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Yttrium-90 Microsphere Radioembolization for Hepatocellular Carcinoma
Author(s) -
Julien Edeline,
Marine Gilabert,
Étienne Garin,
Éveline Boucher,
JeanLuc Raoul
Publication year - 2014
Publication title -
liver cancer
Language(s) - English
Resource type - Journals
eISSN - 2235-1795
pISSN - 1664-5553
DOI - 10.1159/000343878
Subject(s) - hepatocellular carcinoma , medicine , sorafenib , microsphere , radiology , carcinoma , selective internal radiation therapy , nuclear medicine , oncology , chemical engineering , engineering
Yttrium-90 (Y90) radioembolization is an emerging strategy to treat liver malignancies, and clinical data supporting its use have accumulated in recent years. Y90-radioembolization has shown clinical effectiveness in intermediate and advanced hepatocellular carcinoma, with a favorable safety profile. Retrospective data show similar levels of effectiveness to transarterial chemoembolization in intermediate hepatocellular carcinoma, with some evidence of better tolerance. While phase 3 studies comparing Y90-radioembolization to chemoembolization in intermediate hepatocellular carcinoma would be difficult to conduct, studies comparing or combining Y90-radioembolization with sorafenib are under way. Questions also remain about the most suitable modalities for defining the dose to administer. Phase 3 studies are under way to clarify the place of Y90-radioembolization in the algorithm of HCC treatment.

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