Transarterial Radioembolization for Hepatocellular Carcinoma in Korea: Current Clinical Practices, Facility Requirements, and Patient Selection
Before initiating Yttrium-90 (90Y) radioembolization, both the interventional radiology and nuclear medicine departments must prepare facilities for radionuclide handling, implement appropriate radiation protection and monitoring measures, and ensure that all medical personnel possess the require...
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2025-07-01
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| Series: | Journal of the Korean Society of Radiology |
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| Online Access: | https://doi.org/10.3348/jksr.2025.0049 |
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| _version_ | 1849730631144046592 |
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| author | Dongho Hyun |
| author_facet | Dongho Hyun |
| author_sort | Dongho Hyun |
| collection | DOAJ |
| description | Before initiating Yttrium-90 (90Y) radioembolization, both the interventional radiology and
nuclear medicine departments must prepare facilities for radionuclide handling, implement
appropriate radiation protection and monitoring measures, and ensure that all medical personnel
possess the required government-issued certification. According to current guidelines,
transarterial radioembolization is recommended as an alternative treatment option
for patients with a single hepatocellular carcinoma measuring ≤8 cm and classified as stage
I, II, or III according to the modified Union for International Cancer Control staging system.
However, these indications may be adjusted based on the institution’s medical clinical setting
and resources. Given the potential for irreversible tissue damage from 90Y, treatment efficacy
and safety must be assessed through planning angiography and either planar imaging
or SPECT-CT using 99mTc-macroaggregated albumin. |
| format | Article |
| id | doaj-art-0b79e310e8204e2f82623a40369d2108 |
| institution | DOAJ |
| issn | 2951-0805 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj-art-0b79e310e8204e2f82623a40369d21082025-08-20T03:08:48ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052025-07-01864447456https://doi.org/10.3348/jksr.2025.0049Transarterial Radioembolization for Hepatocellular Carcinoma in Korea: Current Clinical Practices, Facility Requirements, and Patient SelectionDongho HyunBefore initiating Yttrium-90 (90Y) radioembolization, both the interventional radiology and nuclear medicine departments must prepare facilities for radionuclide handling, implement appropriate radiation protection and monitoring measures, and ensure that all medical personnel possess the required government-issued certification. According to current guidelines, transarterial radioembolization is recommended as an alternative treatment option for patients with a single hepatocellular carcinoma measuring ≤8 cm and classified as stage I, II, or III according to the modified Union for International Cancer Control staging system. However, these indications may be adjusted based on the institution’s medical clinical setting and resources. Given the potential for irreversible tissue damage from 90Y, treatment efficacy and safety must be assessed through planning angiography and either planar imaging or SPECT-CT using 99mTc-macroaggregated albumin.https://doi.org/10.3348/jksr.2025.0049radioembolizationplanning angiography99mtc-maascintigraphyhepatocellular carcinoma |
| spellingShingle | Dongho Hyun Transarterial Radioembolization for Hepatocellular Carcinoma in Korea: Current Clinical Practices, Facility Requirements, and Patient Selection Journal of the Korean Society of Radiology radioembolization planning angiography 99mtc-maa scintigraphy hepatocellular carcinoma |
| title | Transarterial Radioembolization for Hepatocellular Carcinoma in Korea: Current Clinical Practices, Facility Requirements, and Patient Selection |
| title_full | Transarterial Radioembolization for Hepatocellular Carcinoma in Korea: Current Clinical Practices, Facility Requirements, and Patient Selection |
| title_fullStr | Transarterial Radioembolization for Hepatocellular Carcinoma in Korea: Current Clinical Practices, Facility Requirements, and Patient Selection |
| title_full_unstemmed | Transarterial Radioembolization for Hepatocellular Carcinoma in Korea: Current Clinical Practices, Facility Requirements, and Patient Selection |
| title_short | Transarterial Radioembolization for Hepatocellular Carcinoma in Korea: Current Clinical Practices, Facility Requirements, and Patient Selection |
| title_sort | transarterial radioembolization for hepatocellular carcinoma in korea current clinical practices facility requirements and patient selection |
| topic | radioembolization planning angiography 99mtc-maa scintigraphy hepatocellular carcinoma |
| url | https://doi.org/10.3348/jksr.2025.0049 |
| work_keys_str_mv | AT donghohyun transarterialradioembolizationforhepatocellularcarcinomainkoreacurrentclinicalpracticesfacilityrequirementsandpatientselection |