Hurvitz Brain Sciences Program
SRI programs
Senior scientist
Sunnybrook Health Sciences Centre
2075 Bayview Ave., Room A1 39
Toronto, ON
M4N 3M5
Administrative Assistant: Beverly Tang
Phone: 416-480-6954
Email: beverly.tang@sunnybrook.ca
Education:
- B.Sc., 2004, psychology, University of Toronto, Canada
- MD, 2007, Queen’s University, Canada
- PhD, 2013, U of T
- FRCSC, 2016, neurosurgery, U of T
- Clinical fellowship, 2016, stereotactic and functional neurosurgery, UHN, U of T
Appointments and Affiliations:
- Harquail Chair in Neuromodulation, University of Toronto and Sunnybrook Health Sciences Centre
- Chief, Hurvitz Brain Sciences Program, Sunnybrook Health Sciences Centre
- Director, Neurosurgery Residency Program, University of Toronto
- Senior scientist, Physical Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute
- Neurosurgeon, Sunnybrook Health Sciences Centre
- Director, Harquail Centre for Neuromodulation, Sunnybrook
- Associate professor, department of surgery, University of Toronto
Research Foci:
- Neuromodulation
- Magnetic resonance-guided focused ultrasound
- Deep brain stimulation
- Clinical trials
Research Summary:
Dr. Lipsman’s research focuses on the development of novel neuromodulation strategies, which target sites within the central nervous system using electrical stimulation or drugs, for neurologic and psychiatric conditions that are difficult to treat. Over the last 10 years, Dr. Lipsman has helped develop several Phase 1 to Phase 3 clinical trials of deep brain stimulation (DBS) and MR-guided focused ultrasound (FUS) in novel indications, including the world’s first trial of DBS in chronic anorexia nervosa, and among the first published experiences of FUS for essential tremor.
Deep brain stimulation is a neurosurgical procedure used to treat symptoms linked to dysfunctional brain circuits. Dr. Lipsman is developing trials at Sunnybrook that will investigate the safety, clinical, imaging and neuropsychologic effects of DBS in patients with resistant mood and anxiety disorders, such as depression and PTSD. Working closely with collaborators in psychiatry, neurology and neuroimaging, his lab hopes to expand this work to other brain-based disorders, including coma, dementia and stroke.
Magnetic resonance-guided FUS is an image-based, noninvasive surgical procedure used to ablate brain tissue precisely, as well as gain access to the brain by opening the blood-brain barrier. Dr. Lipsman helped lead Canada’s first clinical trials of FUS in essential tremor and Parkinson’s disease, and is developing trials investigating FUS in obsessive-compulsive disorder, depression and Alzheimer’s disease. These Phase 1, first-in-human trials, done in collaboration with Dr. Kullervo Hynynen, director of Physical Sciences at Sunnybrook Research Institute, represent the latest advances in noninvasive surgery, which aims to reduce surgical risk while enhancing outcomes for the most challenging conditions.
Dr. Lipsman also has a strong interest in the broader clinical and ethical implications of neuromodulation, and has been closely involved in the development of international guidelines for the use of surgery in psychiatric disease. He is an active member of the Focused Ultrasound Foundation, where he sits on the foundation’s scientific program committee, and is engaged in the development of FUS protocols and programs worldwide and across the neuroscience spectrum, from preclinical to clinical studies.
Selected Publications:
See current publications list at PubMed.
- Meng Y, Hynynen K, Lipsman N. Applications of focused ultrasound in the brain: from thermoablation to drug delivery. Nat Rev Neurol. 2020 Oct 26.
- Rabin JS, Davidson B, Giacobbe P, Hamani C, Cohn M, Illes J, Lipsman N. Neuromodulation for major depressive disorder: innovative measures to capture efficacy and outcomes. Lancet Psychiatry. 2020 Oct 29:S2215-0366(20)30187-5.
- Davidson B, Hamani C, Rabin JS, Goubran M, Meng Y, Huang Y, Baskaran A, Sharma S, Ozzoude M, Richter MA, Levitt A, Giacobbe P, Hynynen K, Lipsman N. Magnetic resonance-guided focused ultrasound capsulotomy for refractory obsessive compulsive disorder and major depressive disorder: clinical and imaging results from two phase I trials. Mol Psychiatry. 2020 Sep;25(9):1946-1957.
- Meng, Y, Abrahao, A, Heyn C, Bethune A, Huang Y, Pople C, Aubert I, Hamani C, Zinman L, Hynynen K, Black B, Lipsman N. Glymphatics visualization after focused ultrasound induced BBB opening in humans. Ann Neurol. 2019 Dec;86(6):975-980.
- Abrahao A, Meng Y, Llinas M, Huang Y, Hamani C, Mainprize TG, Aubert I, Heyn C, Black SE, Hynynen K, Lipsman N*, Zinman L*. First-in-human trial of blood-brain barrier opening in amyotrophic lateral sclerosis using MR-guided focused ultrasound. Nat Commun. 2019 Sep 26;10(1):4373.
- Lipsman N, Meng Y, Bethune AJ, Huang Y, Lam B, Masellis M, Herrmann N, Heyn C, Aubert I, Boutet A, Smith GS, Hynynen K, Black SE. Blood-Brain Barrier Opening in Alzheimer’s Disease Using MR-guided Focused Ultrasound. Nat Commun. 2018 Jul 25;9(1):2336.
Related News and Stories:
- Trial launched on deep brain stimulation to treat severe alcohol-use disorder: Notable Canadian scientist is first participant (Dec. 17, 2019)
- Sunnybrook Research Institute leads in clinical trials of focused ultrasound (Nov. 11, 2019)
- Ontario's Sunnybrook Research Institute is leading the world in focused ultrasound clinical trials (Clinical Trials Ontario, Oct. 31, 2019)
- Focused ultrasound successful in phase one of world-first trial to treat ALS: study: Researchers show the technique opens the blood-brain barrier safely and temporarily (Oct. 31, 2019)
- Sunnybrook research helps take future treatment of ALS patients to a new level (Sept. 26, 2019)
- Focused ultrasound seeks to transform treatment of brain diseases: Noninvasive method uses imaging and beams rather than scalpels (Jan. 3, 2019)
- Researchers target tough-to-treat brain diseases with focused ultrasound: Noninvasive imaging technique makes major gains in studies (SRI Magazine, 2018)
- Ultrasound jiggles open brain barrier, a step to better care (New York Times, July 25, 2018)
- Sunnybrook researchers demonstrate safe and noninvasive way to open blood-brain barrier in patients with Alzheimer's disease (July 25, 2018)
- North American first: Researchers investigate safety of scalpel-free brain surgery to treat depression (May 1, 2018)
- The road less travelled: experts forge path in study of focused ultrasound to treat psychiatric illness (Nov. 29, 2017)
- Launched: first clinical trial of focused ultrasound for Alzheimer's (SRI Magazine, 2017)
- Future coma care (SRI Magazine, 2017)
- Deep-brain stimulation for patients with chronic anorexia is safe and might improve symptoms: study (Feb. 24, 2017)
- Scalpel-free surgery for essential tremor is effective & safe: Results of international, multi-site trial published in the New England Journal of Medicine (Aug. 24, 2016)
- Deep brain stimulation treatment shows promise for anorexia patients (Yahoo News, Dec. 24, 2015)
- Deep brain stimulation 'helps in severe anorexia nervosa' (BBC News, March 7, 2013)
- How burning a hole in the brain eliminates a patient’s shaking (Globe and Mail, Dec. 18, 2012)
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