…
Irreversible
Jeon et al · Technol Cancer Res Treat
2023Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a non-thermal and minimal invasive modality to ablate pathologic lesions such as hepatic tumors. Histological analysis of the initial lesions after IRE …
Irreversible
Kim · Technol Cancer Res Treat
2023Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Optimisation of Pulse ParametersUnlike necrosis by thermal ablation, irreversible electroporation (IRE) is known to induce apoptosis by disrupting plasma membrane integrity with electric pulses while preserving the structu…
Irreversible
Lindelauf et al · Sci Prog
2023Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationElectroporation (EP) is widely used in medicine, such as cancer treatment, in form of electrochemotherapy or irreversible electroporation (IRE). For EP device testing, living cells or tissue…
Irreversible
Sarreshtehdari et al · Sci Rep
2023Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Tissue Conductivity and Impedance ChangeDue to electrical features of the tissue, such as impedance, which have a significant impact on irreversible electroporation (IRE) function, the administration of glucose solution 5% (GS5%) …
Reversible
Cindric et al · Sci Rep
2022Animal StudyAnimal (In Vivo)Electric Field Distribution and Modelling, Irreversible Pore Formation and Cell DeathElectrochemotherapy (ECT) and irreversible electroporation (IRE) are being investigated for treatment of hepatic tumours. The liver is a highly heterogeneous organ, permeated with a network …
Reversible
Kulbacka et al · Int J Mol Sci
2022Animal StudyAnimal (In Vivo)Mitochondrial Dysfunction and Oxidative Stress, Potentiation of Cytotoxic Drug Permeability(1) Background: The size and surface charge are the most significant parameters of nanocarriers that determine their efficiency and potential application. The poor cell uptake of encapsulate…
Irreversible
Eresen et al · Acad Radiol
2022Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationRationale and objectives: Irreversible electroporation (IRE) is a promising non-thermal ablation technique for the treatment of patients with hepatocellular carcinoma. Early differentiation …
Reversible
Weinert · Ann Biomed Eng
2021Animal StudyAnimal (In Vivo)Electric Field Distribution and ModellingBiological electroporation is a process of opening pores in the cell membrane when exposed to intense electric fields. This work provides results for validation of a dynamic model of electro…
Reversible
Šilkūnas et al · Bioelectrochemistry
2021Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin AccumulationBleomycin, which is the most widely used drugs in electrochemotherapy, requires oxygen to be able to make single- or double-strand brakes in DNA. However, the concentration of oxygen in tumo…
Irreversible
Dai et al · Cancer Lett
2021Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationAblative treatment evokes antitumor immunity, but knowledge on the emerging irreversible electroporation (IRE)-induced immunity in hepatocellular carcinoma (HCC) is limited. To investigate t…
Irreversible
Lasarte-Cia et al · Biomed Res Int
2021Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground/aim Irreversible electroporation (IRE) showed promising results for small-size tumors and very early cancers. However, further development is needed to evolve this procedure into …
Irreversible
Li et al · Chin Med J (Engl)
2021Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: High-frequency irreversible electroporation (H-FIRE) is a novel, next-generation nanoknife technology with the advantage of relieving irreversible electroporation (IRE)-induced m…
Irreversible
Lopez-Ichikawa · Sci Rep
2021Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a non-thermal tissue ablative technology that has emerging applications in surgical oncology and regenerative surgery. To advance its therapeutic useful…
Irreversible
Sorokin et al · J Endourol
2021Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: To evaluate the safety of irreversible electroporation (IRE) for renal ablation adjacent to the ureter or bowel. Materials and Methods: Six adult pigs each underwent bilateral IRE…
Irreversible
Kaufman et al · J Vasc Interv Radiol
2020Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPurpose: To investigate if high-frequency irreversible electroporation (H-FIRE) treatments can be delivered at higher voltages and with greater energy delivery rates than currently implement…
Irreversible
Partridge et al · J Vasc Interv Radiol
2020Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPurpose: To determine the safety and feasibility of percutaneous high-frequency irreversible electroporation (HFIRE) for primary liver cancer and evaluate the HFIRE-induced local immune resp…
Irreversible
Shangguan et al · Clin Exp Gastroenterol
2020Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: Irreversible electroporation (IRE) is a promising new ablation method for hepatocellular carcinoma (HCC) treatment with few side-effects; however, tissue perfusion and differentiati…
Reversible
Brloznik et al · Radiol Oncol
2019Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin AccumulationBackground Radiologic findings after electrochemotherapy of large hepatic blood vessels and healthy hepatic parenchyma have not yet been described. Materials and methods We performed a prosp…
Reversible
Klein · PLoS One
2019Animal StudyAnimal (In Vivo)Electrode Geometry and PlacementBackground: The combination of electroporation with electrolysis (E2) has previously been introduced as a novel tissue ablation technique. E2 allows the utilization of a wide parameter range…
Irreversible
Figini et al · Magn Reson Med
2019Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: Irreversible electroporation (IRE) is a nonthermal tissue ablation technique that represents a promising treatment option for unresectable liver tumors, but the effectively treated …
Irreversible
Hu et al · J Vasc Interv Radiol
2019Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the feasibility of diffusion-weighted imaging (DWI) in magnetic resonance imaging for quantitative measurement of responses following irreversible electroporation (IRE) …
Irreversible
Lyu et al · HPB (Oxford)
2019Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: The safety and efficacy of irreversible electroporation (IRE) in treating hepatic, biliary, and pancreatic malignancies are active areas of clinical investigation. In addition, r…
Irreversible
Vivas et al · J Vasc Interv Radiol
2019Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the therapeutic efficacy of irreversible electroporation (IRE) combined with the intratumoral injection of the immunogenic adjuvant poly-ICLC (polyinosinic-polycytidylic…
Reversible
Lassiter et al · Cancers (Basel)
2018Animal StudyAnimal (In Vivo)Nanosecond Pulsed Electric Field (nsPEF), Apoptosis InductionNano-pulse stimulation (NPS), previously called nsPEFs, induced a vaccine-like effect after ablation of orthotopic N1-S1 hepatocellular carcinoma (HCC), protecting rats from subsequent chall…
Irreversible
Castellví et al · Phys Med Biol
2018Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationElectroporation-based treatments typically consist of the application of high-voltage dc pulses. As an undesired side effect, these dc pulses cause electrical stimulation of excitable tissue…
Irreversible
Sano et al · Comput Biol Med
2018Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationHigh-frequency irreversible electroporation (H-FIRE) is an emerging ablation modality, delivering rapid bursts of bipolar microsecond-duration electrical pulses to non-thermally ablate tissu…
Irreversible
Zhang et al · Biochem Biophys Res Commun
2018Animal StudyAnimal (In Vivo)Apoptosis Induction, Necrosis and NecroptosisNon-thermal irreversible electroporation (NTIRE) is a biophysical phenomenon in which certain electric fields delivered across the cell membrane in tissue, cause cell death, without affectin…
Irreversible
Cornelis et al · Cardiovasc Intervent Radiol
2017Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To compare ablation boundary sharpness after percutaneous radiofrequency ablation (RFA), cryoablation (CA), microwave ablation (MWA) and irreversible electroporation (IRE) ablation …
Irreversible
Ivey et al · Biophys J
2017Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPulsed electric fields applied to cells have been used as an invaluable research tool to enhance delivery of genes or other intracellular cargo, as well as for tumor treatment via electroche…
Irreversible
Yao et al · IEEE Trans Biomed Eng
2017Animal StudyAnimal (In Vivo)Muscle Contraction and Anaesthesia Requirement, Electrode Geometry and PlacementObjective: To minimize the effect of muscle contractions during irreversible electroporation (IRE), this paper attempts to research the ablation effect and muscle contractions by applying hi…
Reversible
Stehling et al · PLoS One
2016Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathElectrolysis, electrochemotherapy with reversible electroporation, nanosecond pulsed electric fields and irreversible electroporation are valuable non-thermal electricity based tissue ablati…
Irreversible
Bhutiani et al · Surgery
2016Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: Currently, the prediction of the dimensions of irreversible electroporation (IRE) ablation is modeled using algorithms derived from mathematical and ex vivo models. These algorith…
Irreversible
Bulvik et al · Radiology
2016Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose To compare both periablational and systemic effects of two mechanistically different types of ablation: thermal radiofrequency (RF) ablation and electroporative ablation with irrever…
Irreversible
Golberg et al · PeerJ
2016Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationDuring the past decade, irreversible electroporation (IRE) ablation has emerged as a promising tool for the treatment of multiple diseases including hepatic cancer. However, the mechanisms b…
Irreversible
Sano et al · J Vasc Interv Radiol
2016Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To mathematically model and test ex vivo a modified technique of irreversible electroporation (IRE) to produce large spherical ablations by using a single probe. Materials and metho…
Irreversible
Siddiqui et al · HPB (Oxford)
2016Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIntroduction: Irreversible electroporation (IRE) offers an alternative to thermal tissue ablation in situ. High-frequency IRE (H-FIRE), employing ultra-short bipolar electrical pulses, may o…
Irreversible
Vollherbst et al · J Vasc Interv Radiol
2016Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the effects of combined use of transarterial chemoembolization and irreversible electroporation (IRE) for focal tissue ablation in an acute porcine liver model. Material…
Reversible
Nuccitelli et al · PLoS One
2015Animal StudyAnimal (In Vivo)Nanosecond Pulsed Electric Field (nsPEF), Immunogenic Cell Death (ICD)We have used both a rat orthotopic hepatocellular carcinoma model and a mouse allograft tumor model to study liver tumor ablation with nanosecond pulsed electric fields (nsPEF). We confirm t…
Irreversible
Srimathveeravalli et al · J Vasc Interv Radiol
2015Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the feasibility of focal intraluminal irreversible electroporation (IRE) in the ureter with a novel electrode catheter and to study the treatment effects in response to …
Irreversible
Sugimoto et al · J Vasc Interv Radiol
2015Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To assess various ultrasound (US) findings, including B-mode, shear-wave elastography (SWE), and contrast-enhanced US, in accurately assessing ablation margins after irreversible el…
Reversible
Forde et al · Mol Ther Methods Clin Dev
2014Animal StudyAnimal (In Vivo)Gene Electrotransfer (Plasmid DNA)Nonviral plasmid DNA gene therapy represents a promising approach for the treatment of many diseases including cancer. Intracellular delivery of DNA can be achieved with the application of e…
Reversible
Kulbacka et al · Bioelectrochemistry
2014Animal StudyAnimal (In Vivo)Mitochondrial Dysfunction and Oxidative StressElectroporation (EP) can effectively support the penetration of macromolecules from the extracellular space into cells. Electropores induced by the influence of electromagnetic field generat…
Irreversible
Appelbaum et al · Radiology
2014Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Electrode Geometry and PlacementPurpose: To prospectively determine optimal parameters with which to achieve defined large target zones of coagulation by using irreversible electroporation (IRE) with four-electrode arrays …
Irreversible
Jiang et al · Ann Biomed Eng
2014Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe use of irreversible electroporation (IRE) for cancer treatment has increased during the past decade due to many advantages over other focal therapies. However, despite early success in p…
Irreversible
Sommer et al · Cardiovasc Intervent Radiol
2014Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the effect of previous transarterial iodized oil tissue marking (ITM) on technical parameters, three-dimensional (3D) computed tomographic (CT) rendering of the electrop…
Irreversible
Zhang et al · Radiology
2014Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To compare changes on ultrasonographic (US), computed tomographic (CT), and magnetic resonance (MR) images after irreversible electroporation (IRE) ablation of liver and tumor tissu…
Irreversible
Arena et al · J Biomech Eng
2013Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a new technology for ablating aberrant tissue that utilizes pulsed electric fields (PEFs) to kill cells by destabilizing their plasma membrane. When tre…
Irreversible
Au et al · Surgery
2013Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel ablation technique that induces permanent membrane permeability and cell death. We are interested in ultrasound B-mode and elastogra…
Reversible
Czymek et al · Surg Oncol
2012Animal StudyAnimal (In Vivo)Necrosis and NecroptosisBackground: Radiofrequency ablation (RFA) and electrochemical treatment (ECT) are two methods of local liver tumour ablation. The objective of this study was to compare these methods when ap…
Reversible
Guo et al · Invest Radiol
2012Animal StudyAnimal (In Vivo)Increased Intracellular Cisplatin Accumulation, Reversible Membrane PermeabilisationRationale and objectives: Electropermeabilization involves the application of electrical pulses to increase cell membrane permeability. The purpose of our study was to demonstrate the potent…
Irreversible
Appelbaum et al · Radiology
2012Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To characterize ultrasonographic (US) findings after irreversible electroporation (IRE) to determine the utility of these findings in the accurate assessment of ablation margins. Ma…
Irreversible
Ben-David et al · AJR Am J Roentgenol
2012Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathObjective: The purpose of this study was to prospectively characterize and optimize irreversible electroporation ablation to determine the best parameters to achieve the largest target zones…
Irreversible
Lee et al · J Vasc Interv Radiol
2012Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To demonstrate, evaluate, and verify the existence of irreversible electroporation (IRE)-ablation induced nanopores on the plasma membrane of hepatocytes. Materials and methods: On …
Irreversible
Lee et al · J Vasc Interv Radiol
2012Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To show the effectiveness and safety of irreversible electroporation (IRE) in treating large tumor models. Materials and methods: VX2 liver tumor implantation was performed in 35 Ne…
Irreversible
Schmidt et al · HPB (Oxford)
2012Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Necrosis and NecroptosisBackground: Irreversible electroporation (IRE) is a largely non-thermal method for the ablation of solid tumours. The ability of ultrasound (US) to measure the size of the IRE ablation zone …
Irreversible
Charpentier et al · HPB (Oxford)
2011Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground: Irreversible electroporation (IRE) is a novel, non-thermal form of ablation. We studied the safety and efficacy of IRE for the ablation of liver tissue around the liver hilum. We…
Irreversible
Deodhar et al · Cardiovasc Intervent Radiol
2011Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: Irreversible electroporation (IRE) uses direct electrical pulses to create permanent "pores" in cell membranes to cause cell death. In contrast to conventional modalities, IRE has…
Irreversible
Ellis et al · J Neurosurg
2011Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathObject: 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 …
Irreversible
Guo et al · Radiology
2011Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To evaluate the use of contrast material-enhanced magnetic resonance (MR) imaging with conventional T1-weighted gradient-recalled echo (GRE) and inversion-recovery (IR)-prepared GRE…
Irreversible
Wendler et al · Cardiovasc Intervent Radiol
2011Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathPurpose: The nonthermal irreversible electroporation (NTIRE) is a novel nonthermal tissue ablation technique by local application of high-voltage current within microseconds leading to a del…
Irreversible
Choi et al · Tissue Eng Part C Methods
2010Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationA microfabricated electroporator (MFE) for the irreversible electroporation (IRE) of tissues has been developed by miniaturizing a clinical electroporator with a two-needle array while keepi…
Irreversible
Guo et al · Cancer Res
2010Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is an innovative local-regional therapy that involves delivery of intense electrical pulses to tissue to induce nanoscale cell membrane defects for tissue …
Irreversible
Lee et al · Radiology
2010Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Apoptosis InductionPurpose: To evaluate the effectiveness of irreversible electroporation (IRE) in hepatic tissue ablation and the radiologic-pathologic correlation of IRE-induced cell death. Materials and met…
Irreversible
Tracy et al · BJU Int
2010Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationObjective: • To evaluate the effects of irreversible electroporation (IRE) on renal parenchyma and the renal collecting system in a porcine model. Materials and methods: • Eight female Yorks…
Irreversible
Zhang et al · Radiology
2010Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose: To test the hypothesis that magnetic resonance (MR) imaging measurements can be used to immediately detect treated tissue regions after irreversible electroporation (IRE) ablation p…
Reversible
André et al · Hum Gene Ther
2008Animal StudyAnimal (In Vivo)Gene Electrotransfer (Plasmid DNA), Electric Field Distribution and ModellingGene electrotransfer is gaining momentum as an efficient methodology for nonviral gene transfer. In skeletal muscle, data suggest that electric pulses play two roles: structurally permeabili…
Reversible
Takei et al · Mol Cancer Ther
2008Animal StudyAnimal (In Vivo)Screening for a molecular target for cancer therapy requires multiple steps, of which an important one is evaluation of the knockdown effect of the target molecule on pregrown xenograft tumo…
Reversible
SHAO et al · Chinese Medical Journal
2006Animal StudyAnimal (In Vivo)Apoptosis Induction, Necrosis and NecroptosisThe most common interventional therapies for liver cancer at present include transcatheter hepatic arterial chemoembolization (TACE),1 percutaneous ethanol injection2 and radiofrequency abla…
Irreversible
Edd et al · IEEE Trans Biomed Eng
2006Animal StudyAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThis paper reports results of in vivo experiments that confirm the feasibility of a new minimally invasive method for tissue ablation, irreversible electroporation (IRE). Electroporation is …
Reversible
Jaroszeski et al · Eur J Cancer
2001Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Necrosis and NecroptosisPreliminary studies that used electric pulses in vivo to facilitate entry of chemotherapeutic agents into tumour cells resulted in a 69% complete response rate for hepatocellular carcinoma i…
Reversible
Jaroszeski et al · Eur J Cancer
2001Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin AccumulationThe effectiveness of antineoplastic agents has been augmented by applying pulsed electric fields directly to tumours after the administration of the drug. This treatment, known as electroche…
Reversible
Chazal et al · Surgery
1998Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin AccumulationBackground Electrochemotherapy, which consist of local or systemic administration of a cytotoxic agent followed by application of electric pulses to a tumor, has proved effective for various…
Reversible
Ramirez et al · Br J Cancer
1998Animal StudyAnimal (In Vivo)Reversible Membrane Permeabilisation, Increased Intracellular Bleomycin AccumulationElectrochemotherapy (ECT) is a new therapeutic approach combining the effects of a low-permeant cytotoxic drug, bleomycin (BLM), administered i.v. and cell-permeabilizing electric pulses (EP…
Reversible
Jaroszeski et al · Biochim Biophys Acta
1997Animal StudyAnimal (In Vivo)Increased Intracellular Bleomycin AccumulationThe use of in vivo electroporation in combination with a chemotherapeutic agent (electrochemotherapy) for the treatment of liver tumors was examined. Induced rat hepatomas were treated with …
Reversible
Alshahat et al · Applied Sciences
2026In Vitro StudyCell CultureOptimisation of Pulse Parameters, Thermal Effect and Joule HeatingPulsed Electric Fields (PEFs) are widely investigated in cancer research, yet interpretation and optimisation of exposure protocols remain challenging due to the complex interplay between el…
Reversible
Cash et al · Ann Biomed Eng
2026In Vitro StudyCell CultureGene Electrotransfer (Plasmid DNA)Purpose: To determine if GET via charge-balanced patterned bipolar microsecond pulses could be improved, novel bursts of patterned bipolar microsecond pulsed electric fields were investigate…
Irreversible
Ding et al · Applied Sciences
2023In Vitro StudyCell CultureReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathThe electroporation technique utilizes pulsed electric fields to induce porous defects in the cell membrane, and the technique can be used for delivering drugs into cells and killing cancer …
Irreversible
Lindelauf et al · Technol Cancer Res Treat
2023In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationHepatocellular carcinoma is a leading cause of cancer-related death in many parts of the world. Traditional treatment options are not always effective. During the promising minimally invasiv…
Reversible
Pelofy et al · Bioelectrochemistry
2021In Vitro StudyCell CultureReversible Membrane PermeabilisationThe ability to modulate deregulated genes by RNAi provides treatment perspectives in certain diseases including cancers. Electrotransfer of oligonucleotides was studied in vitro, showing a d…
Irreversible
Fesmire et al · Ann Biomed Eng
2020In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationElectroporation is a bioelectric phenomenon used to deliver target molecules into cells in vitro and irreversible electroporation (IRE) is an emerging cancer therapy used to treat inoperable…
Irreversible
Zhang et al · Journal of Engineering and Science in Medical Diagnostics and Therapy
2017In Vitro StudyCell CultureOptimisation of Pulse Parameters, Irreversible Pore Formation and Cell DeathThe purpose of this study was to investigate the feasibility of generating larger ablation volumes using the pulse delivery method in irreversible electroporation (IRE) using a potato model.…
Irreversible
Jiang et al · Ann Biomed Eng
2013In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) is a promising technology to treat local malignant cancer using short, high-voltage electric pulses. Unfortunately, in vivo studies show that IRE suffers f…
Irreversible
Adeyanju et al · Radiol Oncol
2012In Vitro StudyCell CultureIrreversible Pore Formation and Cell Death, Electrode Geometry and PlacementBackground: Irreversible electroporation (IRE) is a novel ablation tool that uses brief high-voltage pulses to treat cancer. The efficacy of the therapy depends upon the distribution of the …
Irreversible
Sutter et al · Eur Radiol
2025In Silico / ModellingComputational ModelIrreversible Pore Formation and Cell Death, Electric Field Distribution and ModellingObjectives: Numerical evaluation of irreversible electroporation (IRE) holds significant potential to assist practitioners in planning and guiding these complex procedures. We aimed to estab…
Irreversible
Jouni · Technol Cancer Res Treat
2024In Silico / ModellingComputational ModelIrreversible Pore Formation and Cell Death, Thermal Effect and Joule HeatingObjectives: Irreversible Electroporation (IRE) is a non-thermal minimally invasive cancer therapy used in the treatment of liver tumors. However, the therapy entails an electrical current fl…
Irreversible
Vera-Tizatl · Bioeng Transl Med
2024In Silico / ModellingComputational ModelIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationIrreversible electroporation (IRE) has emerged as an appealing non-ionizing, non-thermal ablation therapy, independent of antineoplastic drugs. Limited but successful outcomes in IRE conduct…
Irreversible
van den Bemd et al · Radiol Imaging Cancer
2024In Silico / ModellingComputational ModelIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationPurpose To further define anatomic criteria for resection and ablation using an expert panel-based three-dimensional liver model to objectively predict local treatment recommendations for co…
Irreversible
Cindric et al · IEEE Trans Biomed Eng
2021In Silico / ModellingComputational ModelIrreversible Pore Formation and Cell Death, Electric Field Distribution and ModellingObjective: The aims of this study were to determine the electric field threshold that best fits the local response to irreversible electroporation (IRE) ablation of hepatic tumors as seen in…
Reversible
Perera-Bel et al · Comput Methods Programs Biomed
2020In Silico / ModellingComputational ModelElectric Field Distribution and Modelling, Electrode Geometry and PlacementBackground and objectives: Electroporation is the phenomenon by which cell membrane permeability to ions and macromolecules is increased when the cell is briefly exposed to high electric fie…
Irreversible
Khorasani · Polish Journal of Medical Physics and Engineering
2020In Silico / ModellingComputational ModelTissue Conductivity and Impedance Change, Irreversible Pore Formation and Cell DeathIntroduction: irreversible electroporation (IRE) is a tissue ablation technique and physical process used to kill the undesirable cells. In the IRE process by mathematical modelling we can c…
Reversible
Pintar et al · Technol Cancer Res Treat
2018In Silico / ModellingComputational ModelElectric Field Distribution and Modelling, Tissue Conductivity and Impedance ChangeElectrochemotherapy and irreversible electroporation are gaining importance in clinical practice for the treatment of solid tumors. For successful treatment, it is extremely important that t…
Irreversible
Kos et al · Radiol Oncol
2015In Silico / ModellingComputational ModelIrreversible Pore Formation and Cell Death, Electric Field Distribution and ModellingBackground: Irreversible electroporation (IRE) is a tissue ablation method, which relies on the phenomenon of electroporation. When cells are exposed to a sufficiently electric field, the pl…
Irreversible
Neal et al · IEEE Trans Biomed Eng
2015In Silico / ModellingComputational ModelIrreversible Pore Formation and Cell Death, Electric Field Distribution and ModellingIrreversible electroporation (IRE) ablation uses brief electric pulses to kill a volume of tissue without damaging the structures contraindicated for surgical resection or thermal ablation, …
Irreversible
Neal et al · Prostate
2014In Silico / ModellingComputational ModelIrreversible Pore Formation and Cell Death, Electric Field Distribution and ModellingBackground: Irreversible electroporation (IRE) delivers brief electric pulses to attain non-thermal focal ablation that spares vasculature and other sensitive systems. It is a promising pros…
Reversible
Pavliha et al · PLoS One
2013In Silico / ModellingComputational ModelElectric Field Distribution and Modelling, Reversible Membrane PermeabilisationElectroporation is the phenomenon that occurs when a cell is exposed to a high electric field, which causes transient cell membrane permeabilization. A paramount electroporation-based applic…
Reversible
Kranjc et al · PLoS One
2012In Silico / ModellingComputational ModelElectric Field Distribution and Modelling, Tissue Conductivity and Impedance ChangeMagnetic resonance electrical impedance tomography (MREIT) was recently proposed for determining electric field distribution during electroporation in which cell membrane permeability is tem…
Irreversible
Stillström · Sci Rep
2021Technical / Device StudyHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationThe aim of this study was to compare the accuracy of stereotactic CT-guided navigation and ultrasound guided navigation for placing electrodes in Irreversible electroporation in a liver phan…
Irreversible
Qasrawi et al · Technol Cancer Res Treat
2017Technical / Device StudyHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathIrreversible electroporation is a novel tissue ablation technique which entails delivering intense electrical pulses to target tissue, hence producing fatal defects in the cell membrane. The…
Reversible
Bianchi et al · Mol Ther Oncol
2026Experimental Biophysics StudyExperimental SystemGene Electrotransfer (Plasmid DNA)DNA electroporation of neoantigen cancer vaccine is a well-established approach to induce high expression of neoantigens and likely enlarge the immune response that is shaped by the vaccinat…
Reversible
Rogers et al · IEEE Trans. Plasma Sci.
2004Experimental Biophysics StudyExperimental SystemOptimisation of Pulse ParametersAs part of a health and safety assessment of ultrawideband sources, it was useful to determine stimulation thresholds for an electrically excitable tissue down into the low nanosecond range.…
Reversible
Fulop et al · –
2026PreprintComputational ModelPotentiation of Cytotoxic Drug PermeabilityGlioblastomas are aggressive, highly heterogeneous brain tumours with poor prognosis and limited treatment options. Their complex microenvironment, characterised by elevated interstitial flu…
Reversible
Liu et al · –
2026PreprintApoptosis Induction, Mitochondrial Dysfunction and Oxidative StressNickel-titanium (NiTi) stents have been widely used for the palliative treatment of portal vein tumor thrombi due to their excellent mechanical strength and biocompatibility. However, tradit…
Reversible
Spiliotis et al · –
2024PreprintAnimal (In Vivo)Increased Intracellular Bleomycin Accumulation, Necrosis and NecroptosisElectrochemotherapy (ECT) combines the reversible electroporation (rEP) with intravenous (i.v.) or intratumoral (i.t.) administration of chemotherapeutic drugs. We conducted this study to co…
Irreversible
Pan et al · –
2023PreprintCell CultureIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationBackground At present, the main clinical application of local ablation therapy, such as radiofrequency ablation (RFA), is to heat the tissue to a certain temperature. However, high temperatu…
Irreversible
Yu et al · Journal of Vascular and Interventional Radiology
2023Conference AbstractReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathNo. 179 Percutaneous Placement of Lumen Apposing Metallic Stents for Patients with Afferent Loop Syndrome E. Klein1, L. Swanstrom2, C. Barragan1, H. Shmilovich3, E. Shlomovitz3; 1University …
Irreversible
Abdelsalam et al · Journal of Vascular and Interventional Radiology
2013Conference AbstractAnimal (In Vivo)Irreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationNo. 88 Irreversible electroporation (IRE) in cirrhotic liver: preliminary experience in a large animal model MONDAY: Scientific Sessions M.E. Abdelsalam1, J.A. Chetta3, S. Harmoush1, J. Enso…
Irreversible
Narayanan et al · Journal of Vascular and Interventional Radiology
2013Conference AbstractIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationNo. 322 Effect of irreversible electroporation (IRE) on liver function tests following treatment of primary and metastatic liver tumors: a single center retrospective analysis Posters and Ex…
Reversible
Fernandez · World J Gastroenterol
2025Editorial / LetterHumanReversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathMetabolic dysfunction-associated fatty liver disease (MAFLD) is currently the leading cause of end-stage liver disease and liver cancer in the world because of the obesity pandemic. Insulin …
Irreversible
Koriem · World J Gastroenterol
2025Editorial / LetterHumanIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationOne of the main causes of liver fibrosis and cancer, non-alcoholic fatty liver disease (NAFLD) is becoming more common every year. The novel work by Yu et al , which evaluates the viability …
Irreversible
Krishnan · World J Gastrointest Oncol
2025Editorial / LetterAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathWe read with great interest the recent article by Xing et al , which describes the synergy between irreversible electroporation and anti-programmed death-1 therapy in a murine hepatocellular…
Irreversible
Ramírez-Mejía · World J Hepatol
2025Editorial / LetterAnimal (In Vivo)Reversible Membrane Permeabilisation, Irreversible Pore Formation and Cell DeathTargeting the gut-liver axis has emerged as a promising strategy in the treatment of metabolic dysfunction-associated steatotic liver disease (MASLD), a condition that currently represents t…
Reversible
Trotovšek et al · World J Gastroenterol
2021Editorial / LetterHumanIncreased Intracellular Bleomycin Accumulation, Increased Intracellular Cisplatin AccumulationElectrochemotherapy is a local ablative therapy that increases the cytotoxicity of either bleomycin or cisplatin by applying electric pulses (electroporation) to tumors. It has already been …
Irreversible
Davalos et al · Prostate
2015Editorial / LetterHumanIrreversible Pore Formation and Cell Death, Thermal Effect and Joule HeatingIrreversible electroporation (IRE) describes a cellular response to electric field exposure, resulting in the formation of nanoscale defects that can lead to cell death. While this behavior …
Reversible
Tao et al · Research (Wash D C)
2026Not reportedNonviral intracellular delivery based on pulsed-electric-field-induced electroporation is one of the most effective and widely used platforms in basic biological and biomedical research. How…
Reversible
Aghayari · Results in Engineering
2023Not reportedPotentiation of Cytotoxic Drug PermeabilityNerve cancer is a highly lethal form of cancer that has proven difficult to effectively treat. A potential avenue for future research involves developing an effective treatment method for th…
Irreversible
Miklovic et al · Ann Biomed Eng
2017Not reportedIrreversible Pore Formation and Cell Death, Reversible Membrane PermeabilisationSeveral focal therapies are being investigated clinically to treat tumors in which surgery is contraindicated. Many of these ablation techniques, such as radiofrequency ablation and microwav…

Limitations

The counts on this page are bounded by the scope of the source PDF archive and are not a systematic review of the area's literature. Study type and mechanism labels are derived automatically; for critical decisions consult the full texts of the publications listed. The evidence level reflects the number of publications, not their methodological quality.