Interventional Oncology: Optimizing Transarterial Therapies for the Treatment of Hepatic Malignancy

Tech Vasc Interv Radiol. 2018 Dec;21(4):205-222. doi: 10.1053/j.tvir.2018.07.002. Epub 2018 Jul 31.

Abstract

The rapidly evolving field of interventional oncology comprises both diagnostic and therapeutic procedures for the treatment of various malignancies. With respect to the liver, the most commonly utilized therapeutic procedures include thermal tumor ablation and transarterial embolization. Transarterial embolization techniques include bland embolization, chemoembolization and radioembolization. To safely and effectively perform these transarterial therapies, the interventional radiologist must have a thorough understanding of relevant arterial anatomy and proficiency in optimally delivering the pertinent embolic agent. This article will discuss various angiographic techniques as well as provide a detailed review of relevant hepatic arterial anatomy.

Keywords: Chemoembolization; Hepatic malignancy; Liver cancer; Radioembolization; TACE; TARE; Yttrium-90 (90-Y).

Publication types

  • Review

MeSH terms

  • Angiography / methods*
  • Antineoplastic Agents / administration & dosage*
  • Chemoembolization, Therapeutic / methods*
  • Embolization, Therapeutic / methods*
  • Hepatic Artery / anatomy & histology*
  • Humans
  • Liver Neoplasms / therapy*
  • Radiography, Interventional*
  • Radiopharmaceuticals / administration & dosage*
  • Yttrium Radioisotopes / administration & dosage*

Substances

  • Antineoplastic Agents
  • Radiopharmaceuticals
  • Yttrium Radioisotopes