Abstract
2034
Objectives: 1. Highlight the basis for use of Trans-arterial Radio-embolization in liver oncologic interventions. 2. Highlight indications and contraindications of Yttrium-90 Trans-arterial Radio-embolization in management of primary and secondary liver malignancies. 3. Elucidate pre-treatment planning, treatment, and post-treatment assessment of patients undergoing Yttrium-90 Trans-arterial Radio-embolization. 4. Present sample case of routine Yttrium-90 Trans-arterial Radio-embolization in patient with hepatic malignancy. 5. Highlight sample cases that demonstrate contraindications to Yttrium-90 Trans-arterial Radio-embolization from findings during pre-treatment planning. Abstract: Yttrium-90 Trans-arterial Radio-embolization (Y-90 TARE) has gained increasing application in multidisciplinary management of primary and secondary hepatic malignancies. The unique vascular signature of hepatic malignancies, when compared to normal liver parenchyma, lends itself to liver-directed trans-arterial therapies. Meticulous pre-treatment planning prior to Y-90 TARE improve the odds of achieving desired treatment goal while minimizing non-target distribution of Y-90 microspheres with resulting adverse outcomes. In FDG-avid tumors, FDG PET/CT, could play an important role in pre-treatment characterization of tumor burden as well as post-treatment assessment of tumor response to treatment [1].