Selective internal radiation therapy for liver tumours

Primary and secondary liver malignancies are common and associated with a poor prognosis. Surgical resection is the treatment of choice; however, many patients have unresectable disease. In these cases, several liver directed therapies are available, including selective internal radiation therapy (S...

Full description

Saved in:
Bibliographic Details
Published in:Clinical medicine (London, England) England), 2017-10, Vol.17 (5), p.449-453
Main Authors: Sundram, Francis X, Buscombe, John R
Format: Article
Language:English
Subjects:
Cancer therapies
Chemotherapy
Clinical trials
CME Nuclear medicine
Colorectal cancer
Dosimetry
Internal
liver
Liver cancer
malignancy
Medical prognosis
Medical research
Metastasis
radiation
Radiation therapy
selective
SIRT
therapy
Tumors
Veins & arteries
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Primary and secondary liver malignancies are common and associated with a poor prognosis. Surgical resection is the treatment of choice; however, many patients have unresectable disease. In these cases, several liver directed therapies are available, including selective internal radiation therapy (SIRT). SIRT is a multidisciplinary treatment involving nuclear medicine, interventional radiology and oncology. High doses of localised internal radiation are selectively delivered to liver tumour tissues, with relative sparing of adjacent normal liver parenchyma. Side effects are minimal and radiation protection measures following treatment are straightforward. In patients who have progressed following chemotherapy, clinical trials demonstrate prolonged liver progression-free survival. SIRT is offered at 10 centres in England via the NHS England Commissioning through Evaluation programme and is approved by the National Institute for Health and Care Excellence for certain liver malignancies. SIRT holds unique promise for personalised treatment of liver tumours.
ISSN:1470-2118
1473-4893
DOI:10.7861/clinmedicine.17-5-449