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Yttrium-90 radioembolization treatment strategies for management of hepatocellular carcinoma
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作者 Kelly Hao andrew j paik +1 位作者 Lauren H Han Mina S Makary 《World Journal of Radiology》 2024年第10期512-527,共16页
As the third leading cause of cancer-related deaths worldwide,hepatocellular carcinoma(HCC)represents a significant global health challenge.This paper provides an introduction and comprehensive review of transarterial... As the third leading cause of cancer-related deaths worldwide,hepatocellular carcinoma(HCC)represents a significant global health challenge.This paper provides an introduction and comprehensive review of transarterial radioembolization(TARE)with Yttrium-90(Y90),a widely performed transcatheter procedure for HCC patients who are not suitable candidates for surgery.TARE involves the targeted delivery of radioactive microspheres to liver tumors,offering a promising treatment option for managing HCC across various stages of the disease.By evaluating Y90 TARE outcomes across early,intermediate,and advanced stages of HCC,the review aims to present a thorough understanding of its efficacy and safety.Additionally,this paper highlights future research directions focusing on the potential of combination therapies with systemic and immunotherapies,as well as personalized treatments.The exploration of these innovative approaches aims to improve treatment outcomes,reduce adverse events,and provide new therapeutic opportunities for HCC patients.The review underscores the importance of ongoing research and clinical trials to optimize TARE further and integrate it into comprehensive HCC treatment paradigms. 展开更多
关键词 Transarterial radioembolization Hepatocellular carcinoma Yttrium-90 Radiation segmentectomy Radiation lobectomy Portal vein thrombosis Combination therapies Downstaging Curative-intent Locoregional therapy
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