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BackTable / VI / Podcast / Episode #555
Dosimetry University Part III: Optimizing Single-Session Treatments
with Dr. Nima Kokabi and Dr. Tyler Sandow
Will single session Y90 become the standard of care for HCC and oligo-metastatic disease? Tune in to our third installment of Dosimetry University with interventional oncologists Drs. Tyler Sandow, Nima Kokabi, and Kavi Krishnasamy as they share their experiences and best practices in single session Y90 treatment.
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BackTable, LLC (Producer). (2025, July 1). Ep. 555 – Dosimetry University Part III: Optimizing Single-Session Treatments [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Nima Kokabi
Dr. Nima Kokabi is an interventional radiologist at Alberta Health in Chapel Hill, North Carolina.
Dr. Tyler Sandow
Dr. Tyler Sandow is a diagnostic and interventional radiologist at Ochsner Health in Jefferson, Louisiana.
Dr. Venkatesh Krishnasamy
Dr. Venkatesh Krishnasamy is an interventional radiologist at University of Alabama at Birmingham.
Synopsis
The doctors discuss the application and workflow of single session Y90 therapy for primary and oligo-metastatic liver tumors. They discuss the latest data from various institutions, emphasizing reduced lung dose, lower time to treatment, improved cost-efficiency, and the advantageous safety profile associated with single session treatment. The discussion also covers ideal patient selection based on tumor location and vascular characteristics, the importance of cone beam CT, and how to identify red-flag features of vascular enhancement.
Our panel then reviews key technical considerations for single session success, including the use of flow-modifying microcatheters, gelfoam, and strategies for flow redirection. The episode concludes with a case discussion to explore the best strategy for a large liver tumor, detailing the specifics of each treatment and the potential role of combined therapies to achieve better long-term outcomes.
Timestamps
00:00 - Introduction
00:47 - Single Session Y90: Workflow and Benefits
03:52 - Patient Selection
04:31 - Tumor Location and Preferred Techniques
14:31 - Reperfusion and Redirection Techniques
26:16 - Case Study: Large Tumor Treatment
37:01 - Long-Term Outcomes and Surgical Considerations
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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