Evidence map›Paper›PMID 35312882›Full record

ArticleEJNMMI physics2022

Precision dosimetry in yttrium-90 radioembolization through CT imaging of radiopaque microspheres in a rabbit liver model.

E Courtney Henry, Matthew Strugari, George Mawko, Kimberly Brewer, David Liu, Andrew C Gordon, Jeffrey N Bryan, Charles Maitz, James J Karnia, Robert Abraham and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in EJNMMI physics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. New frontiers in radioembolization.Therapeutic advances in medical oncology · 2024
    Review
  6. Article
  7. Transarterial Radioembolization: Overview of Radioembolic Devices.Seminars in interventional radiology · 2023
    Review
  8. Article
  9. Article
  10. Review
  11. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

E Courtney HenryDepartment of Physics and Atmospheric Science, Dalhousie University, Halifax, NS, Canada. Courtney.Henry@dal.ca.
Matthew StrugariDepartment of Physics and Atmospheric Science, Dalhousie University, Halifax, NS, Canada.
George MawkoDepartment of Physics and Atmospheric Science, Dalhousie University, Halifax, NS, Canada.
Kimberly BrewerDepartment of Physics and Atmospheric Science, Dalhousie University, Halifax, NS, Canada.
David LiuSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.
Andrew C GordonDepartment of Radiology, Northwestern University, Chicago, IL, USA.
Jeffrey N BryanDepartment of Veterinary Medicine and Surgery, University of Missouri, Columbia, MO, USA.
Charles MaitzDepartment of Veterinary Medicine and Surgery, University of Missouri, Columbia, MO, USA.
James J KarniaDepartment of Veterinary Medicine and Surgery, University of Missouri, Columbia, MO, USA.
Robert AbrahamDepartment of Diagnostic Radiology, Dalhousie University, Halifax, NS, Canada.
S Cheenu KappadathDepartment of Imaging Physics, University of Texas MD Anderson Cancer Centre, Houston, TX, USA.
Alasdair SymeDepartment of Physics and Atmospheric Science, Dalhousie University, Halifax, NS, Canada.
Dalhousie University · CAUniversity of Missouri · USNorthwestern University · USNova Scotia Health Authority · CAThe University of Texas MD Anderson Cancer Center · USUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo perform precision dosimetry in yttrium-90 radioembolization through CT imaging of radiopaque microspheres in a rabbit liver model and to compare extracted dose metrics to those produced from conventional PET-based dosimetry. MATERIALS AND

methodsA CT calibration phantom was designed containing posts with nominal microsphere concentrations of 0.5 mg/mL, 5.0 mg/mL, and 25.0 mg/mL. The mean Hounsfield unit was extracted from the post volumes to generate a calibration curve to relate Hounsfield units to microsphere concentration. A nominal bolus of 40 mg of microspheres was administered to the livers of eight rabbits, followed by PET/CT imaging. A CT-based activity distribution was calculated through the application of the calibration curve to the CT liver volume. Post-treatment dosimetry was performed through the convolution of yttrium-90 dose-voxel kernels and the PET- and CT-based cumulated activity distributions. The mean dose to the liver in PET- and CT-based dose distributions was compared through linear regression, ANOVA, and Bland-Altman analysis.

resultsA linear least-squares fit to the average Hounsfield unit and microsphere concentration data from the calibration phantom confirmed a strong correlation (r

conclusionThe benefits of a CT-based approach to post-treatment dosimetry in yttrium-90 radioembolization include improved visualization of the dose distribution, reduced partial volume effects, a better representation of dose heterogeneity, and the mitigation of respiratory motion effects. Post-treatment CT imaging of radiopaque microspheres in yttrium-90 radioembolization provides the means to perform precision dosimetry and extract accurate dose metrics used to refine the understanding of the dose-response relationship, which could ultimately improve future patient outcomes.

Indexed as

CTDosimetryMicrospherePETRadioembolizationRadiopacityYttrium-90

Identifiers

PMID35312882
PMCPMC8938593
OpenAlexW4220761503

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.