Episode # 651 • 02 Jun 2026
Radioembolization Workflow: Insights & Best Practices
What does it really take to run a high-volume Y-90 program that is efficient, scalable, and patient-centered? In this episode of BackTable 2026 HCC Creator Weekend™, host Dr. Zach Berman is joined by Drs. Nima Kokabi and Kirema Garcia-Reyes to break down the systems, workflows, and strategies that drive successful radioembolization centers. The conversation focuses on overcoming referral and insurance delays, implementing multidisciplinary clinics, and using tools like single-session Y-90 and routine post-treatment dosimetry to reduce treatment times and improve outcomes.
This podcast is supported by an educational grant from Sirtex and Boston Scientific.
Timestamps
00:00 - Introduction
04:46 - Multidisciplinary Model on Radioembolization
08:39 - Referral Pathways and Embolization Preferences
13:18 - Y-90 Follow Up and Imaging
15:51 - Procedure Preparation and Involvement
18:00 - Dosimetry Planning and Software ROI
22:59 - Analyzing Outcomes and Quality Control
26:47 - Various Ways to Expedite Treatments
34:04 - Wrap Up and Credits
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More about this episode
The doctors discuss the importance of robust internal systems for patient selection, integration of dosimetry planning, and standardized follow-up protocols.They share insights on procedural workflows, including best practices for dosimetry ownership and equipment setup, and highlight the growing role of post-Y-90 dosimetry as both a quality control measure and a billable service. The episode also explores the order-map-treat paradigm, the impact of multidisciplinary tumor boards and clinics, and how single-session strategies are reshaping HCC care by cutting delays, reducing costs, and enhancing the patient experience.
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