Evidence map›Paper›PMID 30374530›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2019

Yttrium-90 glass microspheres radioembolization (RE) for biliary tract cancer: a large single-center experience.

Héloïse Bourien, Xavier Palard, Yan Rolland, Fanny Le Du, Luc Beuzit, Thomas Uguen, Samuel Le Sourd, Marc Pracht, Vincent Manceau, Astrid Lièvre and 3 more

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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Radiological Loco-Regional Treatments for Cholangiocarcinoma: A Systematic Review of the Literature.Liver international : official journal of the International Association for the Study of the Liver · 2026
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  3. Unresectable intrahepatic cholangiocarcinoma: TARE or TACE, which one to choose?Frontiers in gastroenterology (Lausanne, Switzerland) · 2023
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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

13 authors.

Héloïse BourienMedical Oncology, Centre Eugène Marquis, Rennes, France.
Xavier PalardNuclear Medicine, Centre Eugène Marquis, Rennes, France.
Yan RollandInterventional Radiology, Centre Eugène Marquis, Rennes, France.
Fanny Le DuMedical Oncology, Centre Eugène Marquis, Rennes, France.
Luc BeuzitRadiology, CHU Pontchaillou, Rennes, France.
Thomas UguenHepatology, CHU Pontchaillou, Rennes, France.
Samuel Le SourdMedical Oncology, Centre Eugène Marquis, Rennes, France.
Marc PrachtMedical Oncology, Centre Eugène Marquis, Rennes, France.
Vincent ManceauNuclear Medicine, Centre Eugène Marquis, Rennes, France.
Astrid LièvreGastroenterology, CHU Pontchaillou, Rennes, France.
Karim BoudjemaHepatobiliary Surgery, CHU Pontchaillou, Rennes, France.
Etienne GarinNuclear Medicine, Centre Eugène Marquis, Rennes, France.
Julien EdelineMedical Oncology, Centre Eugène Marquis, Rennes, France. j.edeline@rennes.unicancer.fr.ORCID http://orcid.org/0000-0002-8289-7741

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadioembolization (RE) is a promising treatment option for biliary tract cancers (BTC). We report here the largest series to date using this treatment modality.

methodsWe retrospectively studied data from 64 patients treated outside prospective clinical trial at our institution. We studied baseline characteristics as potential prognostic factors. We studied dose delivered to the tumor as predictive factors of outcomes in patients not receiving concomitant chemotherapy.

resultsThe Progression-Free Survival and Overall Survival (OS) were 7.6 months [95% Confidence Interval (CI): 4.6-10.6] and 16.4 months [95% CI: 7.8-25.0] in the whole cohort. The factors independently associated with OS in multivariable analysis were the primary localization of ICC (HR = 0.27, 95% CI: 0.11-0.68, p = 0.005) and a PS > 0 (HR = 2.21, 95% CI: 1.11-4.38, p = 0.024). During follow-up, 12 patients (19%) underwent surgery following downstaging, with a median OS of 51.9 months. In patients not treated with concomitant chemotherapy (n = 31), OS was significantly higher in patients with a dose delivered to the tumor 260Gy or higher than in patients with a dose delivered to the tumor lower than 260Gy (median 28.2 vs 11.4 months, log-rank p = 0.019).

conclusionOur results confirm that RE is a promising treatment modality in BTC. A high proportion of patients could be downstaged to surgery, with promising long-term survival. Dose delivered to the tumor correlated with clinical outcomes when chemotherapy was not used concomitantly.

Indexed as

Embolization, TherapeuticMicrospheresBiliary Tract NeoplasmsCohort StudiesFemaleGlassHumansMaleRetrospective StudiesSurvival AnalysisYttrium RadioisotopesYttrium-90Yttrium Radioisotopes90YBiliary tract cancerDosimetryIntrahepatic cholangiocarcinomaRadioembolization

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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.