Evidence map›Paper›PMID 40507322›Full record

ReviewCancers2025

Holmium-166 Radioembolization Is a Safe and Effective Locoregional Treatment for Primary and Secondary Liver Tumors: A Systematic Review and Meta-Analysis.

Petra Sólymos, Mátyás Rédei, Caner Turan, Bence Szabó, Alexandra Ádám, Zsolt Molnár, Gábor Duray, Péter Hegyi, Dénes B Horváthy

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. Review
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

9 authors.

Petra SólymosCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0009-0009-7979-9225
Mátyás RédeiCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0009-0001-7980-0654
Caner TuranCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0002-8200-7569
Bence SzabóCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Alexandra ÁdámCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0009-0009-7515-5334
Zsolt MolnárCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Gábor DurayCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0003-1286-6576
Péter HegyiCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Dénes B HorváthyCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0001-8136-7100

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThis systematic review and meta-analysis evaluated the effectiveness and the safety of transarterial radioembolization using Holmium-166 microspheres (Ho-166-TARE) for the treatment of primary and secondary liver tumors. The aim of the study was to offer a detailed analysis of clinical outcomes and the potential benefits of this innovative therapy.

methodsThe study was conducted according to the PRISMA 2020 guidelines. The systematic search was performed in five databases in November 2023 and updated in June 2024. All 16 eligible studies were original research that evaluated Ho-166-TARE. The endpoints analyzed were disease control rate (DCR), overall survival (OS), progression-free survival (PFS), clinical and laboratory adverse events, healthy-liver- and tumor-liver-absorbed doses. The risk of bias was assessed using the MINORS checklist.

resultsThe pooled overall disease control rate (DCR) was 72% (95% CI, 46-89%); by mRECIST, it was 93% (95% CI, 71-99%); and by RECIST 1.1, it was 54% (95% CI, 22-83%) at 3-month follow-up. Overall survival (OS) at 3, 6, 12, and 30 months was 98%, 89%, 74%, and 39%, respectively. Severe clinical adverse events were minimal, although some patients showed elevated GGT levels and lymphocytopenia. Tumor-absorbed doses were nearly three times higher than those in healthy liver tissue.

conclusionsThese findings suggest that Ho-166-TARE is a safe and effective locoregional treatment option for liver tumors, especially in cases where systemic therapy alone is insufficient or surgical resection is not feasible. Further studies are needed to investigate tumor-specific response, optimize dosimetry strategies, and establish standardized protocols for long-term outcome assessment.

Indexed as

holmium-166liver tumorSIRTTAREtransarterial radioembolization

Identifiers

PMID40507322
PMCPMC12153601

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Registered trials

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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.