Skip to main content

Hepatocellular Carcinoma

  • Chapter
  • First Online:
Carbon-Ion Radiotherapy
  • 1773 Accesses

Abstract

Clinical trials of carbon-ion radiotherapy (C-ion RT) for hepatocellular carcinoma (HCC) were conducted at the National Institute of Radiological Sciences (NIRS) in Japan between April 1995 and August 2005. In four clinical studies, we tried to determine the optimal dose and to shorten the treatment duration with five different fractionation schedules, using 15, 12, 8, 4, and 2 fractionations. There have been no treatment-related deaths and no severe adverse events. As a result of these studies, the duration of treatment could be reduced from 5 weeks to 2 days. Two-fraction therapy is currently ongoing under the license of Highly Advanced Medical Technology. Because of the low toxicity and good local control rate, C-ion RT is a promising radical and minimally invasive therapeutic option for HCC.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Ingold DK, Reed GB, Kaplan HS, et al. Radiation hepatitis. Am J Roentgenol. 1965;93:200–8.

    CAS  Google Scholar 

  2. Phillips R, Murikami K. Primary neoplasms of the liver. Results of radiation therapy. Cancer. 1960;13:714–20.

    Article  CAS  PubMed  Google Scholar 

  3. Stillwagon GB, Order SE, Guse C, et al. 194 Hepatocellular cancers treated by radiation and chemotherapy combinations: toxicity and response: a Radiation Therapy Oncology Group study. Int J Radiat Oncol Biol Phys. 1989;17:1223–9.

    Article  CAS  PubMed  Google Scholar 

  4. Robertson JM, Lawrence TS, Dworzanin LM, et al. Treatment of primary hepatobiliary cancers with conformal radiation therapy and regional chemotherapy. J Clin Oncol. 1993;11:1286–93.

    CAS  PubMed  Google Scholar 

  5. Xi M, Liu MZ, Deng XW, et al. Defining internal target volume (ITV) for hepatocellular carcinoma using four-dimensional CT. Radiother Oncol. 2007;84:272–8.

    Article  PubMed  Google Scholar 

  6. Sato K, Yamada H, Ogawa K, et al. Performance of HIMAC. Nucl Phys. 1995;A588:229–34.

    Article  Google Scholar 

  7. Ohto M, Ebara M, Yoshikawa M, et al. Radiation therapy and percutaneous ethanol injection for the treatment of HCC. In: Okuda K, Ishak KG, editors. Neoplasm of the liver. Tokyo: Springer; 1987. p. 335–41.

    Chapter  Google Scholar 

  8. Yasuda S, Ito H, Yoshikawa M, et al. Radiotherapy for large HCC combined with transcatheter arterial embolization and percutaneous ethanol injection therapy. Int J Oncol. 1999;15:467–73.

    CAS  PubMed  Google Scholar 

  9. Cheng JC-H, Chuang VP, Cheng SH, et al. Local radiotherapy with or without transcatheter arterial chemoembolization for patients with unresectable HCC. Int J Radiat Oncol Biol Phys. 2000;47:435–42.

    Article  CAS  PubMed  Google Scholar 

  10. Guo W-J, Yu E-X. Evaluation of combined therapy with chemoembolization and irradiation for large HCC. Br J Radiol. 2000;73:1091–7.

    CAS  PubMed  Google Scholar 

  11. Kawashima M, Furuse J, Nishio T, et al. Phase II study of radiotherapy employing proton beam for HCC. J Clin Oncol. 2005;23:1839–46.

    Article  PubMed  Google Scholar 

  12. Fukumitsu N, Sugahara S, Nakayama H, et al. A prospective study of hypofractionated proton beam therapy for patients with hepatocellular carcinoma. Int J Radiat Oncol Biol Phys. 2009;74:831–6.

    Article  PubMed  Google Scholar 

  13. Kanai T, Furusawa Y, Fukutsu K, Itsukaichi H, Eguchi-Kasai K, Ohara H. Irradiation of mixed beam and design of spread-out Bragg peak for heavy-ion radiotherapy. Radiat Res. 1997;147:78–85.

    Article  CAS  PubMed  Google Scholar 

  14. Kanai T, Endo M, Minohara S, et al. Biophysical characteristics of HIMAC clinical irradiation system for heavy-ion radiation therapy. Int J Radiat Oncol Biol Phys. 1999;44:201–10.

    Article  CAS  PubMed  Google Scholar 

  15. Tsujii H, Morita S, Miyamoto T, et al. Preliminary results of phase I/II carbon ion therapy. J Brachyther Int. 1997;13:1–8.

    Google Scholar 

  16. Kato H, Tsujii H, Miyamoto T, et al. Results of the first prospective study of carbon ion radiotherapy for hepatocellular carcinoma with liver cirrhosis. Int J Radiat Oncol Biol Phys. 2004;59:1468–76.

    Article  PubMed  Google Scholar 

  17. Endo M, Koyama-Ito H, Minohara S, et al. HIPLAN-a heavy ion treatment planning system at HIMAC. J Jpn Soc Ther Radiol Oncol. 1996;8:231–8.

    Google Scholar 

  18. Minohara S, Kanai T, Endo M, et al. Respiratory gated irradiation system for heavy-ion radiotherapy. Int J Radiat Oncol Biol Phys. 2000;47:1097–103.

    Article  CAS  PubMed  Google Scholar 

  19. Kudo M, Arii S, Ikari I, et al. Report of the 18th nationwide follow-up survey of primary liver cancer in Japan. Kanzo. 2010;51:460–84.

    Article  Google Scholar 

  20. Imada H, Kato H, Yasuda S, et al. Compensatory enlargement of the liver after treatment of hepatocellular carcinoma with carbon ion radiotherapy – relation to prognosis and liver function. Radiother Oncol. 2010;96:236–42.

    Article  PubMed  Google Scholar 

  21. Imada H, Kato H, Yasuda S, et al. Comparison of efficacy and toxicity of short-course carbon ion radiotherapy for hepatocellular carcinoma depending on their proximity of the porta hepatis. Radiother Oncol. 2010;96:231–5.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shigeo Yasuda .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Japan

About this chapter

Cite this chapter

Yasuda, S. (2014). Hepatocellular Carcinoma. In: Tsujii, H., Kamada, T., Shirai, T., Noda, K., Tsuji, H., Karasawa, K. (eds) Carbon-Ion Radiotherapy. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54457-9_25

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-54457-9_25

  • Published:

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54456-2

  • Online ISBN: 978-4-431-54457-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics