Display options
Share it on

Biomed Imaging Interv J. 2006 Jul;2(3):e43. doi: 10.2349/biij.2.3.e43. Epub 2006 Jul 01.

Trans-arterial hepatic radioembolisation of yttrium-90 microspheres.

Biomedical imaging and intervention journal

R Murthy, A Habbu, R Salem

Affiliations

  1. Interventional Radiology Section, University of Texas, Houston, United States.

PMID: 21614250 PMCID: PMC3097629 DOI: 10.2349/biij.2.3.e43

Abstract

The liver represents a frequent site for metastatic disease, in addition to being a site for primary cancer. Hepatic metastases from certain neoplasms, such as colon, neuroendocrine, melanoma and gastrointestinal stromal tumour have a distinct predilection to metastasize the liver, which in many cases may represent the only or the dominant site of disease. In these circumstances, cytoreduction via surgery or in situ ablative techniques aims to influence the natural history of the disease progression and improve clinical outcomes.Liver directed therapy utilising yttrium-90 microspheres represents a recently introduced in situ multidisciplinary cancer therapy that has caught the attention of many physicians faced with the challenges of treating these complex patients. Although similar to other forms of trans-arterial liver directed therapy, there are discrete differences and potentially fatal treatment consequences unique to this therapy. This objective of this review article is to provide the reader a basis for understanding the therapeutic principles, patient exclusion criteria, pre and post therapy investigations and salient clinical results in the two most commonly treated disease types; metastatic colorectal cancer and hepatocellular cancer.

Keywords: Liver cancer; colon cancer; hepatocellular cancer; radioembolisation; yttrium-90

References

  1. Ann Oncol. 2001 Dec;12(12):1711-20 - PubMed
  2. Eur J Nucl Med Mol Imaging. 2002 Jun;29(6):815-20 - PubMed
  3. J Nucl Med. 2000 Oct;41(10):1673-81 - PubMed
  4. J Gastrointest Surg. 2006 Mar;10(3):413-6 - PubMed
  5. Br J Cancer. 1994 Nov;70(5):994-9 - PubMed
  6. Med Phys. 2004 Sep;31(9):2449-53 - PubMed
  7. J Gastrointest Surg. 2001 May-Jun;5(3):294-302 - PubMed
  8. Int J Radiat Oncol Biol Phys. 1991 Jul;21(2):463-7 - PubMed
  9. Ann Intern Med. 2003 Nov 18;139(10):817-23 - PubMed
  10. CA Cancer J Clin. 1999 Jan-Feb;49(1):6-7 - PubMed
  11. Dis Colon Rectum. 1979 Sep;22(6):371-5 - PubMed
  12. Arch Surg. 1990 Aug;125(8):1022-7 - PubMed
  13. J Nucl Med. 1994 Oct;35(10):1637-44 - PubMed
  14. Int J Radiat Oncol Biol Phys. 2004 Dec 1;60(5):1552-63 - PubMed
  15. Int J Cancer. 1999 Sep 24;83(1):18-29 - PubMed
  16. Int J Radiat Oncol Biol Phys. 2002 Jul 15;53(4):810-21 - PubMed
  17. Liver Transpl. 2004 Feb;10(2 Suppl 1):S107-10 - PubMed
  18. Gastroenterology. 2004 Nov;127(5 Suppl 1):S194-205 - PubMed
  19. Int J Radiat Oncol Biol Phys. 1995 Nov 1;33(4):919-24 - PubMed
  20. Ann Surg. 2004 Jun;239(6):818-25; discussion 825-7 - PubMed
  21. J Surg Oncol. 2004 Nov 1;88(2):78-85 - PubMed
  22. J Vasc Interv Radiol. 2005 Feb;16(2 Pt 1):195-203 - PubMed
  23. J Clin Oncol. 1997 Mar;15(3):938-46 - PubMed
  24. Ann Surg. 2004 Aug;240(2):299-305 - PubMed
  25. J Surg Oncol. 1989 Nov;42(3):192-6 - PubMed
  26. Radiology. 1982 Mar;142(3):783-6 - PubMed
  27. Cancer Treat Rep. 1978 Oct;62(10):1509-12 - PubMed
  28. J Vasc Interv Radiol. 2005 Jul;16(7):937-45 - PubMed
  29. Aust N Z J Surg. 1992 Feb;62(2):105-10 - PubMed
  30. Int J Radiat Oncol Biol Phys. 1998 Feb 1;40(3):583-92 - PubMed
  31. Radiology. 1993 Apr;187(1):125-8 - PubMed

Publication Types