Recommendations for the management of yttrium-90 radioembolization in the treatment of patients with colorectal cancer liver metastases: a multidisciplinary review

• Published in: Clinical & translational oncology 2024-04, Vol.26 (4), p.851-863
• Main Authors: González-Flores, Encarna, Zambudio, Natalia, Pardo-Moreno, Pedro, Gonzalez-Astorga, Beatriz, de la Rúa, Jorge Roldán, Triviño-Ibáñez, Eva M., Navarro, Pablo, Espinoza-Cámac, Nataly, Casado, Miguel Ángel, Rodríguez-Fernández, Antonio
• Format: Article
• Language: English
• Subjects: Medicine; Medicine & Public Health; Oncology; Research Article
• ISSN: 1699-3055; 1699-048X; 1699-3055
• DOI: 10.1007/s12094-023-03299-y

Purpose Strategies for the treatment of liver metastases from colon cancer (lmCRC) are constantly evolving. Radioembolization with yttrium 90 (Y-90 TARE) has made significant advancements in treating liver tumors and is now considered a potential option allowing for future resection. This study reviewed the scientific evidence and developed recommendations for using Y-90 TARE as a treatment strategy for patients with unresectable lmCRC. Methods A multidisciplinary scientific committee, consisting of experts in medical oncology, hepatobiliary surgery, radiology, and nuclear medicine, all with extensive experience in treating patients with ImCRC with Y-90 TARE, led this project. The committee established the criteria for conducting a comprehensive literature review on Y-90 TARE in the treatment of lmCRC. The data extraction process involved addressing initial preliminary inquiries, which were consolidated into a final set of questions. Results This review offers recommendations for treating patients with lmCRC using Y-90 TARE, addressing four areas covering ten common questions: 1) General issues (multidisciplinary tumor committee, indications for treatment, contraindications); 2) Previous process (predictive biomarkers for patient selection, preintervention tests, published evidence); 3) Procedure (standard procedure); and 4) Post-intervention follow-up (potential toxicity and its management, parameters for evaluation, quality of life). Conclusions Based on the insights of the multidisciplinary committee, this document offers a comprehensive overview of the technical aspects involved in the management of Y-90 TARE. It synthesizes recommendations for applying Y-90 TARE across various phases of the treatment process.