Table 2.
Study | Number of patients | Tumor type | Isotope | Particle | Particle size (μm) | Multiple Injections/single infusion | Imaging | Needle gauge | Tumor sizea | Amount of fluid | Injected activity (MBq)/absorbed dose (Gy) |
---|---|---|---|---|---|---|---|---|---|---|---|
Kim 1962 [10] | 10 | Breast, bladder, brain, prostate, lung, metastasis | 90Y | Ceramic MS | 60 ± 5 | Multiple injections | |||||
Blanchard 1965 [11] | 12 | Bladder, prostate, breast, lung, metastasis | 90Y | Ceramic MS | 40–60 | Multiple injections | 925–11,100 MBq | ||||
Ariel 1978 [12] | 1 | Rhabdomyosarcoma | 90Y | Ceramic MS | 15 ± 10 | Multiple injections | 20 | 2 cm2 | 3 ml | 185 MBq | |
Order 1996 [15] | 47 | Pancreas carcinoma | 32P | CPP + MAA | 0.6–1.3 + 10–90 | Single infusion | CT | 22 | T1-T3 | <4.5 ml | 148–1110 MBq |
Tian 1996 [13] | 33 | 27 HCC 6 liver metastasis |
90Y | Glass MS | 0.6–1.3 + 10–90 | Multiple injections | US | 18 | 1.8–10.7 cm | 0.1–0.3 ml Max 1.5 ml/session |
370/4440 MBq |
Westlin 1997 [16] | 17 | Pancreas carcinoma | 32P | CPP + MAA | 0.6–1.3 + 10–90 | Single infusion | US | 19 | 13 cm3
(3.1–37.5) |
Max 25% tumor volume | 1390–9000 Gy |
DeNittes 1999 [17] | 5 | Pancreas carcinoma | 32P | CPP + MAA | 0.6–1.3 + 10–90 | Single infusion | US | 22 | 3–4.5 ml | 1110 MBq | |
Firusian 1999 [18] | 17 | Various solid malignancies | 32P | CPP | 0.6–2 | Single infusion | US | 10–290 cm3 | 5–15 ml | <20 cm3: 74 MBq 20–40 cm3: 148 MBq 50–100 cm3: 222 MBq >100 cm3: 2–3 sessions 100–200 cm3: 370 MBq 200–300 cm3: 555 MBq |
|
Montijo 2003 [19] | 1 | Pancreas carcinoma | 32P | CPP + MAA | 0.6–1.3 | Single infusion | 544 MBq | ||||
Alimi 2007 [20] | 14 | Secondary resistant H&N tumors | 32P | CPP | 0.6–1.3 | Single infusion | US | 5–15 ml | <20 cm3: 74 MBq 20–40 cm3: 148 MBq 41–50 cm3: 185 MBq 51–100 cm3: 296 MBq >100 cm3: in 2–5 sessions >100 cm3: 444 MBq |
||
Goh 2007 [14] | 8 | HCC | 32P | BioSilicon MS | 30 | Multiple injections | US/CT | 18 outer 22 inner |
7% of tumor volume | 4 MBq/cm3 of tumor | |
Rosemurgery 2008 [21] | 30 18 treated 12 control |
Pancreas carcinoma | 32P | CPP | 0.6–1.3 | Multiple Injections | CT | 19.7 ± 10.5 cm2
24.1 ± 16.8 cm2 |
25% of tumor volume | (18.5 MBq/g tissue max 740 MBq Median dose 1255.34 Gy |
HCC hepatocellular carcinoma, 90 Y yttrium-90, 32 P phosphorus-32, CPP chromic phosphate particles, MAA macroaggregated albumin, MS microspheres, US ultrasound, CT computed tomography, MBq megabecquerel, Gy Gray
aTumor size presented as TNM stage, mean ± SD, or median and/or range, cm: diameter, cm2: tumor cross-sectional area, cm3: volume