Chapter

Liver Radioembolization with 90Y Microspheres

Part of the series Medical Radiology pp 11-14

Identification of Candidates and Selection Criteria

  • Ralf-Thorsten HoffmannAffiliated withDepartment of Clinical Radiology, University Hospital — Grosshadern, Ludwigs-Maximilians-University of Munich
  • , Tobias F. JakobsAffiliated withDepartment of Clinical Radiology, University Hospital — Grosshadern, Ludwigs-Maximilians-University of Munich
  • , Maximilian F. ReiserAffiliated withDepartment of Clinical Radiology, University Hospitals — Grosshadern and Innenstadt, Ludwigs-Maximilians-University of Munich

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Abstract

The liver is the most frequent site of metastases as a result of the portal circulation and up to 60%-80% of patients with a history of colorectal carcinoma, pancreas carcinoma, breast cancer or other tumor types will develop metastases within the liver during the follow-up period [1]. There is no doubt that surgical resection of these metastases is the only potential curative option for these patients and is therefore considered as gold standard. However, due to anatomic or technical reasons or simple inoperability, only 20% of patients are suitable candidates for resection