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钇-90放射性栓塞治疗肝细胞癌

Yttrium-90 Radioembolization for Hepatocellular Carcinoma.

作者信息

Hickey Ryan M, Lewandowski Robert J, Salem Riad

机构信息

Department of Radiology, Division of Vascular & Interventional Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL.

Department of Radiology, Division of Vascular & Interventional Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL.

出版信息

Semin Nucl Med. 2016 Mar;46(2):105-8. doi: 10.1053/j.semnuclmed.2015.10.011.

Abstract

(90)Y radioembolization refers to the selective, transcatheter, and intra-arterial injection of micrometer-sized particles loaded with the radioisotope yttrium-90 for the treatment of primary and metastatic hepatic malignancies. In the treatment of intermediate- and advanced-stage hepatocellular carcinoma, (90)Y radioembolization provides favorable outcomes with minimal side effects, offering an alternative treatment option to other transarterial therapies, such as bland embolization and chemoembolization. This review provides an overview of the use of (90)Y radioembolization in the treatment of hepatocellular carcinoma, including patient selection criteria, dosimetry, and clinical outcomes.

摘要

钇-90放射性栓塞是指经导管选择性动脉内注射载有放射性同位素钇-90的微米级颗粒,用于治疗原发性和转移性肝恶性肿瘤。在中晚期肝细胞癌的治疗中,钇-90放射性栓塞疗效良好且副作用最小,为其他经动脉治疗(如单纯栓塞和化疗栓塞)提供了一种替代治疗选择。本文综述了钇-90放射性栓塞在肝细胞癌治疗中的应用,包括患者选择标准、剂量测定和临床结果。

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