Evidence map›Paper›PMID 32451604›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2020

Radioembolization of hepatocarcinoma with

C Chiesa, M Mira, S Bhoori, G Bormolini, M Maccauro, C Spreafico, T Cascella, A Cavallo, M C De Nile, S Mazzaglia and 6 more

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Radioembolization of hepatocellular carcinoma withEuropean journal of nuclear medicine and molecular imaging · 2025
    Article
  5. Review
  6. Article
  7. Utility of pre-procedural [European journal of nuclear medicine and molecular imaging · 2025
    Observational
  8. Review
  9. Observational
  10. PET/CT-Based Absorbed Dose Maps inJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
    Article
  11. Dose-effect relationships in neuroendocrine tumour liver metastases treated with [European journal of nuclear medicine and molecular imaging · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Predictive Value of [Diagnostics (Basel, Switzerland) · 2023
    Article
  16. Article
  17. Predictive value ofEJNMMI research · 2023
    Article
  18. Observational
  19. Review
  20. Article
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

16 authors at 3 institutions in 2 countries.

C ChiesaNuclear Medicine, Foundation IRCCS Istituto Nazionale Tumori, via G. Venezian 1, Milan, Italy. carlo.chiesa@istitutotumori.mi.it.ORCID 0000-0003-0634-013X
M MiraNuclear Medicine, Foundation IRCCS Istituto Nazionale Tumori, via G. Venezian 1, Milan, Italy.
S BhooriHPB Surgery, Hepatology and Liver Transplantation, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
G BormoliniHPB Surgery, Hepatology and Liver Transplantation, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
M MaccauroNuclear Medicine, Foundation IRCCS Istituto Nazionale Tumori, via G. Venezian 1, Milan, Italy.
C SpreaficoInterventional Radiology, Foundation IRCCS Istituto Nazionale Tumori, Milan, Italy.
T CascellaInterventional Radiology, Foundation IRCCS Istituto Nazionale Tumori, Milan, Italy.
A CavalloMedical Physics Unit, Foundation IRCCS Istituto Nazionale Tumori, Milan, Italy.
M C De NilePostgraduate Specialization School in Medical Physics, University of Milan, Milan, Italy.
S MazzagliaNuclear Medicine, Foundation IRCCS Istituto Nazionale Tumori, via G. Venezian 1, Milan, Italy.
A CapozzaPostgraduate Specialization School in Nuclear Medicine, University of Milan, Milan, Italy.
G TagliabueTumour Registry, Foundation IRCCS Istituto Nazionale Tumori, Milan, Italy.
A BrusaRadiation Protection Unit, Foundation IRCCS Istituto Nazionale Tumori, Milan, Italy.
A MarchianòInterventional Radiology, Foundation IRCCS Istituto Nazionale Tumori, Milan, Italy.
E SeregniNuclear Medicine, Foundation IRCCS Istituto Nazionale Tumori, via G. Venezian 1, Milan, Italy.
V MazzaferroHPB Surgery, Hepatology and Liver Transplantation, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Fondazione IRCCS Istituto Nazionale dei Tumori · ITUniversity of Milan · ITTumori Foundation · US

Funding

BTG biocompatibles SPETc-DOSE-1
6 · The paper itself

Abstract

aimTransarterial radioembolization (TARE) is, by all standards, a radiation therapy. As such, according to Euratom Directive 2013/59, it should be optimized by a thorough treatment plan based on the distinct evaluation of absorbed dose to the lesions and to the non-tumoural liver (two-compartment dosimetry). Since the dosimetric prediction with

methodsData from intermediate/advanced hepato-cellular carcinoma (HCC) patients treated with

resultsA 6-month timeline was defined as necessary to capture all treatment-related toxicity events. Previous transarterial chemoembolization (TACE), presence or extension of portal vein tumoural thrombosis (PVTT) and tumour pattern (nodular versus infiltrative) were not associated with tolerance to TARE. On the contrary, at the multivariate analysis, the absorbed dose averaged over the whole non-tumoural liver (including the non-injected lobe) was a prognostic indicator correlated with liver decompensation (odds ratio = 4.24). Basal bilirubin > 1.1 mg/dL was a second even more significant risk factor (odds ratio = 6.35). NTCP analysis stratified with this bilirubin cut-off determined a 15% liver decompensation risk at 50 Gy/90 Gy for bilirubin >/< 1.1 mg/dL. These results are valid for a

conclusionGiven the low predictive accuracy of

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticEmbolization, TherapeuticLiver NeoplasmsGlassHumansMicrospheresRetrospective StudiesTechnetium Tc 99m Aggregated AlbuminTomography, Emission-Computed, Single-PhotonYttrium RadioisotopesTechnetium Tc 99m Aggregated AlbuminYttrium RadioisotopesDosimetryHCCMicrospheresNTCPToxicityTreatment planning

Identifiers

PMID32451604
OpenAlexW3032860386

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.