Tailored Dosimetry Improves Treatment Outcomes in Hepatocellular Carcinoma with Yttrium-90 Resin Microsphere Radioembolization - Summary - MDSpire

Tailored Dosimetry Improves Treatment Outcomes in Hepatocellular Carcinoma with Yttrium-90 Resin Microsphere Radioembolization

  • By

  • Ettore di Gaeta

  • Makoto Taninokuchi Tomassoni

  • Francesca Calabrese

  • Giovanni Matassa

  • Annarita Savi

  • Carla Canevari

  • Patrizia Magnani

  • Giovanna Pepe

  • Stephanie Steidler

  • Francesca Ratti

  • Federica Cipriani

  • Margherita Rimini

  • Andrea Casadei-Gardini

  • Lorenzo Braccischi

  • Maria Adriana Cocozza

  • Lidia Strigari

  • Giuseppe Della Gala

  • Arber Golemi

  • Elisa Lodi Rizzini

  • Stefano Fanti

  • Matteo Cescon

  • Matteo Serenari

  • Fabio Piscaglia

  • Maria Cristina Morelli

  • Arturo Chiti

  • Cristina Mosconi

  • Francesco De Cobelli

  • April 28, 2026

  • 0 min

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Objective:

To evaluate the efficacy of a threshold dose (Dmean) in patients with early to advanced-stage HCC treated with resin microspheres, focusing on overall response rate (ORR) at 3 months in a specific patient population.

Key Findings:
  • Personalized dosimetry improved overall survival (OS) and objective response rate (ORR), indicating significant clinical implications.
  • A threshold dose of > 120 Gy was targeted for tumor absorption while limiting normal liver and lung doses.
  • Radiological response was assessed using modified Response Evaluation Criteria in Solid Tumors (mRECIST) at 3 months post-TARE.
Interpretation:

The study supports the use of tailored dosimetry in TARE for HCC, indicating that personalized treatment planning can enhance therapeutic outcomes.

Limitations:
  • Retrospective design may introduce selection bias, potentially affecting the reliability of the findings.
  • Limited generalizability due to the specific patient population and treatment protocols, which may not apply to broader HCC cases.
Conclusion:

Tailored dosimetry in TARE for HCC patients leads to improved treatment outcomes, emphasizing the importance of personalized treatment approaches.

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