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Cited by 620

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Safety and efficacy of 90Y radiotherapy for hepatocellular carcinoma with and without portal vein thrombosis

Open access
Kulik, Laura M., Carr, Brian I., Mulcahy, Mary F., Lewandowski, Robert J., Atassi, Bassel, Ryu, Robert K., Sato, Kent T., Benson, Al, Nemcek, Albert A., Gates, Vanessa L., Abecassis, Michael, Omary, Reed A., Salem, Riad·2008·Hepatology

Abstract

This study was undertaken to present data from a phase 2 study in which patients with unresectable hepatocellular carcinoma (HCC) with and without portal vein thrombosis underwent radioembolization with Yttrium (90Y) microspheres. Patients treated were stratified by Okuda, Child-Pugh, baseline bilirubin, tumor burden, Eastern Cooperative Oncology Group (ECOG), presence of cirrhosis and portal vein thrombosis (PVT) (none, branch, and main). Clinical and biochemical data were obtained at baseline and at 4-week intervals following treatment for up to 6 months. Tumor response was obtained using computed tomography (CT). Patients were followed for survival. One hundred eight patients were treated during the study period. Thirty-seven (34%) patients had PVT, 12 (32%) of which involved the main PV. The cumulative dose for those with and without PVT was 139.7 Gy and 131.9 Gy, respectively. The partial response rate using world Health Organization (WHO) criteria was 42.2%. Using European Association for the Study of the Liver (EASL), the response rate was 70%. Kaplan-Meier survival varied depending on location of PVT and presence of cirrhosis. The adverse event (AE) rates were highest in patients with main PVT and cirrhosis. There were no cases of radiation pneumonitis. Conclusion: The use of minimally embolic 90Y glass microspheres to treat patients with HCC complicated by branch/lobar PVT may be clinically indicated and appears to have a favorable toxicity profile. Further investigation is warranted in patients with main PVT. (Hepatology 2007.)

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Metadata

Authors
Kulik, L. M., Carr, B. I., Mulcahy, M. F., Lewandowski, R. J., Atassi, B., Ryu, R. K., Sato, K. T., Benson, A., Nemcek, A. A., Gates, V. L., Abecassis, M., Omary, R. A., & Salem, R.
Venue
Hepatology
Published
2008-01
Volume
47
Issue
1
Pages
71-81
ISSN
0270-9139 (ISSN-L)
OpenAlex
W2081176013
Cited by
620
References
20
FWCI
20.86
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Safety and efficacy of 90Y radiotherapy for hepatocellular carcinoma with and without portal vein thrombosis. https://app.cochat.ai/papers/10.1002/hep.21980
The paper
Kulik, L. M., Carr, B. I., Mulcahy, M. F., Lewandowski, R. J., Atassi, B., Ryu, R. K., Sato, K. T., Benson, A., Nemcek, A. A., Gates, V. L., Abecassis, M., Omary, R. A., & Salem, R. (2008). Safety and efficacy of 90Y radiotherapy for hepatocellular carcinoma with and without portal vein thrombosis. Hepatology. https://doi.org/10.1002/hep.21980

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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