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Updated: Mar 25, 2026

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Convection Enhanced Delivery of Optogenetic Adeno-associated Viral Vector to the Cortex of Rhesus Macaque Under Guidance of Online MRI Images
Published on: May 23, 2019
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AAV viral vector delivery to the brain by shape-conforming MR-guided infusions
Krystof S Bankiewicz1, Vivek Sudhakar1, Lluis Samaranch1
1Interventional Neuro Center, Department of Neurological Surgery, University of California San Francisco, San Francisco, CA 94110, USA.
Summary
This study details an advanced AAV vector delivery system for brain gene therapy, optimizing real-time monitoring and precise anatomical targeting for improved clinical trial success.
Area of Science:
- Neuroscience
- Biotechnology
- Gene Therapy
Background:
- Gene transfer holds therapeutic promise for brain conditions but faces significant complexity.
- Clinical gene therapy success hinges on accurate genetic/anatomical targeting and effective viral vector selection.
- Consistent and predictable vector delivery is crucial for successful clinical trials.
Purpose of the Study:
- To describe an optimized Adeno-Associated Virus (AAV) viral vector delivery system for real-time monitoring and administration into brain regions.
- To present MRI-guided technology for AAV vector administration in ongoing clinical trials.
- To explore how infusion cannula design and stereotactic trajectory can maximize anatomical coverage via fluid backflow.
Main Methods:
- Development and application of a real-time monitored AAV viral vector delivery system.
- Utilization of Magnetic Resonance Imaging (MRI)-guided technology for precise vector administration.
- Employing specific infusion cannula designs and stereotactic trajectories to enhance anatomical coverage through fluid backflow.
Main Results:
- The described AAV delivery system allows for optimization and real-time monitoring of vector administration.
- MRI-guided technology enables precise delivery of AAV vectors into targeted brain regions.
- Innovative infusion techniques maximize anatomical coverage, fitting the infusion shape to the target anatomy.
Conclusions:
- The developed AAV vector delivery system enhances precision and predictability in brain gene therapy.
- Optimized delivery strategies, including MRI guidance and cannula design, are critical for successful clinical gene therapy trials.
- This approach offers a more precise method for fitting gene therapy delivery to specific anatomical targets in the brain.

