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September 5, 2026Indian Journal of Nuclear MedicineOpen Access

Selective Internal Radiation Therapy for Hepatocellular Malignancies: Existing Evidence and Advances

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Authors

PYPriyanka YadavJSJaya Shukla

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Overview

Narrative review reveals favorable tumor response but limited overall survival benefits for selective internal radiation therapy in unresectable liver cancer, highlighting the role of personalized...

Key Points

  • To review the clinical evidence, procedural principles, and technological advances of selective internal radiation therapy for managing unresectable hepatocellular malignancies.
  • Synthesized findings from pivotal clinical trials (SARAH, SIRveNIB, LEGACY, DOSISPHERE-01) investigating yttrium-90 radioembolization across diverse stages of hepatocellular carcinoma.
  • Evaluated technical innovations in artificial intelligence-assisted treatment planning, personalized dosimetry, post-therapy imaging, and alternative radioisotopes.
  • Demonstrated marked local tumor response rates and maintained patient quality of life across multiple clinical trials.
  • Found limited overall survival advantages when comparing intra-arterial radioembolization against standard systemic targeted therapies.
  • Identified personalized dosimetry and alternative radionuclides, such as holmium-166 and rhenium-188, as critical drivers for improving precision and worldwide affordability.

Cite This Study

Yadav et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4046b95aff0620eb57fhttps://doi.org/10.25259/ijnm_173_2026
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