Digestive Diseases and Sciences

, Volume 53, Issue 9, pp 2556–2563

Fibrosis, Portal Hypertension, and Hepatic Volume Changes Induced by Intra-arterial Radiotherapy with 90Yttrium Microspheres

  • T. F. Jakobs
  • S. Saleem
  • B. Atassi
  • E. Reda
  • R. J. Lewandowski
  • V. Yaghmai
  • F. Miller
  • R. K. Ryu
  • S. Ibrahim
  • K. T. Sato
  • L. M. Kulik
  • M. F. Mulcahy
  • R. Omary
  • R. Murthy
  • M. F. Reiser
  • R. Salem
Original Paper

Abstract

Purpose To identify changes in hepatic parenchymal volume, fibrosis, and induction of portal hypertension following radioembolization with glass microspheres for patients with metastatic disease to the liver. Results In our series of sequential bilobar (n = 17) treatments, a mean decrease in liver volume of 11.8% was noted. In this group, a mean splenic volume increase of 27.9% and portal vein diameter increase of 4.8% were noted. For patients receiving unilobar treatments (n = 15), mean ipsilateral lobar volume decrease of 8.9%, contralateral lobar hypertrophy of 21.2%, and a 5.4% increase in portal vein diameter were also noted. These findings were not associated with clinical toxicities. Conclusion90Yttrium radioembolization utilizing glass microspheres in patients with liver metastases results in changes of hepatic parenchymal volume and also induced findings suggestive of fibrosis and portal hypertension. Further studies assessing the long-term effects are warranted.

Keywords

Liver metastases Radioembolization Radiation-induced liver disease Palliative treatment Fibrosis Portal hypertension 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • T. F. Jakobs
    • 1
  • S. Saleem
    • 2
  • B. Atassi
    • 2
  • E. Reda
    • 2
  • R. J. Lewandowski
    • 2
  • V. Yaghmai
    • 2
  • F. Miller
    • 2
  • R. K. Ryu
    • 2
  • S. Ibrahim
    • 2
  • K. T. Sato
    • 2
  • L. M. Kulik
    • 2
  • M. F. Mulcahy
    • 2
  • R. Omary
    • 2
  • R. Murthy
    • 3
  • M. F. Reiser
    • 1
  • R. Salem
    • 2
  1. 1.Department of RadiologyLudwig-Maximilians-University of MunichMunichGermany
  2. 2.Department of Interventional RadiologyNorthwestern Memorial HospitalChicagoUSA
  3. 3.Division of Diagnostic ImagingThe University of Texas M. D. Anderson Cancer CenterHoustonUSA

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