What is Transarterial Radioembolization (TARE)
Liver
malignancy, be it primary tumors like Hepatocellular Carcinoma (HCC) and
Cholangiocarcinoma, is one of the top five most common cancers worldwide and is
also a frequent cause of cancer-related mortality. In most of the cases,
Hepatocellular Carcinoma (HCC) is often diagnosed late in the
intermediate-advanced stage (stage B and C). Because of this often-late
diagnosis, radical therapy doesn’t offer much success. While a few curative
and/ or palliative therapies might help, but they are not often characterized
by a favorable safety or efficacy ratio. Hence for this intermediate to
advanced stages of HCC, internal radionuclide therapy is emerging as a good
therapeutic option. And according to several studies, Transarterial
Radioembolization (TARE) or intra-arterial injection of a
radiolabeled embolising agent has led to extremely promising results, both in
terms of demonstration of a good tolerability profile and disease control.
Transarterial
Radioembolization (TARE) is also simply known as Radioembolization is a
combination of Radiation Therapy and a procedure known as Embolization – a
minimally invasive treatment in which blood vessels are blocked off to prevent blood
flow. In TARE, tiny beads of glass or resin known as microspheres are
administered inside the blood vessels that are feeding a tumor so that the
supply of blood to the cancer cells can be blocked off. These microspheres are
loaded with a radioactive compound – either Yttrium90 or Lipiodol labelled
with iodine131 or rhenium188. Once they get lodged at
the tumor site, they deliver a high dose of radiation to the tumor without
affecting the normal tissues.
TARE
is a palliative treatment (it means that it does not provide a cure) that helps
slow down the disease growth and also helps alleviate symptoms. It is often
used as a treatment option for patients who cannot undergo other treatment
options such as liver surgery or liver transplantation.
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