Evidence map›Paper›PMID 18989675›Full record

SynthesisEuropean radiology2009

Yttrium-90 microsphere radioembolization for the treatment of liver malignancies: a structured meta-analysis.

M A D Vente, M Wondergem, I van der Tweel, M A A J van den Bosch, B A Zonnenberg, M G E H Lam, A D van Het Schip, J F W Nijsen

2 registry-linked trialsOpen access · hybridAbstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in European radiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 81 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00910572 phase2completednot on this map

Radioembolization With Yttrium-90 Microspheres for Intermediate or Advanced HCC (Hepatocellular Carcinoma) Not Eligible to Curative Approach. A Phase II-b Study.

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2007 to 2010Enrolled60ConditionsHepatocellular Carcinoma, Liver CancerArmsYttrium-90 microspheres (Therasphere MDS Nordion)
NCT02729506 phase4unknown statusnot on this mapstarted 2016, after this paper: background citation

Transarterial Radioembolization Versus Chemoembolization for the Treatment of Advanced Hepatocellular Carcinoma

TypeinterventionalSponsorKing Faisal Specialist Hospital & Research CenterRan2016 to 2017Enrolled150ConditionsHepatocellular CarcinomaArmsTransarterial Radioembolization, Transarterial Chemoembolization using drug-eluting beads
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 3 syntheses or guidelines pooled it, 217 citations in OpenAlex.

  1. Pooled it
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  15. New frontiers in radioembolization.Therapeutic advances in medical oncology · 2024
    Review
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  17. Review
  18. Review
  19. Yttrium-90-Induced Gastropathy: A Potential Equivocal Finding.GE Portuguese journal of gastroenterology · 2020
    Article
  20. Article

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

M A D VenteDepartment of Radiology and Nuclear Medicine, University Medical Center Utrecht, Utrecht, The Netherlands. m.vente@umcutrecht.nl
M Wondergem
I van der Tweel
M A A J van den Bosch
B A Zonnenberg
M G E H Lam
A D van Het Schip
J F W Nijsen
University Medical Center Utrecht · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radioembolization with yttrium-90 microspheres ((90)Y-RE), either glass- or resin-based, is increasingly applied in patients with unresectable liver malignancies. Clinical results are promising but overall response and survival are not yet known. Therefore a meta-analysis on tumor response and survival in patients who underwent (90)Y-RE was conducted. Based on an extensive literature search, six groups were formed. Determinants were cancer type, microsphere type, chemotherapy protocol used, and stage (deployment in first-line or as salvage therapy). For colorectal liver metastases (mCRC), in a salvage setting, response was 79% for (90)Y-RE combined with 5-fluorouracil/leucovorin (5-FU/LV), and 79% when combined with 5-FU/LV/oxaliplatin or 5-FU/LV/irinotecan, and in a first-line setting 91% and 91%, respectively. For hepatocellular carcinoma (HCC), response was 89% for resin microspheres and 78% for glass microspheres. No statistical method is available to assess median survival based on data presented in the literature. In mCRC, (90)Y-RE delivers high response rates, especially if used neoadjuvant to chemotherapy. In HCC, (90)Y-RE with resin microspheres is significantly more effective than (90)Y-RE with glass microspheres. The impact on survival will become known only when the results of phase III studies are published.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCamptothecinChemoembolization, TherapeuticColorectal NeoplasmsCombined Modality TherapyFluorouracilGlassHumansIrinotecanLeucovorinLiver NeoplasmsMicrospheresNeoplasm MetastasisOrganoplatinum CompoundsOxaliplatinTreatment OutcomeCamptothecinFluorouracilIrinotecanLeucovorinOrganoplatinum CompoundsOxaliplatinYttrium Radioisotopes

Identifiers

PMID18989675
OpenAlexW2161107000

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.