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Prognostic value of lung shunt fraction in hepatocellular carcinoma and unresectable liver dominant metastatic colorectal cancer undergoing transarterial radioembolisation

Nucl Med Commun. 2022 Jan 1;43(1):24-31. doi: 10.1097/MNM.0000000000001492.

Abstract

Aim: To assess the overall survival and determine whether pre-TARE shunt fraction, tumor volume and tumor marker impact the outcome.

Methods: This is a retrospective study of 75 patients who were referred for 90Y-glass microsphere radioembolisation by a joint clinic decision between 1 January 2010 and 31 December 2014. All patients underwent pre-TARE CECT and 99mTc-MAA lung shunt fraction (LSF) imaging.

Results: Overall survival was 19 months for hepatocellular carcinoma (HCC) and 24 months for metastatic colorectal carcinoma. For hepatocellular carcinoma-LSF higher than 6.51 % was predictive of significantly decreased survival (P value 0.00). A progressive disease in survival was observed as LSF increased from less than 6.51 % to more than 20%. Tumor volume and tumor marker did show correlation with patient outcomes. For metastatic colorectal carcinoma-LSF and tumor marker did not show significant correlation with survival and tumor volume showed significant correlation with survival with P value of 0.049.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Hepatocellular* / diagnostic imaging
  • Carcinoma, Hepatocellular* / pathology
  • Carcinoma, Hepatocellular* / radiotherapy
  • Carcinoma, Hepatocellular* / surgery
  • Colorectal Neoplasms* / diagnostic imaging
  • Colorectal Neoplasms* / pathology
  • Colorectal Neoplasms* / radiotherapy
  • Embolization, Therapeutic*
  • Female
  • Humans
  • Liver Neoplasms* / diagnostic imaging
  • Liver Neoplasms* / pathology
  • Liver Neoplasms* / radiotherapy
  • Liver Neoplasms* / secondary
  • Liver Neoplasms* / surgery
  • Lung* / diagnostic imaging
  • Lung* / pathology
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Technetium Tc 99m Aggregated Albumin
  • Tumor Burden / radiation effects
  • Yttrium Radioisotopes / therapeutic use

Substances

  • Yttrium Radioisotopes
  • Yttrium-90
  • Technetium Tc 99m Aggregated Albumin