Skip to main content

Results in Liver Metastatic Colorectal Cancer

  • Chapter
Liver Radioembolization with 90Y Microspheres

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 1018 Accesses

Abstract

Patients with metastatic colorectal cancer (mCRC) involving the liver present several therapeutic challenges for the oncology team. The majority of patients will not be candidates for potentially curative surgical resection and therefore must rely on other local therapies to augment systemic cheotherapy. Unlike some other solid tumors with liver métastases, mCRC patients now have access to a plethora of new biologic agents and cytotoxic drugs that did not exist a decade ago. Changes in liver arterial caliber and tolerance of liver lobules to radiation are both negatively effected by these new systemic therapies and have had an impact on aspects of microsphere therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Muller JH, Rossier PH (1951) A new method for the treatment of cancer of the lungs by means of artificial radioactivity (Zn63 and Aul98). Acta Radiol 35:449–468

    Article  PubMed  CAS  Google Scholar 

  2. Ya PM, Guzman T, Loken MK et al (1961) Isotope localization with tagged microspheres. Surgery 49:644–650

    PubMed  CAS  Google Scholar 

  3. Di Matteo G, Gennarelli L, Lenti R (1962) Una nuova metodica per la fissazione elettiva delP Aul98 adsorbio su carbonio in terriori lobari e sublobari. Gazz Intern Med Chir 67:1875

    Google Scholar 

  4. Kim YS, LaFave JW, MacLean LD (1962) The Use of Radiating Microspheres in the Treatment of Experimental and Human Malignancy. Surgery 52:220

    PubMed  CAS  Google Scholar 

  5. Grady ED, Sale WT, Rollins LC (1963) Localization of radioactivity by intravascular injection of large radioactive particles. Ann Surg 157:97–114

    Article  PubMed  CAS  Google Scholar 

  6. Ariel IM (1964) Radioactive isotopes for adjuvant cancer therapy. Arch Surg 89:244–249

    PubMed  CAS  Google Scholar 

  7. Blanchard RJ, Grotenhuis I, LaFave JW (1964) Treatment of experimental tumors: utilization of radioactive micro-spheres. Arch Surg 89:406

    PubMed  CAS  Google Scholar 

  8. Ariel IM (1965) Treatment of inoperable primary pancreatic and liver cancer by the intra-arterial administration of radioactive isotopes (Y90 radiating microspheres). Ann Surg 162:267–278

    Article  PubMed  CAS  Google Scholar 

  9. Blanchard RJ, LaFave JW, Kim YS (1965) Treatment of patients with advanced cancer using Y-90 microspheres. Cancer18:375

    Article  PubMed  CAS  Google Scholar 

  10. Caldarola L, Rosa U, Badellino F (1965) Preparation of 32P labelled resin microspheres for radiation treatment of tumors by intraarterial injection. Panminerva Med 7:102

    CAS  Google Scholar 

  11. Caldarola L, Badellino F, Del Fante FM (1966) L’impiego del P32 nel trattamento chirurgico dei tumori maligni oro-maxillo-faciali. Minerva Stomatol 15:471

    PubMed  CAS  Google Scholar 

  12. Ariel IM, Pack GT (1967) Treatment of inoperable cancer of the liver by intra-arterial radioactive isotopes and chemotherapy. Cancer 20:793–804

    Article  PubMed  CAS  Google Scholar 

  13. Simon N, Warner RRP, Baron MG et al (1968) Intra-arterial irradiation of carcinoid tumors of the liver. Am J Roentgenol Radium Ther Nucl Med 102:552–561

    PubMed  CAS  Google Scholar 

  14. Simon N, Silverstone SM, Roach LC et al (1971) Intra-arterial irradiation of tumors, a safe procedure. Am J Roent-genol Radium Ther Nucl Med 112:732–739

    CAS  Google Scholar 

  15. Lawrence TS, Robertson JM, Anscher MS et al (1995) Hepatic toxicity resulting from cancer treatment. Int J Radiat Oncol Biol Phys 31:1237–1248

    PubMed  CAS  Google Scholar 

  16. Lax I, Blomgren H, Naslund I et al (1994) Stereotactic radiotherapy of malignancies in the abdomen. Methodological aspects. Acta Oncol 33:677–683

    CAS  Google Scholar 

  17. Sailer SL (2000) Three dimensional conformai radiotherapy. In: Gunderson L, Tepper J (eds) Clinical radiation oncology. Churchhill Livingstone, Philadelphia, pp 236–255

    Google Scholar 

  18. Dawson LA, Lawrence TS (2004) The role of radiotherapy in the treatment of liver métastases. Cancer J 10:139–144

    Article  PubMed  Google Scholar 

  19. Dawson LA, Ten Haken RK (2005) Partial volume tolerance of the liver to radiation. Semin Radiat Oncol 15:279–283

    Article  PubMed  Google Scholar 

  20. Lawrence TS, Ten Haken RK, Kessler ML et al (1992) The use of 3-D dose volume analysis to predict radiation hepatitis. Int J Radiat Oncol Biol Phys 23:781–788

    PubMed  CAS  Google Scholar 

  21. Ricke J, Seidensticker M, Ludemann L et al (2005) In vivo assessment of the tolerance dose of small liver volumes after single-fraction HDR irradiation. Int J Radiat Oncol Biol Phys 62:776–784

    PubMed  Google Scholar 

  22. Ricke J, Wust P, Stohlmann A et al (2004) CT-guided interstitial brachytherapy of liver malignancies alone or in combination with thermal ablation: phase I-II results of a novel technique. Int J Radiat Oncol Biol Phys 58:1496–1505

    Article  PubMed  Google Scholar 

  23. Nag S, DeHaan M, Scruggs G et al (2006) Long-term follow-up of patients of intrahepatic malignancies treated with iodine-125 brachytherapy. Int J Radiat Oncol Biol Phys 64:736–744

    PubMed  Google Scholar 

  24. Müller JH, Rossier PH (1947) Treatment of cancer of the lungs by artificial radioactivity. Experientia 3:75

    Article  Google Scholar 

  25. Grady ED, Sale WT, Rollins LC (1963) Localization of radioactivity by intravascular injection of large radioactive particles. Ann Surg 157:97–114

    Article  PubMed  CAS  Google Scholar 

  26. Nolan T, Grady ED, Crumbley AJ (1973) Regional internal radiation for hepatic cancer. Minerva Oncol 1:104–106

    Google Scholar 

  27. Nolan T, Grady ED, Crumbley AJ et al (1975) Internal hepatic radiotherapy: I. Organ distribution of colloidal Cr32 PO4 injected into a peripheral vein, the portal vein, or the arterial supply of the gastrointestinal tract in the rat. Am J Roentgenol Radium Ther Nucl Med 124:590–595

    PubMed  CAS  Google Scholar 

  28. Grady ED, Nolan T, Larose JH et al (1975) Internal hepatic radiotherapy: II. Intra-arterial radiocolloid therapy for hepatic tumors. Am J Roentgenol Ther Nucl Med 124:596–599

    CAS  Google Scholar 

  29. Grady ED (1979) Internal radiation therapy of hepatic cancer. Dis Colon Rectum 22:371–375

    Article  PubMed  CAS  Google Scholar 

  30. Mantravadi RV, Spigos DG, Tan WS et al (1982) Intraarte-rial yttrium 90 in the treatment of hepatic malignancy. Radiology 142:783–786

    PubMed  CAS  Google Scholar 

  31. Ariel IM, Padula G (1982) Treatment of asymptomatic metastatic cancer to the liver from primary colon and rectal cancer by the intraarterial administration of chemotherapy and radioactive isotopes. J Surg Oncol 20:151–156

    Article  PubMed  CAS  Google Scholar 

  32. Blanchard RJW (1983) Treatment of liver tumours with yttrium-90 microspheres. Can J Surg 26:442–443

    Google Scholar 

  33. Gyves JW, Ziessman HA, Ensminger WD et al (1984) Definition of hepatic tumor microcirculation by single photon emission computerized tomography (SPECT). J Nucl Med 25:972–977

    PubMed  CAS  Google Scholar 

  34. Gray BN (1980) Colorectal cancer: the modern treatment of disseminated disease-a review. Aust N Z J Surg 50:647–658

    Article  PubMed  CAS  Google Scholar 

  35. Blanchard RJ, Morrow IM, Sutherland JB (1989) Treatment of liver tumors with yttrium-90 microspheres alone. Can Assoc Radiol J 40:206–210

    PubMed  CAS  Google Scholar 

  36. Burton MA, Gray BN, Klemp PF et al (1989) Selective internal radiation therapy: distribution of radiation in the liver. Eur J Cancer Clin Oncol 25:1487–1491

    Article  PubMed  CAS  Google Scholar 

  37. Gray BN, Burton MA, Kelleher DK et al (1989) Selective internal radiation (SIR) therapy for treatment of liver métastases: measurement of response rate. J Surg Oncol 42:192–196.

    Article  PubMed  CAS  Google Scholar 

  38. Gray BN, Burton MA, Kelleher D et al (1990) Tolerance of the liver to the effects of Yttrium-90 radiation. Int J Radiat Oncol Biol Phys 18:619–623

    PubMed  CAS  Google Scholar 

  39. Gray BN, Anderson JE, Burton MA et al (1992) Regression of liver métastases following treatment with yttrium-90 microspheres. Aust N Z J Surg 62:105–110

    PubMed  CAS  Google Scholar 

  40. Anderson JH, Goldberg JA, Bessent RG et al (1992) Glass yttrium-90 microspheres for patients with colorectal liver métastases. Radiother Oncol 25:137–139

    Article  PubMed  CAS  Google Scholar 

  41. Gray BN (1980) Colorectal cancer: the natural history of disseminated disease-a review. Aust N Z J Surg 50:643–646

    Article  PubMed  CAS  Google Scholar 

  42. Marn CS, Andrews JC, Francis IR et al (1993) Hepatic parenchymal changes after intraarterial Y-90 therapy: CT findings. Radiology 187:125–128

    PubMed  CAS  Google Scholar 

  43. Stribley KV, Gray BN, Chmiel RL et al (1983) Internal radiotherapy for hepatic métastases I: The homogeneity of hepatic arterial blood flow. J Surg Res 34:17–24

    Article  PubMed  CAS  Google Scholar 

  44. Stribley KV, Gray BN, Chmiel RL et al (1983) Internal radiotherapy for hepatic métastases II: The blood supply to hepatic métastases. J Surg Res 34:25–32

    Article  PubMed  CAS  Google Scholar 

  45. Burton MA, Gray BN, Jones C et al (1989) Intraoperative dosimetry of 90Y in liver tissue. Int J Rad Appl Instrum B 16:495–498

    PubMed  CAS  Google Scholar 

  46. Fox RA, Klemp PF, Egan G et al (1991) Dose distribution following selective internal radiation therapy. Int J Radiat Oncol Biol Phys 21:463–467

    PubMed  CAS  Google Scholar 

  47. Roberson PL, Ten Haken R, McShan DL et al (1992) Three-dimensional tumor dosimetry for hepatic Yttrium-90 microsphere therapy. J Nuclear Medicine 33:735–738

    CAS  Google Scholar 

  48. Burton MA, Gray BN, Coletti A (1988) Effect of angioten-sin II on blood flow in the transplanted sheep squamous cell carcinoma. Eur J Cancer Clin Oncol 24:1373–1376

    Article  PubMed  CAS  Google Scholar 

  49. Herba MJ, Illescas FF, Thirlwell MP et al (1988) Hepatic malignancies: improved treatment with intraarterial Y-90. Radiology 169:311–314

    PubMed  CAS  Google Scholar 

  50. Ehrhardt G, Day DE (1987) Therapeutic use of 90Y micro-spheres. Int J Rad Appl Instrum B 14:233–242

    PubMed  CAS  Google Scholar 

  51. Russell JJL, Carden JJL, Herron HL (1988) Dosimetry calculations for yttrium-90 used in the treatment of liver cancer. Endocurietherapy/Hyperthermia Oncology 4:171–186

    Google Scholar 

  52. Andrews JC, Walker SC, Ackermann RJ et al (1994) Hepatic radioembolization with yttrium-90 containing glass microspheres: preliminary results and clinical follow-up. J Nucl Med 35:1637–1644

    PubMed  CAS  Google Scholar 

  53. Leung TW, Lau WY, Ho SK et al (1995) Radiation pneu-monitis after selective internal radiation treatment with intraarterial 90yttrium-microspheres for inoperable hepatic tumors. Int J Radiat Oncol Biol Phys 33:919–924

    PubMed  CAS  Google Scholar 

  54. Harbert JC, Ziessman HA (1987) Therapy with intraarte-rial microspheres. Nuclear Medicine Annual 295–319

    Google Scholar 

  55. Ariel IM, Padula G (1978) Treatment of symptomatic met-astatic cancer to the liver from primary colon and rectal cancer by the intraarterial administration of chemotherapy and radioactive isotopes. J Surg Oncol 10:327–336

    Article  PubMed  CAS  Google Scholar 

  56. Herba M, Thirlwell MP (2002) Radioembolization for hepatic métastases. Semin Oncol 29:152–159

    Article  PubMed  Google Scholar 

  57. Kennedy AS, Coldwell D, Nutting C et al (2006) Resin 90Y-microsphere brachytherapy for unresectable colorectal liver métastases: modern USA experience. Int J Radiat Oncol Biol Phys 65:412–425

    PubMed  CAS  Google Scholar 

  58. Stubbs RS, Cannan RJ, Mitchell AW (2001) Selective internal radiation therapy (SIRT) with 90Yttrium microspheres for extensive colorectal liver métastases. Hepatogastro-enterology 48:333–337

    CAS  Google Scholar 

  59. Stubbs RS, O’Brien I, Correia MM (2006) Selective internal radiation therapy with 90Y microspheres for colorec-tal liver métastases: single-centre experience with 100 patients. ANZ J Surg 76:696–703

    Article  PubMed  Google Scholar 

  60. Gray B, Van Hazel G, Hope M et al (2001) Randomised trial of SIR-Spheres plus chemotherapy vs. chemotherapy alone for treating patients with liver métastases from pri-mary large bowel cancer. Ann Oncol 12:1711–1720

    Article  PubMed  CAS  Google Scholar 

  61. Lewandowski RJ, Thurston KG, Goin JE et al (2005) 90Y microsphere (TheraSphere) treatment for unresectable colorectal cancer métastases of the liver: response to treatment at targeted doses of 135-150 Gy as measured by [18F]fluorodeoxyglucose positron emission tomogra-phy and computed tomographic imaging. J Vasc Interv Radiol 16:1641–1651

    PubMed  Google Scholar 

  62. Sharma RA, Van Hazel GA, Morgan B et al (2007) Radioembolization of liver métastases from colorectal cancer using yttrium-90 microspheres with concomitant systemic oxaliplatin, fluorouracil, and leucovorin chemotherapy. J Clin Oncol 25:1099–1106

    Article  PubMed  CAS  Google Scholar 

  63. Van Hazel G, Blackwell A, Anderson J, Price D, Moroz P, Bower G, Cardaci J, Gray B (2004) Randomised phase II trial of SIR-spheres plus flrorouracil/leucovrin chemotherapy versus fluororacil/leucovorin chemotherapy alone in advanced colorectal cancer. J Surg Oncol 88:78–85

    Article  PubMed  CAS  Google Scholar 

  64. Van Hazel G, Pavlakis N, Goldstein D et al (2005) Selective internal radiation therapy (SIRT) plus systemic chemotherapy with irinotecan. A phase I dose escalation study. Proceedings of the ASCO GI Cancers Symposium 223

    Google Scholar 

  65. Van Hazel G, Price D, Bower G et al (2005) Selective internal radiation therapy (SIRT) plus systemic chemotherapy with Oxaliplatin, 5-Fluorouracil and Leucovorin: A phase I dose escalation study. Proceedings of the ASCO GI Cancers Symposium 133

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kennedy, A.S., Dezarn, W.A., McNeillie, P. (2008). Results in Liver Metastatic Colorectal Cancer. In: Bilbao, J.I., Reiser, M.F. (eds) Liver Radioembolization with 90Y Microspheres. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-35423-9_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-35423-9_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-35421-5

  • Online ISBN: 978-3-540-35423-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics