A review of 3D image-based dosimetry, technical considerations and emerging perspectives in 90Y microsphere therapy

ABSTRACT

Yttrium-90 radioembolization (90Y-RE) is a well-established therapy for the treatment of hepatocellular carcinoma (HCC) and also of metastatic liver deposits from other malignancies. Nuclear Medicine and Cath Lab diagnostic imaging takes a pivotal role in the success of the treatment, and in order to fully exploit the efficacy of the technique and provide reliable quantitative dosimetry that are related to clinical endpoints in the era of personalized medicine, technical challenges in imaging need to be overcome. In this paper, the extensive literature on current 90Y-RE techniques and challenges facing it in terms of quantification and dosimetry are reviewed, with a focus on the current generation of 3D dosimetry techniques. Finally, new emerging techniques are reviewed which seek to overcome these challenges, such as high-resolution imaging, novel surgical procedures and the use of other radiopharmaceuticals for therapy and pre-therapeutic planning.

Keywords: dosimetry; molecular radiotherapy; 90Y microspheres; Monte Carlo; hepatocellular carcinoma

Citation: O’ Doherty J. A review of 3D image-based dosimetry, technical considerations and emerging perspectives in90Y microsphere therapy.  Journal of Diagnostic Imaging in Therapy. 2015; 2(2): 1-34.  

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DOI: http://dx.doi.org/10.17229/jdit.2015-0428-016

Copyright: © 2015 O’ Doherty J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are cited.  

Received: 08 April 2015 | Revised: 27 April 2015 | Accepted: 28 April 2015  

Published Online 28 April 2015 http://www.openmedscience.com

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JDIT-2015-0428-016