Evidence map›Paper›PMID 30603975›Full record

ArticleCardiovascular and interventional radiology2019

Radioembolization with

A J A T Braat, S C Kappadath, H Ahmadzadehfar, C L Stothers, A Frilling, C M Deroose, P Flamen, D B Brown, D Y Sze, A Mahvash and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Cardiovascular and interventional radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Dose-effect relationships in neuroendocrine tumour liver metastases treated with [European journal of nuclear medicine and molecular imaging · 2024
    Article
  9. New frontiers in radioembolization.Therapeutic advances in medical oncology · 2024
    Review
  10. Article
  11. SEOM-GETNE clinical guidelines for the diagnosis and treatment of gastroenteropancreatic and bronchial neuroendocrine neoplasms (NENs) (2022).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Lung Dose Measured on PostradioembolizationJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

A J A T BraatDepartment of Radiology and Nuclear Medicine, Imaging Division, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. a.j.a.t.braat@umcutrecht.nl.ORCID http://orcid.org/0000-0002-8824-8697
S C KappadathDepartment of Imaging Physics, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
H AhmadzadehfarDepartment of Nuclear Medicine, University Hospital Bonn, Bonn, Germany.
C L StothersDepartment of Radiology and Radiologic Sciences, Vanderbilt University, Nashville, TN, USA.
A FrillingDepartment of Surgery and Cancer, Imperial College London, London, UK.
C M DerooseDepartment of Nuclear Medicine, University Hospital Leuven, Louvain, Belgium.
P FlamenDepartment of Nuclear Medicine, Jules Bordet Institute, Brussels, Belgium.
D B BrownDepartment of Radiology and Radiologic Sciences, Vanderbilt University, Nashville, TN, USA.
D Y SzeDepartment of Interventional Radiology, Stanford University, Palo Alto, CA, USA.
A MahvashDepartment of Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
M G E H LamDepartment of Radiology and Nuclear Medicine, Imaging Division, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadioembolization of liver metastases of neuroendocrine neoplasms (NEN) has shown promising results; however, the current literature is of limited quality. A large international, multicentre retrospective study was designed to address several shortcomings of the current literature. MATERIALS: 244 NEN patients with different NEN grades were included.

methodsPrimary outcome parameters were radiologic response 3 and 6 months after treatment according to RECIST 1.1 and mRECIST. Secondary outcome parameters included clinical response, clinical and biochemical toxicities.

resultsRadioembolization resulted in CR in 2%, PR in 14%, SD in 75% and PD 9% according to RECIST 1.1 and in CR in 8%, PR in 35%, SD in 48% and PD in 9% according to mRECIST. Objective response rates improved over time in 20% and 26% according to RECIST 1.1. and mRECIST, respectively. Most common new grade 3-4 biochemical toxicity was lymphocytopenia (6.7%). No unexpected clinical toxicities occurred. Radioembolization-specific complications occurred in < 4%. In symptomatic patients, improvement and resolution of symptoms occurred in 44% and 34%, respectively. Median overall survival from first radioembolization was 3.7, 2.7 and 0.7 years for G1, G2 and G3, respectively. Objective response is independent of NEN grade or primary tumour origin. Significant prognostic factors for survival were NEN grade/Ki67 index, ≥ 75% intrahepatic tumour load, the presence of extrahepatic disease and disease control rate according to RECIST 1.1.

conclusionSafety and efficacy of radioembolization in NEN patients was confirmed with a high disease control rate of 91% in progressive patients and alleviation of NEN-related symptoms in 79% of symptomatic patients. LEVEL OF EVIDENCE: 4.

Indexed as

MicrospheresBrachytherapyFollow-Up StudiesHumansLiver NeoplasmsNeuroendocrine TumorsRetrospective StudiesSurvival AnalysisTreatment OutcomeYttrium RadioisotopesYttrium RadioisotopesNENNETNeuroendocrine tumorRadioembolizationSIRT

Identifiers

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.