Added by | JPPOUGET |
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Group name | EquipeJPP |
Item Type | Journal Article |
Title | Hepatobiliary Scintigraphy and Glass 90Y Radioembolization with Personalized Dosimetry: Dynamic Changes in Treated and Nontreated Liver |
Creator | Allimant et al. |
Author | Carole Allimant |
Author | Emmanuel Deshayes |
Author | Marilyne Kafrouni |
Author | Lore Santoro |
Author | Marjolaine Fourcade |
Author | Christophe Cassinotto |
Author | Margaux Hermida |
Author | Chloé Guillot |
Author | Denis Mariano-Goulart |
Author | Boris Guiu |
Abstract | Background: The functional changes that occur over time in the liver following 90Y-radioembolization (RE) using personalized dosimetry (PD) remain to be investigated. Methods: November 2016 - October 2019: we retrospectively included hepatocellular carcinoma (HCC) patients treated by 90Y-glass RE using PD, who underwent hepatobiliary scintigraphy (HBS) at baseline and at 15 days, 1, 2, 3, and 6 months after RE. Results: There were 16 patients with unilobar disease (100%) included, and 64 HBS were performed. Whole liver function significantly decreased over time. The loss was maximal at 2 weeks: ?32% (p = 0.002) and remained below baseline at 1 (?15%; p = 0.002), 2 (?25%; p < 0.001), and 3 months (?16%; p = 0.027). No radioembolization-induced liver disease was observed. Treated liver function strongly decreased to reach ?64% (p < 0.001) at 2 months. Nontreated liver function decreased at 2 weeks (?21%; p = 0.027) and remained below baseline before reaching +20% (p = 0.002) and +59% (p < 0.001) at 3 and 6 months, respectively. Volumetric and functional changes exhibited parallel evolutions in the treated livers (p = 0.01) but independent evolutions in the nontreated livers (p = 0.08). Conclusion: RE using PD induces significant regional changes in liver function over time. As early as 15 days following RE, both the treated and nontreated livers showed a decreased function. Nontreated liver function recovered after 3 months and greatly increased afterwards. |
Publication | Diagnostics |
Volume | 11 |
Issue | 6 |
Pages | 931 |
Date | 2021-05-21 |
Journal Abbr | Diagnostics |
Language | en |
DOI | 10.3390/diagnostics11060931 |
ISSN | 2075-4418 |
Short Title | Hepatobiliary Scintigraphy and Glass 90Y Radioembolization with Personalized Dosimetry |
URL | https://www.mdpi.com/2075-4418/11/6/931 |
Accessed | 2023/11/23 - 12:22:14 |
Library Catalog | DOI.org (Crossref) |
Extra | Number: 6 |
Tags | clinic, hepatobiliary scintigraphy, mebrofenin, selective internal radiation therapy |
Date Added | 2023/11/23 - 12:44:41 |
Date Modified | 2024/12/15 - 11:27:16 |
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