Keywords:
Performed at one institution, Not applicable, Neoplasia, Multidisciplinary cancer care, Cancer, Radionuclide therapy, Radioembolisation, Brachytherapy, PET-CT, Image manipulation / Reconstruction, CT-Angiography, Liver, Interventional vascular, Hybrid Imaging, Interventional Radiography
Authors:
P. Molinari1, G. Falagario1, V. BUONO1, F. De Filippis1, M. Carlucci1, C. D. Gadaleta1, G. Ranieri1, G. MASTRANDREA1, G. C. Laricchia2; 1BARI/IT, 2Bari, Bari/IT
DOI:
10.26044/ecr2020/C-05752
Purpose
Our study describes the performance of Yttrium-90 radioembolization (90Y-RE) for the treatment of hepatocellular carcinoma (HCC) and liver metastases, focusing on the safety and results of treatment in selected patients under general anesthesia. Safety and technical-methodological aspects were evaluated, underlining the role of Radiographer in a hybrid operating/interventional room equipped with Angiography and CT scanning capability, so-called MIYABI Angio-CT.
We practice this technique using a multidisciplinary teamwork made up of interventional radiologist, physicist, oncologist, internist, nuclear medicine physician, anesthesiologist, Radiographer and a nursing supervisor. This specialist cancer Team, so-called SIRTeam, pulls together on a regular meeting cadence (weekly) in order to discuss and agree on the care plan for patients confirmed cancer.
The role of the Radiographer is very important. The images that are detected from a three-phase CT technique, an intra-arterial CT technique and an arteriographic technique must be obtained, processed, integrated and elaborated. After processing they must be delivered to the physicists and the nuclear medicine physicians.
So these weekly meetings are important to select patients with inoperable liver cancer.