Evidence map›Paper›PMID 41929283›Full record

ArticleJournal of hepatocellular carcinoma2026

Utility of Yttrium-90 Radioembolization for the Treatment of Fibrolamellar Hepatocellular Carcinoma: A Tertiary Cancer Center Experience.

Mohammad Mahdi Khavandi, Kevin N Agahi, Sunyoung S Lee, Ahmed O Kaseb, Bruno C Odisio, Mohamed E Abdelsalam, Joshua D Kuban, Rahul A Sheth, Rony Avritscher, S Cheenu Kappadath and 2 more

Abstract read
In one paragraph

Article in Journal of hepatocellular carcinoma, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mohammad Mahdi KhavandiDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Kevin N AgahiDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Sunyoung S LeeDepartment of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ahmed O KasebDepartment of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Bruno C OdisioDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Mohamed E AbdelsalamDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0003-1066-2641
Joshua D KubanDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rahul A ShethDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rony AvritscherDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
S Cheenu KappadathDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Armeen MahvashDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0003-0416-4566
Peiman HabibollahiDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To describe the safety and efficacy of Yttrium-90 transarterial radioembolization (Y90-TARE) in patients with fibrolamellar hepatocellular carcinoma (FL-HCC). Patients and Methods: This is a retrospective study of patients with FL-HCC treated with Y90-TARE in a single tertiary cancer center. Y90-TARE was performed using Y90 glass or resin microspheres. Treatment response was evaluated at 1, 3, and 6 months using the modified Response Evaluation Criteria in Solid Tumors (mRECIST) guidelines. Electronic medical records were retrospectively reviewed to evaluate clinical outcomes, complications, tumor response on imaging, overall survival (OS), and progression-free survival (PFS). MIM Software (v7.1, Cleveland, OH) was used for dosimetry analysis and contouring. Results: Seven patients (5 females, 2 males; median age at the time of Y90-TARE: 24, range: 16-77 years) with FL-HCC underwent nine Y90-TARE procedures. The median progression-free survival (PFS) was 9.0 months, and the median overall survival (OS) was 15.8 months. Partial response (PR) was observed in 86% of patients at 3 months and 100% of evaluable patients at 6 months. One patient underwent successful liver transplantation, and another received hepatectomy after treatment. No adverse events grade 3 or greater were reported within 30 days. One patient developed a hepatic abscess two months post-procedure, and another developed a tumor to duodenum fistula three months after Y90-TARE. The median absorbed tumor dose was 405 Gy (mean: 579 ± 442 Gy; range: 109-1362 Gy), and the median absorbed dose to perfused normal liver was 83 Gy (mean: 96 ± 41 Gy; range: 63.5-190 Gy). The median administered activity was 3.85 GBq, with a median lung shunt fraction of 4.59% and a median lung dose of 6.4 Gy. The study is limited by its retrospective design and small sample size in this rare tumor cohort. Conclusion: Treatment of FL-HCC patients with unresectable tumors with 90Y-TARE is safe and shows a favorable response to treatment.

Indexed as

fibrolamellar hepatocellular carcinomaFL-HCCglass microsphereshepatic malignancyliver-directed therapylocoregional therapyresin microspheresTAREtransarterial radioembolizationtumor dosimetryYttrium-90 radioembolization

Identifiers

PMID41929283
PMCPMC13041534

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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.