Radiation-Induced Cholecystitis after Hepatic Radioembolization: Do We Need to Take Precautionary Measures?

被引:11
|
作者
Prince, Jip F. [1 ]
van den Hoven, Andor F. [1 ]
van den Bosch, Maurice A. J. [1 ]
Elschot, Mattijs [1 ]
de Jong, Hugo W. A. M. [1 ]
Lam, Marnix G. E. H. [1 ]
机构
[1] Univ Med Ctr Utrecht, Dept Radiol & Nucl Med, NL-3584 CX Utrecht, Netherlands
关键词
CHEMOREFRACTORY LIVER METASTASES; Y-90; MICROSPHERES; MALIGNANCIES; OUTCOMES; SYSTEM; CANCER; TUMORS; RADIOEMBOLISATION; EMBOLIZATION; DOSIMETRY;
D O I
10.1016/j.jvir.2014.06.024
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Controversy exists over the need to take precautionary measures during hepatic radioembolization to minimize the risk of radiation-incluced cholecystitis. Strategies for a variety of clinical scenarios are discussed on the basis of a literature review. Precautionary measures are unnecessary in the majority of patients and should be taken only when single photon-emission computed tomography (CT; SPECT)/CT shows a significant concentration of technetium-99m macroaggregated albumin in the gallbladder Wall. In this case report with quantitative SPECT analysis, it is illustrated how an adjustment of the catheter position can effectively reduce the absorbed dose of radiation delivered to the gallbladder wall by more than 90%.
引用
收藏
页码:1717 / 1723
页数:7
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