Evidence map›Paper›PMID 42707659›Full record

ReviewTheranostics2026

The evolution of surrogate microspheres in transarterial radioembolization: from SPECT prediction to multimodal AI-guided precision dosimetry.

Arun Gupta, Andrew C Gordon, Samdeep K Mouli, Robert J Lewandowski, Dong-Hyun Kim

Abstract readReview
In one paragraph

Review in Theranostics, 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

5 authors.

Arun GuptaDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Andrew C GordonDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Samdeep K MouliDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Robert J LewandowskiDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Dong-Hyun KimDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.

Funding

Local Tumoral Delivered Immune Checkpoint Blockades Immunotherapy and Radioembolization Combination TherapyR01CA282664 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KIM, DONG-HYUN · 2023 to 2025
$1.8M
Transcatheter Intra-Arterial Delivery of Oriented Anti-PD-L1 Immune checkpoint inhibitors Immobilized Nanocarriers for Local Combination Immunotherapy of Hepatocellular CarcinomaR01CA278956 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Dong-Hyun Kim · 2024 to 2026
$1.1M
Development of Nanofunctionalized Cyborg C-Novyi NT for Image Guided Trans-arterial Bacteriolytic Embolization of Colorectal Liver MetastasisR01CA279040 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Dong-Hyun Kim · 2024 to 2026
$1.1M
NCI NIH HHS R01 CA278956NCI NIH HHS R01 CA279040NCI NIH HHS R01 CA282664
6 · The paper itself

Abstract

Surrogate materials enable pre-treatment prediction of intra-hepatic distribution of therapeutic radioactive microsphere, facilitating patient-specific dosimetry for transarterial radioembolization (TARE). Technetium-99m macroaggregated albumin (⁹⁹ᵐTc-MAA) has long constituted the clinical standard for SPECT-based surrogates, however, its fundamental physicochemical difference from therapeutic microspheres limits the reliability of MAA-based dosimetry and prediction for personalized treatment planning. Next-generation surrogate technology includes biodegradable polymeric microspheres engineered to closely replicate the therapeutic microsphere while affording post-procedural arterial recanalization through controlled biodegradation. Theranostic microspheres incorporating diverse radionuclides, positron-emitting PET compatible surrogates, and multimodal CT and MRI-visible surrogates have collectively expanded same-particle pre-treatment dosimetry capabilities. These material-level advances are synergistically coupled with computational dosimetry tools including artificial intelligence/deep learning algorithms for automated segmentation/dose-prediction, and Monte Carlo simulations that enhance voxel-based dosimetry precision. This review examines recent advances in surrogate materials design and integrated imaging/dosimetry methodologies that enhance TARE efficacy, safety, and personalized treatment outcomes.

Indexed as

Liver NeoplasmsMicrospheresRadioembolization, TherapeuticRadiometryTomography, Emission-Computed, Single-PhotonArtificial IntelligenceEmbolization, TherapeuticHumansRadiopharmaceuticalsTechnetium Tc 99m Aggregated AlbuminRadiopharmaceuticalsTechnetium Tc 99m Aggregated Albuminhepatocellular carcinomamicrospheresradionuclidessurrogatetransarterial radioembolizationYttrium-90

Identifiers

PMID42707659
PMCPMC13549141

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.