Microspheres as a Carrier System for Therapeutic Embolization Procedures: Achievements and Advances.

TACE TAE TARE embolization hepatocellular carcinoma microspheres therapy

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
24 Jan 2023
Historique:
received: 30 12 2022
revised: 17 01 2023
accepted: 20 01 2023
entrez: 11 2 2023
pubmed: 12 2 2023
medline: 12 2 2023
Statut: epublish

Résumé

The targeted delivery of anti-cancer drugs and isotopes is one of the most pursued goals in anti-cancer therapy. One of the prime examples of such an application is the intra-arterial injection of microspheres containing cytostatic drugs or radioisotopes during hepatic embolization procedures. Therapy based on the application of microspheres revolves around vascular occlusion, complemented with local therapy in the form of trans-arterial chemoembolization (TACE) or radioembolization (TARE). The broadest implementation of these embolization strategies currently lies within the treatment of untreatable hepatocellular cancer (HCC) and metastatic colorectal cancer. This review aims to describe the state-of-the-art TACE and TARE technologies investigated in the clinical setting for HCC and addresses current trials and new developments. In addition, chemical properties and advancements in microsphere carrier systems are evaluated, and possible improvements in embolization therapy based on the modification of and functionalization with therapeutical loads are explored.

Identifiants

pubmed: 36769566
pii: jcm12030918
doi: 10.3390/jcm12030918
pmc: PMC9917963
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Subventions

Organisme : Netherlands Organisation for Applied Scientific Research
ID : TTW 16141

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Auteurs

Mick M Welling (MM)

Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.

Nikolas Duszenko (N)

Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Departments of Parasitology and Infectious Diseases, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.

Maarten P van Meerbeek (MP)

Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.

Tom J M Molenaar (TJM)

Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Radiochemistry Facility, Department of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.

Tessa Buckle (T)

Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.

Fijs W B van Leeuwen (FWB)

Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.

Daphne D D Rietbergen (DDD)

Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Section of Nuclear Medicine, Department of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.

Classifications MeSH