EANM procedure guideline for the treatment of liver cancer and liver metastases with intra-arterial radioactive compounds

被引:140
作者
Weber, M. [1 ]
Lam, M. [2 ]
Chiesa, C. [3 ]
Konijnenberg, M. [4 ]
Cremonesi, M. [5 ]
Flamen, P. [6 ]
Gnesin, S. [7 ]
Bodei, L. [8 ]
Kracmerova, T. [9 ]
Luster, M. [10 ]
Garin, E. [11 ]
Herrmann, K. [1 ]
机构
[1] Univ Clin Essen, Dept Nucl Med, Essen, Germany
[2] Univ Med Ctr Utrecht, Dept Radiol & Nucl Med, Heidelberglaan 100, NL-3584 CX Utrecht, Netherlands
[3] Fdn IRCCS Natl Tumour Inst, Nucl Med, Milan, Italy
[4] Erasmus MC, Nucl Med Dept, Rotterdam, Netherlands
[5] IEO European Inst Oncol IRCCS, Radiat Res Unit, Via Giuseppe Ripamonti 435, I-20141 Milan, MI, Italy
[6] Univ Libre Bruxelles ULB, Dept Nucl Med, Inst Jules Bordet, B-1000 Brussels, Belgium
[7] Univ Lausanne, Lausanne Univ Hosp, Inst Radiat Phys, Lausanne, Switzerland
[8] Mem Sloan Kettering Canc Ctr, Dept Radiol, Mol Imaging & Therapy Serv, New York, NY USA
[9] Motol Univ Hosp, Dept Med Phys, Prague, Czech Republic
[10] Univ Hosp Marburg, Dept Nucl Med, Marburg, Germany
[11] Inst Eugene Marquis, Dept Nucl Med, Canc, Rennes, France
关键词
INTERNAL RADIATION-THERAPY; HEPATOCELLULAR-CARCINOMA PATIENTS; RESPONSE EVALUATION CRITERIA; Y-90 RESIN MICROSPHERES; TOTAL LESION GLYCOLYSIS; EARLY TIME POINT; COLORECTAL-CANCER; TC-99M-MACROAGGREGATED ALBUMIN; PREDICT SURVIVAL; PARTITION MODEL;
D O I
10.1007/s00259-021-05600-z
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Primary liver tumours (i.e. hepatocellular carcinoma (HCC) or intrahepatic cholangiocarcinoma (ICC)) are among the most frequent cancers worldwide. However, only 10-20% of patients are amenable to curative treatment, such as resection or transplant. Liver metastases are most frequently caused by colorectal cancer, which accounts for the second most cancer-related deaths in Europe. In both primary and secondary tumours, radioembolization has been shown to be a safe and effective treatment option. The vast potential of personalized dosimetry has also been shown, resulting in markedly increased response rates and overall survival. In a rapidly evolving therapeutic landscape, the role of radioembolization will be subject to changes. Therefore, the decision for radioembolization should be taken by a multidisciplinary tumour board in accordance with the current clinical guidelines. The purpose of this procedure guideline is to assist the nuclear medicine physician in treating and managing patients undergoing radioembolization treatment.
引用
收藏
页码:1682 / 1699
页数:18
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