Treatment FAQ

what hospitals can perform y-90 liver treatment

by Jazmin Borer Published 2 years ago Updated 2 years ago
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Minimally Invasive Cancer Treatment for Tumors – Y90, Chemoembolization, and Ablation The Interventional Radiology team at Rochester Regional Health offers the full spectrum of minimally invasive interventional treatments for liver cancer, including Y90 radioembolization (as well as other procedures such as chemoembolization and ablations).

Full Answer

What is yy-90 treatment for liver cancer?

Mary Washington Healthcare brings an innovative Y-90 Liver Cancer treatment our region. If you or a loved one has colorectal cancer that has spread (metastasized) to the liver, it is important to learn the facts and evaluate treatment options. A diagnosis of colorectal liver metastases can be overwhelming, but there is hope.

Would you recommend the Y-90 treatment?

Dec 18, 2019 · Y90 Radioembolization for Liver Tumors. Under the leadership of Dr. Sandeep Laroia, an experienced team of physicians and nurses at University of Iowa Hospital & Clinics has been offering Selective Internal Radiation Therapy (SIRT) for inoperable liver cancer since 2004.

Is Y-90 the best treatment for colon cancer?

Y90 is a common procedure in adults, but until recently was rarely used in children’s cancer treatment. TARE-Y90 is revolutionary because it targets the tumor without damaging the healthy parts of the liver. It offers children the opportunity to have their tumor removed through partial resection (removal of tissue) of their liver or a liver ...

How is a yttrium Y-90 catheter placed?

The second session is the delivery of the radiation into the liver cancer. The radiation is in the form of a radioactive isotope called Yttrium-90 or Y-90, which is fixed onto tiny glass or resin particles. Once a microcatheter is placed into the artery supplying the cancer, angiography is performed to confirm appropriate position, and the ...

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Does Y-90 cure liver cancer?

Y-90 radiotherapy sends radiation directly into the blood vessels that feed the tumors. This treatment does not cure liver tumors. But, it often controls or shrinks them. After this therapy, your doctors may advise other options such as chemotherapy or surgery.

How successful is Y-90 treatment?

Radioembolization is a treatment, not a cure. Approximately 70 to 95 percent of the patients will see improvement in the liver and, depending on the type of liver cancer, it may improve survival rates.

How many times can you have Y-90 treatments?

Patients are typically limited to two treatments, although doctors can take another approach — only with concentrated chemotherapy and larger particles — once radiation limits are reached.Jan 27, 2017

How long does Y-90 procedure take?

If there are multiple tumors, the procedure may need to be repeated in another blood vessel. The procedure takes about one hour to complete.

What are the side effects of Y-90 treatment?

Most patients have some side effects after the Y-90 treatment. These include pain, nausea, a low-grade fever, or chills. This is called post- embolization syndrome. You may have fevers for up to 1 week.

Are you radioactive after Y-90 treatment?

After treatment with Y-90 radioactive material, you will emit a small amount of radiation. These levels are quite low. After treatment, you have no special precautions to follow to limit exposing other people to radiation. It is safe for people to be around you.

How much does Y-90 cost?

The price of a Y-90 ranges from $30,000 to $35,000 with an average of $32,500. The price of a TACE ranges from $18,000 to $22,000 with an average of $20,000.

How long is Y-90 mapping?

The mapping procedure will take about 2-4 hours. Dr. Christenson will place a small plastic tube (called a catheter) into one of the vessels in your groin and direct the catheter to the blood vessels in your liver.

What is Y 90?

SIR-Spheres Y-90 resin microspheres are the only fully FDA PMA-approved Y-90 microspheres for colorectal cancer that has spread to the liver. 4 The treatment offers hope for patients who have one or more colorectal liver tumors which cannot be treated by surgical resection or ablation.

What is the Y-90 microsphere?

SIR-Spheres Y-90 resin microspheres are microscopic resin beads that contain the radioactive isotope Yttrium-90 (Y-90) and emit radiation to kill cancer cells. Due to their small size (1/3 the width of a human hair) and similar density to blood cells, the microspheres travel easily with the bloodstream directly to the liver tumors.

How to treat a tumor?

Treatment Goals & Patient Benefits: 1 Extend life 2 Increase the time until other treatments are needed 3 Shrink tumor size and in some cases allow for removal of tumor 4 Improve quality of life 5 Give fewer side effects 6 Provide symptom relief by surgery 7 Slow tumor growth

How to reduce the size of a tumor?

Extend life. Increase the time until other treatments are needed. Shrink tumor size and in some cases allow for removal of tumor. Improve quality of life. Give fewer side effects. Provide symptom relief by surgery. Slow tumor growth.

How long does it take to get rid of a tumor?

The treatment normally takes about 60 to 90 minutes, with most patients returning home four to six hours later. Patients are carefully monitored throughout and after the procedure.

How long does a fever last after a syringe?

Patients may also develop a mild fever that may last for up to a week and fatigue which may last for several weeks.

What is SIR sphere?

Selective Internal Radiation Therapy (SIRT) with SIR-Spheres Y-90 resin microspheres is considered a well-tolerated and effective method of using radiation to treat colorectal cancer that has spread to the liver and is often used in conjunction with chemotherapy .

What is Y-90 in Bethesda?

Y-90 is a treatment option available at Bethesda Hospital East for patients with liver cancer. SIR-Spheres® microspheres are tiny particles, about one-third the width of a human hair, that contain the radioactive isotope yttrium-90, or Y-90, and can be delivered directly to liver tumors. Bethesda is one of only 12 cancer centers in Florida, ...

What is Y-90?

Y-90 is a treatment option available at Bethesda Hospital East for patients with liver cancer. SIR-Spheres® microspheres are tiny particles, about one-third the width of a human hair, that contain the radioactive isotope yttrium-90, or Y-90, and can be delivered directly to liver tumors.

What is SIRT in medical terms?

Selective internal radiation therapy (SIRT), also known as radioembolization, is similar to other interventional radiology cancer therapies such as radiofrequency ablations and transarterial chemoembolization (TACE) in that it is a minimally invasive, imaging-guided procedure.

What is Y90 radiation?

What is Y90 Radioembolization (SIRT)? Radioembolization, also known as Selective Internal Radiation Therapy (SIRT), is a form of internal radiation therapy used in certain patients who are not candidates for surgery or percutaneous ablation of their liver tumors.

What is SIRT in medical terms?

Radioembolization, also known as Selective Internal Radiation Therapy (SIRT), is a form of internal radiation therapy used in certain patients who are not candidates for surgery or percutaneous ablation of their liver tumors. Beads coated with yttrium-90 (Y90) are delivered to the tumors in the liver through the arteries supplying the liver.

What is a yttrium 90?

"Yttrium-90" is the radioactive substance that’s sent into the tumor. The TARE-Y90 treatment is sort of like inserting a flexible straw (catheter) through a hose (the blood vessel).

What is NCORP in cancer?

one of only two National Cancer Institute Community Oncology Research Programs (NCORP) in the nation dedicated exclusively to children. Because our care and research go hand-in-hand, your child gets the newest evidenced-based treatments and techniques — and faster.

What is a UESL?

undifferentiated sarcoma of the liver (UESL) — also called “malignant mesenchymoma” or “embryonic sarcoma,” a rare liver tumor that most often affects children 6-10 years old. Your child may be a candidate for TARE-Y90 if: their liver tumor doesn’t respond to chemotherapy.

Treatments & Procedures

Radioembolization (Yttrium-90 embolization or selective internal radiation therapy)

Risks

Small risks of bleeding or infection. Radiation can cause harm to the normal liver, and non-target radiation damage to the stomach, bowel, or lung can rarely occur.

Post-procedure

Bed rest for 2-6 hours after each procedure, then discharge home. Although the radioactivity emitted from a treated patient is minimal, some radiation precautions may be prescribed by your interventional radiologist. A post-embolization syndrome consisting of fatigue, pain, and/or nausea can often occur, and may last several days or more.

Follow-up

If liver cancer is present in both lobes of the liver, a second radiation delivery session targeting the opposite side of the liver may be arranged for several weeks after the first.

For More Information

For more information or to schedule an appointment, please visit the contact us page.

When was yttrium 90 used?

Interventional radiologists have been the leaders in the use of intra-arterial yttrium-90 radioembolization, since its introduction in 2000, to treat liver cancer.

Does liver tissue help tumors?

Nov. 25, 2019 — A study discovered that healthy liver tissue surrounding a tumor activates a defense mechanism that restrains tumor growth . Remarkably, the researchers found that hyperactivation of this mechanism ...

Is radioembolization a curative treatment?

Radioembolization is a palliative, not a curative, treatment -- but patients benefit by having their lives extended and experiencing fewer side effects (such as the fatigue that can last for seven to 10 days after standard cancer therapy).

Can alcohol cause liver problems?

Alcohol Consumption in Late Teens Can Lead to Liver Problems in Adulthood. Jan. 21, 2018 — Alcohol is the leading cause of liver cirrhosis and liver-related deaths. Results of a large long-term study in Sweden have confirmed that drinking during late adolescence could be the first step ...

Is alcohol a cause of liver cirrhosis?

Jan. 21, 2018 — Alcohol is the leading cause of liver cirrhosis and liver-related deaths. Results of a large long-term study in Sweden have confirmed that drinking during late adolescence could be the first step ...

Does Y90 help with liver cancer?

Radioembolization with Y90 utilizes nuclear medicine to treat hepatic lesions. Most patients will see some improvement in their liver and it may improve survival and life expectancy rates, depending on the type of cancer. This treatment is not recommended in cases of severe kidney or liver dysfunction, abnormal blood clotting or blockages ...

What is Y90 treatment?

In contrast to most nuclear medicine applications, Y90 is therapeutic and designed to treat rather than simply diagnose. It is estimated that 75% to 95% of patients see improvement from treatment, potentially extending their lives or improving survival rates. In this post we’ll take a look at Y90, what it is, and how it works.

How to avoid radiation?

As a precaution, the following is recommended: 1 Contact with others is limited over the week as the radiation diminishes 2 Patients shouldn’t sleep in the same bed as a partner over that week 3 Patients should avoid public transport that requires them to sit next to another person for more than two hours 4 Patients should avoid close contact with children or pregnant women.

What is Y90 used for?

Yttrium-90 (Y90) is a commonly used isotope within the nuclear medicine and radiation oncology communities for radiation therapy. When used for the treatment, Y90 is relied upon to provide a prescribed amount of radiation to a targeted area. Y90 is most commonly used during a radioembolization therapy, an internal radiation therapy.

Is liver cancer a primary cancer?

Hepatic ( liver) tumors (lesions or masses) may originate as a primary cancer of the liver such as hepatocellular cancer (90% of primary liver cancers) or may be another form of cancer that has metastasized to the region. There are many treatment options available for hepatic lesions. The choice for treatment is generally based on how they present, ...

Is radioembolization painful?

The radioembolization procedure is generally painless for patients. For a small number of patients, ulcers may develop in the stomach or duodenum – these are treated as any other type of ulcer.

What is the Ergo camera?

A camera such as the Ergo with its digital technology captures all data without any holes and provides a more accurate picture. After the mapping process is complete, the images are further analyzed by the medical team and then an exact amount of Y90 is prescribed to treat the lesion.

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