ACR–ABS–ACNM–ASTRO–SIR–SNMMI practice parameter for selective internal radiation therapy or radioembolization for treatment of liver malignancies

Kelvin Hong, Olaguoke Akinwande, Lisa Bodei, Murthy RK Chamarthy, Phillip M. Devlin, Shana Elman, Suvranu Ganguli, Andrew S. Kennedy, Sonya J. Koo, Zoubir Ouhib, Siddharth A. Padia, Riad Salem, Reed G. Selwyn, Catheryn M. Yashar, Don C. Yoo, Bassem I. Zaki, Alan C. Hartford, Clayton K. Trimmer

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: The American College of Radiology (ACR), American Brachytherapy Society (ABS), American College of Nuclear Medicine (ACNM), American Society for Radiation Oncology (ASTRO), Society of Interventional Radiology (SIR), and Society of Nuclear Medicine and Molecular Imaging (SNMMI) have jointly developed a practice parameter on selective internal radiation therapy (SIRT) or radioembolization for treatment of liver malignancies. Radioembolization is the embolization of the hepatic arterial supply of hepatic primary tumors or metastases with a microsphere yttrium-90 brachytherapy device. Materials and Methods: The ACR -ABS -ACNM -ASTRO -SIR -SNMMI practice parameter for SIRT or radioembolization for treatment of liver malignancies was revised in accordance with the process described on the ACR website (https://www.acr.org/ClinicalResources/Practice-Parameters-and-Technical-Standards) by the Committee on Practice Parameters—Interventional and Cardiovascular Radiology of the ACR Commission on Interventional and Cardiovascular, Committee on Practice Parameters and Technical Standards—Nuclear Medicine and Molecular Imaging of the ACR Commission on Nuclear Medicine and Molecular Imaging and the Committee on Practice Parameters—Radiation Oncology of the ACR Commission on Radiation Oncology in collaboration with ABS, ACNM, ASTRO, SIR, and SNMMI. Results: This practice parameter is developed to serve as a tool in the appropriate application of radioembolization in the care of patients with conditions where indicated. It addresses clinical implementation of radioembolization including personnel qualifications, quality assurance standards, indications, and suggested documentation. Conclusions: This practice parameter is a tool to guide clinical use of radioembolization. It focuses on the best practices and principles to consider when using radioemboliozation effectively. The clinical benefit and medical necessity of the treatment should be tailored to each individual patient.

Original languageEnglish (US)
Pages (from-to)497-511
Number of pages15
JournalBrachytherapy
Volume20
Issue number3
DOIs
StatePublished - May 1 2021
Externally publishedYes

Keywords

  • ACR–ABS–ACNM–ASTRO–SIR–SNMMI
  • Radioembolization
  • SIRT
  • TARE
  • Yttrium-90

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Oncology

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