Evidence map›Paper›PMID 36914788›Full record

Observational studyCardiovascular and interventional radiology2023

Predictive Factors for Adverse Event Outcomes After Transarterial Radioembolization with Yttrium-90 Resin Microspheres in Europe: Results from the Prospective Observational CIRT Study.

Geert Maleux, Thomas Albrecht, Dirk Arnold, Irene Bargellini, Roberto Cianni, Thomas Helmberger, Frank Kolligs, Graham Munneke, Bora Peynircioglu, Bruno Sangro and 6 more

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Cardiovascular and interventional radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02305459 (CIRSE Registry for SIR-Spheres Therapy), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT02305459 completednot on this map

CIRSE Registry for SIR-Spheres Therapy

Typeobservational_patient_registrySponsorCardiovascular and Interventional Radiological Society of EuropeRan2014 to 2020Enrolled1,051ConditionsLiver CarcinomaArmsYttrium-90 loaded SIR-Spheres microspheres, QLQ-C30 with HCC module
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Identifying key predictors of mortality and liver decompensation in hepatocellular carcinoma patients treated with transarterial radioembolization.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. 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 14 institutions in 9 countries.

Geert MaleuxRadiology, Universitair Ziekenhuis Leuven, Herestraat 49, 3000, Leuven, Belgium.
Thomas AlbrechtDepartment for Radiology and Interventional Therapy, Vivantes Klinikum Neukölln, Rudower Str. 48, 12351, Berlin, Germany.
Dirk ArnoldOncology and Hematology, Asklepios Tumorzentrum Hamburg, AK Altona, Paul-Ehrlich-Str. 1, 22763, Hamburg, Germany.
Irene BargelliniDepartment of Vascular and Interventional Radiology, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Roberto CianniDepartment of Interventional Radiology, S. Camillo Hospital, Circonvallazione Gianicolense, 85, 00149, Rome, Italy.
Thomas HelmbergerDepartment of Radiology, Neuroradiology and Minimal-Invasive Therapy, Klinikum Bogenhausen, Englschalkinger Str. 77, 81925, Munich, Germany.
Frank KolligsDepartment of Internal Medicine and Gastroenterology, Helios Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125, Berlin, Germany.
Graham MunnekeInterventional Oncology, University College London Hospitals NHS Foundation Trust, 250 Euston Road, London, NW1 2PG, UK.
Bora PeynirciogluDepartment of Radiology, School of Medicine, Hacettepe University, Sihhiye Campus, 06100, Ankara, Turkey.
Bruno SangroLiver Unit and HPB Oncology Area, Clínica Universidad de Navarra and CIBEREHD, Avda. Pio XII 36, 31008, Pamplona, Spain.
Niklaus SchaeferService de Médecine Nucléaire et Imagerie Moléculaire, University Hospital of Lausanne (CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland.
Helena PereiraAssistance Publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Unité de Recherche Clinique, Paris, France.
Bleranda ZekaClinical Research Department, Cardiovascular and Interventional Radiological Society of Europe, Neutorgasse 9, 1010, Vienna, Austria.
Niels de JongClinical Research Department, Cardiovascular and Interventional Radiological Society of Europe, Neutorgasse 9, 1010, Vienna, Austria. dejong@cirse.org.ORCID http://orcid.org/0000-0002-2377-2973
José I BilbaoInterventional Radiology, Clínica Universidad de Navarra, Avenida Pio XII, No 36, 31008, Pamplona, Spain.
CIRT Principal Investigators
München Klinik Bogenhausen · DEUniversitair Ziekenhuis Leuven · BEVivantes Klinikum · DECardiovascular and Interventional Radiological Society of Europe · ATCentro de Investigación Biomédica en Red · ESIRCCS San Camillo Hospital · ITAsklepios Klinik Altona · DEAzienda Ospedaliero-Universitaria Careggi · ITClinica Universidad de Navarra · ESHacettepe University · TRHelios Hospital Berlin-Buch · DEInserm · FRUniversity College London Hospitals NHS Foundation Trust · GBUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUsing data collected in the prospective observational study CIRSE Registry for SIR-Spheres Therapy, the present study aimed at identifying predictors of adverse events (AEs) following transarterial radioembolization (TARE) with Yttrium-90 resin microspheres for liver tumours.

methodsWe analysed 1027 patients enrolled between January 2015 and December 2017 and followed up for 24 months. Four hundred and twenty-two patients with hepatocellular carcinoma (HCC), 120 with intrahepatic carcinoma (ICC), 237 with colorectal liver metastases and 248 with liver metastases from other primaries were included. Prognostic factors were calculated with a univariable analysis by using the overall AEs burden score (AEBS).

resultsAll-cause AEs were reported in 401/1027 (39.1%) patients, with AEs associated with TARE, such as abdominal pain (16.6%), fatigue (17%), and nausea (11.7%) reported most frequently. Grade 3 or higher AEs were reported in 92/1027 (9%) patients. Reports on grade ≥ 3 gastrointestinal ulcerations (0.4%), gastritis (0.3%), radiation cholecystitis (0.2%) or radioembolization-induced liver disease (0.5%) were uncommon. Univariable analysis showed that in HCC, AEBS increased for Eastern Cooperative Oncology Group (ECOG) 0 (p = 0.0045), 1 tumour nodule (0.0081),  > 1 TARE treatment (p = 0.0224), no prophylactic embolization (p = 0.0211), partition model dosimetry (p = 0.0007) and unilobar treatment target (0.0032). For ICC,  > 1 TARE treatment was associated with an increase in AEBS (p = 0.0224), and for colorectal liver metastases, ECOG 0 (p = 0.0188), > 2 prior systemic treatments (p = 0.0127), and 1 tumour nodule (p = 0.0155) were associated with an increased AEBS.

conclusionOur study confirms that TARE is a safe treatment with low toxicity and a minimal impact on quality of life.

Indexed as

Carcinoma, HepatocellularColorectal NeoplasmsEmbolization, TherapeuticLiver NeoplasmsEuropeHumansMicrospheresQuality of LifeYttrium RadioisotopesYttrium-90Yttrium Radioisotopes

Identifiers

PMID36914788
PMCPMC10322946
OpenAlexW4324026700

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.