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This therapeutic regimen, evaluated by St. Olavs Hospital, combines the FOLFIRINOX chemotherapy protocol (fluorouracil, leucovorin, irinotecan, and oxaliplatin) with focused ultrasound (FUS) and SonoVue microbubbles for the treatment of inoperable pancreatic ductal adenocarcinoma. The approach leverages ultrasound-mediated acoustic cavitation (sonoporation) to physically disrupt the dense tumor stroma and increase the permeability of the blood-tumor barrier. By temporarily enhancing the local uptake of cytotoxic agents, the treatment aims to overcome the chemoresistance and poor drug penetration typically associated with pancreatic tumors, potentially improving survival outcomes while minimizing systemic toxicity.
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