Evidence map›Paper›PMID 26776845›Full record

SynthesisHPB : the official journal of the International Hepato Pancreato Biliary Association2016

A systematic review of contralateral liver lobe hypertrophy after unilobar selective internal radiation therapy with Y90.

Jin-Yao Teo, John C Allen, David C Ng, Su-Pin Choo, David W M Tai, Jason P E Chang, Foong-Khoon Cheah, Pierce K H Chow, Brian K P Goh

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
4.5field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 118 citations in OpenAlex.

  1. LaparoscopicAnnals of surgical treatment and research · 2026
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  18. New concepts in the treatment of hepatocellular carcinoma.United European gastroenterology journal · 2022
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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

9 authors at 3 institutions in 1 country.

Jin-Yao TeoDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.
John C AllenDuke-NUS Graduate Medical School Singapore, Singapore.
David C NgDepartment of Nuclear Medicine, Singapore General Hospital, Singapore.
Su-Pin ChooDivision of Medical Oncology, National Cancer Center Singapore, Singapore.
David W M TaiDivision of Medical Oncology, National Cancer Center Singapore, Singapore.
Jason P E ChangDepartment of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
Foong-Khoon CheahDepartment of Radiology, Singapore General Hospital, Singapore.
Pierce K H ChowDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore; Duke-NUS Graduate Medical School Singapore, Singapore.
Brian K P GohDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore; Duke-NUS Graduate Medical School Singapore, Singapore. Electronic address: bsgkp@hotmail.com.
Singapore General Hospital · SGNational Cancer Centre Singapore · SGDuke-NUS Medical School · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurative liver resection is the treatment of choice for both primary and secondary liver malignancies. However, an inadequate future liver remnant (FLR) frequently precludes successful surgery. Portal vein embolization is the gold-standard modality for inducing hypertrophy of the FLR. In recent times, unilobar Yttrium-90 selective internal radiation therapy (SIRT) has been reported to induce hypertrophy of the contralateral, untreated liver lobe. The aim of this study is to review the current literature reporting on contralateral liver hypertrophy induced by unilobar SIRT.

methodsA systematic review of the English-language literature between 2000 and 2014 was performed using the search terms "Yttrium 90" OR "selective internal radiation therapy" OR "radioembolization" AND "hypertrophy".

resultsSeven studies, reporting on 312 patients, were included. Two hundred and eighty four patients (91.0%) received treatment to the right lobe. Two hundred and fifteen patients had hepatocellular carcinoma (HCC), 12 had intrahepatic cholangiocarcinoma, and 85 had liver metastases from mixed primaries. Y90 SIRT resulted in contralateral liver hypertrophy which ranged from 26 to 47% at 44 days-9 months. All studies were retrospective in nature, and heterogeneous, with substantial variations relative to pathology treated, underlying liver disease, dosage and delivery of Y90, number of treatment sessions and time to measurement of hypertrophy.

conclusionUnilobar Y90 SIRT results in significant hypertrophy of the contralateral liver lobe. The rate of hypertrophy seems to be slower than that achieved by other methods.

Indexed as

HepatectomyEmbolization, TherapeuticHumansHypertrophyLiverLiver FailureLiver NeoplasmsLiver RegenerationOrgan SizeRadiopharmaceuticalsRisk FactorsTime FactorsTreatment OutcomeYttrium RadioisotopesRadiopharmaceuticalsYttrium Radioisotopes

Identifiers

PMID26776845
PMCPMC4750235
OpenAlexW1920949373

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.