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Selective internal radiation therapy segmentectomy:A new minimally invasive curative option for primary liver malignancies?

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World Journal of Gastroenterology 2024年第18期30卷 2379-2386页

作者： Riccardo Inchingolo Francesco Cortese Antonio Rosario Pisani Fabrizio Acquafredda roberto calbi Riccardo Memeo Fotis Anagnostopoulos Stavros Spiliopoulos Unit of Interventional Radiology “F.Miulli”Regional General HospitalBari 70021Italy Interdisciplinary Department of Medicine Section of Nuclear MedicineUniversity of Bari“Aldo Moro”Bari 70121Italy Department of Radiology General Regional Hospital“F.Miulli”Acquaviva delle Fonti 70021Italy Unit of Hepato-Pancreatic-Biliary Surgery “F.Miulli”Regional General HospitalBari 70021Italy The Second Radiology Department National and Kapodistrian University of AthensChaidari Athens 12461Greece

Transarterial radioembolization or selective internal radiation therapy(SIRT)has emerged as a minimally invasive approach for the treatment of tumors.This percutaneous technique involves the local,intra-arterial delivery of radioactive microspheres directly into the tumor.Historically employed as a palliative measure for liver malignancies,SIRT has gained traction over the past decade as a potential curative option,mirroring the increasing role of radiation segmentectomy.The latest update of the BCLC hepatocellular carcinoma guidelines recognizes SIRT as an effective treatment modality comparable to other local ablative methods,particularly well-suited for patients where surgical resection or ablation is not feasible.Radiation segmentectomy is a more selective approach,aiming to deliver high-dose radiation to one to three specific hepatic segments,while minimizing damage to surrounding healthy tissue.Future research efforts in radiation segmentectomy should prioritize optimizing radiation dosimetry and refining the technique for super-selective administration of radiospheres within the designated hepatic segments.

关键词： Transarterial radioembolization Selective internal radiation therapy Radiation segmentectomy Hepatocellular carcinoma Primary liver malignancies Personalised dosimetry

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Current status of non-surgical treatment of locally advanced pancreatic cancer

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World Journal of Gastrointestinal Oncology 2021年第12期13卷 2064-2075页

作者： Stavros Spiliopoulos Maria Teresa Zurlo Annachiara Casella Letizia Laera Giammarco Surico Alessia Surgo Alba Fiorentino Nicola de'Angelis roberto calbi Riccardo Memeo Riccardo Inchingolo 2nd Radiology Department Interventional Radiology UnitNational and Kapodistrian University of AthensAthens 12461Greece Interventional Radiology Unit “F.Miulli”Regional General HospitalAcquaviva delle Fonti 70021Italy Unit of Hepato-Pancreatic-Biliary Surgery “F.Miulli”Regional General HospitalAcquaviva delle Fonti 70021Italy Department of Oncology General Regional Hospital“F.Miulli”Acquaviva delle Fonti 70021Italy Department of Radiation Oncology “F.Miulli”Regional General HospitalAcquaviva delle Fonti 70021Italy Unit of Minimally Invasive and Robotic Digestive Surgery “F.Miulli”Regional General HospitalAcquaviva delle Fonti 70021Italy Department of Radiology General Regional Hospital“F.Miulli”Acquaviva delle Fonti 70021Italy

Pancreatic cancer is the 7th leading cause of death due to cancer in industrializedcountries and the 11th most common cancer globally, with 458918 new cases (2.5%of all cancers) and 432242 deaths (4.5% of all cancer deaths) in 2018. Unfortunately,80% to 90% of the patients present with unresectable disease, and thereported 5-year survival rate range between 10% and 25%, even after successfulresection with tumor-free margins. Systemic chemotherapy, radiotherapy, andminimally invasive image-guided procedures that have emerged over the pastyears, are used for the management of non-operable PC. This review focuses oncurrently available non-surgical options of locally advanced pancreatic cancer.

关键词： Interventional radiology Oncology Radiotherapy Pancreatic cancer Ablation

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Current trends and perspectives in interventional radiology for gastrointestinal cancers

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World Journal of Radiology 2021年第10期13卷 314-326页

作者： Elisa Reitano Nicola de'Angelis Giorgio Bianchi Letizia Laera Stavros Spiliopoulos roberto calbi Riccardo Memeo Riccardo Inchingolo Division of General Surgery Department of Translational MedicineUniversity of Eastern PiedmontNovara 28100Italy Unit of Minimally Invasive and Robotic Digestive Surgery "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy Department of Oncology "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy 2^(nd) Department of Radiology School of MedicineNational and Kapodistrian University of AthensAthens 12461Greece Department of Radiology "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70124Italy Unit of Hepato-Pancreatic-Biliary Surgery "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy Interventional Radiology Unit "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy

Gastrointestinal(GI)cancers often require a multidisciplinary approach involving surgeons,endoscopists,oncologists,and interventional radiologists to diagnose and treat primitive cancers,metastases,and related complications.In this context,interventional radiology(IR)represents a useful minimally-invasive tool allowing to reach lesions that are not easily approachable with other techniques.In the last years,through the development of new devices,IR has become increasingly relevant in the context of a more comprehensive management of the oncologic patient.Arterial embolization,ablative techniques,and gene therapy represent useful and innovative IR tools in GI cancer treatment.Moreover,IR can be useful for the management of GI cancer-related complications,such as bleeding,abscesses,GI obstructions,and neurological pain.The aim of this study is to show the principal IR techniques for the diagnosis and treatment of GI cancers and related complications,as well as to describe the future perspectives of IR in this oncologic field.

关键词： Interventional radiology Radiology Colorectal cancer Gastric cancer Malignancy Embolization

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