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Y90-Radioembolization of Lung Metastases via the Bronchial Artery: A Report of 2 Cases

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Abstract

We report successful Y90-radioembolization of the lung applying Y90-resin microspheres via the bronchial artery in two patients with diffuse colorectal and renal cancer metastases, respectively. The deposition of radioactive Y90-resin-microspheres was technically feasible and resulted in a reasonable absorbed dose in the tumors. However, open questions remain regarding dosimetry and safe dose exposure to the lung. The technique warrants thorough investigation before clinical use. A Phase I trial to evaluate safety and preliminary efficacy is under preparation.

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References

  1. Kahn PC, Paul RE, Rheinlander HF (1965) Selective bronchial arteriography and intra-arterial chemotherapy in carcinoma of the lung. J Thorac Cardiovasc Surg 50(5):640–645

    PubMed  CAS  Google Scholar 

  2. Neyazaki T, Ikeda M, Seki Y, Egawa N, Suzuki C (1969) Bronchial artery infusion therapy for lung cancer. Cancer 24(5):912–922

    Article  PubMed  CAS  Google Scholar 

  3. Soderberg CH, Colbert MP, Leone L (1964) Bronchial artery infusion therapy of lung neoplasms with nitrogen mustard. Surgery 56:897–904

    PubMed  Google Scholar 

  4. Osaki T, Hanagiri T, Nakanishi R, Yoshino I, Taga S, Yasumoto K (1999) Bronchial arterial infusion is an effective therapeutic modality for centrally located early-stage lung cancer: results of a pilot study. Chest 115(5):1424–1428

    Article  PubMed  CAS  Google Scholar 

  5. Nakanishi M, Umeda Y, Demura Y, Ameshima S, Chiba Y, Miyamori I, Ishizaki T (2007) Effective use of multi-arterial infusion chemotherapy for advanced non-small cell lung cancer patients: four clinical specified cases. Lung Cancer 55(2):241–247

    Article  PubMed  Google Scholar 

  6. Yan TD, King J, Sjarif A, Glenn D, Steinke K, Morris DL (2006) Percutaneous radiofrequency ablation of pulmonary metastases from colorectal carcinoma: prognostic determinants for survival. Ann Surg Oncol 13(11):1529–1537

    Article  PubMed  Google Scholar 

  7. Ricke J, Wust P, Wieners G, Hengst S, Pech M, Lopez Hänninen E, Felix R (2005) CT-guided interstitial single-fraction brachytherapy of lung tumors: phase I results of a novel technique. Chest 127(6):2237–2242

    Article  PubMed  Google Scholar 

  8. De Ruysscher D, Faivre-Finn C, Nestle U, Hurkmans CW, Le Péchoux C, Price A, Senan S (2010) European Organisation for Research and Treatment of Cancer recommendations for planning and delivery of high-dose, high-precision radiotherapy for lung cancer. J Clin Oncol 28(36):5301–5310

    Article  PubMed  Google Scholar 

  9. Schmoll HJ, Van Cutsem E, Stein A, Valentini V, Glimelius B, Haustermans K, Nordlinger B, van de Velde CJ, Balmana J, Regula J, Nagtegaal ID, Beets-Tan RG, Arnold D, Ciardiello F, Hoff P, Kerr D, Köhne CH, Labianca R, Price T, Scheithauer W, Sobrero A, Tabernero J, Aderka D, Barroso S, Bodoky G, Douillard JY, El Ghazaly H, Gallardo J, Garin A, Glynne-Jones R, Jordan K, Meshcheryakov A, Papamichail D, Pfeiffer P, Souglakos I, Turhal S, Cervantes A (2012) ESMO Consensus Guidelines for management of patients with colon and rectal cancer. A personalized approach to clinical decision making. Ann Oncol 23(10):2479–2516

    Article  PubMed  CAS  Google Scholar 

  10. Boyden EA (1955) Segmental anatomy of the lungs. McGraw Hill, New York

    Google Scholar 

  11. Jackson CL, Huber JF (1943) Correlated applied anatomy of the bronchial tree and lungs with a system of nomenclature. Dis Chest 9:319–326

    Article  Google Scholar 

  12. Ho S, Lau WY, Leung TW, Chan M, Johnson PJ, Li AK (1997) Clinical evaluation of the partition model for estimating radiation doses from yttrium-90 microspheres in the treatment of hepatic cancer. Clin Nucl Med 24(3):293–298

    CAS  Google Scholar 

  13. Escudier B, Kataja V (2010) ESMO Guidelines Working Group. Renal cell carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 21(Suppl 5):v137–v139

    Article  PubMed  Google Scholar 

  14. Vogl TJ, Wetter A, Lindemayr S, Zangos S (2005) Treatment of unresectable lung metastases with transpulmonary chemoembolization: preliminary experience. Radiology 234(3):917–922

    Article  PubMed  Google Scholar 

  15. Jonas AM, Carrington CB (1969) Vascular patterns in primary and secondary pulmonary tumors in the dog. Am J Pathol 56(1):79–95

    PubMed  CAS  Google Scholar 

  16. Liebow A, Hales MR, Lindskog GE, Bloomer W (1947) Plastic demonstrations of pulmonary pathology. Bull Int Ass Med Mus 27:116–129

    Google Scholar 

  17. Noonan CD, Margulis AR, Wright R (1965) Bronchial arterial patterns in pulmonary metastasis. Radiology 84:1033–1042

    PubMed  CAS  Google Scholar 

  18. Newton TH, Preger L (1965) Selective bronchial arteriography. Radiology 84:1043–1051

    PubMed  CAS  Google Scholar 

  19. Milne EN (1967) Circulation of primary and metastatic pulmonary neoplasms: a postmortem microarteriographic study. Am J Roentgenol Radium Ther Nucl Med 100:603–619

    Article  PubMed  CAS  Google Scholar 

  20. Watanabe Y, Shimizu J, Murakami S, Yoshida M, Tsubota M, Iwa T, Kitagawa M, Mizukami Y, Nonomura A, Matsubara F (1990) Reappraisal of bronchial arterial infusion therapy for advanced lung cancer. Jpn J Surg 20(1):27–35

    Article  PubMed  CAS  Google Scholar 

  21. Milne EN, Zerhouni AE (1987) Blood supply of pulmonary metastases. J Thorac Imaging 2:15–23

    Article  PubMed  CAS  Google Scholar 

  22. Yuan X, Zhang J, Ao G, Quan C, Tian Y, Li H (2012) Lung cancer perfusion: can we measure pulmonary and bronchial circulation simultaneously? Eur Radiol 22(8):1665–1671

    Article  PubMed  Google Scholar 

  23. Kennedy AS, Nutting C, Coldwell D, Gaiser J, Drachenberg C (2004) Pathologic response and microdosimetry of (90)Y microspheres in man: review of four explanted whole livers. Int J Radiat Oncol Biol Phys 60(5):1552–1563

    Article  PubMed  CAS  Google Scholar 

  24. Kennedy AS, Dezarn WA, McNeillie P, Coldwell D, Nutting C, Carter D et al (2008) Radioembolization for unresectable neuroendocrine hepatic metastases using resin 90Y-microspheres: early results in 148 patients. Am J Clin Oncol 31(3):271–279

    Article  PubMed  Google Scholar 

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Conflict of interest

Jens Ricke, Oliver Großer, and Holger Amthauer have received research grants as well as honoraria by Sirtex Inc.

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Correspondence to Jens Ricke.

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Ricke, J., Großer, O. & Amthauer, H. Y90-Radioembolization of Lung Metastases via the Bronchial Artery: A Report of 2 Cases. Cardiovasc Intervent Radiol 36, 1664–1669 (2013). https://doi.org/10.1007/s00270-013-0690-3

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  • DOI: https://doi.org/10.1007/s00270-013-0690-3

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