Evidence map›Paper›PMID 39470786›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2025

Holmium-166 radioembolisation dosimetry in HCC.

Margot T M Reinders, Arthur J A T Braat, Karel J van Erpecum, Joep de Bruijne, Rutger C G Bruijnen, Dave Sprengers, Rob de Man, Erik Vegt, Jan N M IJzermans, Sjoerd G Elias and 2 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03379844 (Holmium-166-radioembolization in Patients With Unresectable Hepatocellular Carcinoma), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

NCT03379844 phase2completednot on this map

Holmium-166-radioembolization in Patients With Unresectable Hepatocellular Carcinoma (HCC); a Multi-center, Interventional, Non-randomized, Non-comparative, Open Label, Early Phase II Study: HEPAR Primary

TypeinterventionalSponsorUMC UtrechtRan2017 to 2021Enrolled30ConditionsHepatocellular Carcinoma, Hepatocellular Carcinoma Non-resectableArmsHolmium-166 radioembolization
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. 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

12 authors.

Margot T M ReindersDepartment of Radiology & Nuclear Medicine, Utrecht University - University Medical Centre Utrecht, P.O. Box 85500 100, 3500 GA, Utrecht, the Netherlands.ORCID 0000-0002-0501-9427
Arthur J A T BraatDepartment of Radiology & Nuclear Medicine, Utrecht University - University Medical Centre Utrecht, P.O. Box 85500 100, 3500 GA, Utrecht, the Netherlands.ORCID 0000-0002-8824-8697
Karel J van ErpecumDepartment of Gastroenterology & Hepatology, Utrecht University - University Medical Centre Utrecht, P.O. Box 85500 100, 3500 GA, Utrecht, the Netherlands.ORCID 0000-0003-4034-5444
Joep de BruijneDepartment of Gastroenterology & Hepatology, Utrecht University - University Medical Centre Utrecht, P.O. Box 85500 100, 3500 GA, Utrecht, the Netherlands.
Rutger C G BruijnenDepartment of Radiology & Nuclear Medicine, Utrecht University - University Medical Centre Utrecht, P.O. Box 85500 100, 3500 GA, Utrecht, the Netherlands.ORCID 0000-0002-5167-4027
Dave SprengersDepartment of Gastroenterology & Hepatology, Erasmus MC-University Medical Centre Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands.ORCID 0000-0003-4280-4210
Rob de ManDepartment of Gastroenterology & Hepatology, Erasmus MC-University Medical Centre Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands.
Erik VegtDepartment of Radiology & Nuclear Medicine, Erasmus MC-University Medical Centre Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands.ORCID 0000-0001-7456-2258
Jan N M IJzermansDepartment of Surgery, Erasmus MC-University Medical Centre Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands.ORCID 0000-0003-3558-1039
Sjoerd G EliasJulius Centre for Health Sciences and Primary Care, Utrecht University - University Medical Centre Utrecht, P.O. Box 85500 100, 3500 GA, Utrecht, the Netherlands.ORCID 0000-0003-3903-4024
Marnix G E H LamDepartment of Radiology & Nuclear Medicine, Utrecht University - University Medical Centre Utrecht, P.O. Box 85500 100, 3500 GA, Utrecht, the Netherlands.ORCID 0000-0002-4902-9790
Maarten L J SmitsDepartment of Radiology & Nuclear Medicine, Utrecht University - University Medical Centre Utrecht, P.O. Box 85500 100, 3500 GA, Utrecht, the Netherlands. m.l.j.smits-3@umcutrecht.nl.ORCID 0000-0003-4735-655X

Funding

KWF Kankerbestrijding P10307
6 · The paper itself

Abstract

purposeTo evaluate dosimetry, dose-response and dose-toxicity relationships for holmium-166 (

methodsThirty-one patients with hepatocellular carcinoma were included in the HEPAR Primary study (NCT03379844, registered on December 20th, 2017) and underwent

resultsMedian tumour absorbed dose (tumour level) was 95.5 Gy (range 44-332 Gy). Median non-tumour absorbed dose based on whole liver volume was 19 Gy (range 3 - 48 Gy) and based on target liver volume was 30 Gy (range 13 - 54 Gy). There was a significant association between non-tumour absorbed dose and toxicity. Tumours with partial response/complete response (PR/CR, responders) received a 41% higher absorbed dose than tumours with progressive disease/stable disease (PD/SD, non-responders) (95%CI: 2%-93%, p = 0.04). A predictive value of 90% for tumour response was observed at a tumour absorbed dose threshold of 155 Gy, 100% predictive value was achieved at 184.5 Gy.

conclusionThis study confirms a positive relationship between tumour absorbed dose and response and between non-tumour absorbed dose and toxicity. Dose thresholds found in this study can serve as a basis for personalized dosimetry in HCC patients treated with

Indexed as

Carcinoma, HepatocellularEmbolization, TherapeuticHolmiumLiver NeoplasmsRadioisotopesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRadiometryRadiotherapy DosageHolmiumHolmium-166RadioisotopesBiodistributionDosimetryHepatocellular carcinomaHolmiumPersonalised treatment planningRadioembolisation

Identifiers

PMID39470786
PMCPMC11754330

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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.