where is use Yttrium-90 and Its Side Effect
Yttrium-90 or Y-90 is a commonly used isotope in the medical field specially in departments like nuclear medicine and radiation oncology for radiation therapy. This radioisotope is relied upon to provide a prescribed amount of radiation to a targeted area , such as a tumor. One of the most common uses of Y90 is during an internal radiation therapy called radioembolization.
Radioembolization or Transarterial Radioembolization using
Y-90 involves the use of glass/ resin spheres that are filled with the isotope
and placed directly into the blood supply of the liver tumor through a
minimally invasive procedure. These spheres get lodged within the tumor itself.
The doctors then block off the blood vessels to prevent blood flow
(embolization). These Y-90 labelled spheres then get to work by radiating and
destroying the tumor.
Commonly, Y-90 labelled spheres are used for the treatment of
liver tumors, primary hepatocellular carcinoma (HCC) and unresectable primary
colorectal cancer that has metastasized to the liver. And sometimes in the
treatment of Neuroendocrine Tumors (NETs) by labelling them with somatostatin
receptor analog like Dotatoc or Dotatate. This is known as Y-90 PRRT.
In some cases, doctors uses Y-90 PRRT by itself or use it along
with Lutetium Therapy in an alternating kind of protocol, so that the patient
receives one dose of Lutetium PRRT that’s followed by a dose of Y90, followed
by Lutetium and then followed by Y-90 again. This is, what doctors call, Tandem
Therapy and has proven to be effective in patients who have got large volume
diseases.
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