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Y90 Radioembolization

Y90 Radioembolization Procedure Prep

Learn more on the BackTable VI Podcast

BackTable is a knowledge resource for physicians by physicians. Get practical advice on Y90 Radioembolization and how to build your practice by listening to the BackTable VI Podcast, reading exclusing BackTable Articles, and following the work of our Contributors.

Ep 564 Pressure-Enabled Drug Delivery in HCC & Metastatic Liver Lesions with Dr. Zach Berman
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Y90 Radioembolization Podcasts

Listen to leading physicians discuss y90 radioembolization on the BackTable VI Podcast. Get tips, tricks, and expert guidance from your peers and level up your practice.

VI Episode #564

VI

Can you manipulate blood flow in the tumor microenvironment to optimize drug delivery? In this episode of the BackTable Podcast, interventional oncologist Dr. Zachary Berman (UC San Diego) joins host Dr. Christopher Beck to discuss real-world applications of pressure-enabled drug delivery in local, regional liver-directed therapies like TACE and Y90.

VI Episode #561

VI

When is Y90 the right treatment for metastatic disease? Join Drs. Tyler Sandow, Zach Berman and host Kavi Krishnasamy in the conclusion of Dosimetry University where they discuss the complexities of treating different variations of metastatic disease and review how they’ve approached complicated cases with Y90.

VI Episode #559

VI

The balance between targeting tumor and sparing healthy liver is delicate. How do the experts do it? In this case-based review, Drs. Zach Berman (UC San Diego) and Tyler Sandow (Ochsner Health) join host Dr. Kavi Krishnasamy to walk us through real-world scenarios and share how they approach Y90 dose optimization.

VI Episode #556

VI

Radiation segmentectomy: who, when, how? Interventional oncologists Dr. Nima Kokabi, Dr. Tyler Sandow, and Dr. Kavi Krishnasamy continue their in-studio discussion on all things Y90 in Part 4 of Dosimetry University, focusing on specific applications of radiation segmentectomy.

VI Episode #555

VI

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.

VI Episode #553

VI

BSA, MIRD, or voxel-based dosimetry? Join us for part 2 of Dosimetry University where interventional oncologists Dr. Tyler Sandow, Dr. Nima Kokabi, and Dr. Kavi Krishnasamy explore and debate the critical nuances of a successful Y90 procedure, covering dosing methods, lung shunt management, and when to incorporate other therapeutic approaches.

VI Episode #552

VI

Dosimetry University is now in session! First up—how do you plan your Y90 treatments and what can you do in the planning phase to maximize efficacy? Find out in Part I of BackTable’s Dosimetry University series featuring interventional oncologists Dr. Nima Kokabi from the University of North Carolina Chapel Hill and Dr. Tyler Sandow from Ochsner Health. This episode is hosted by Dr. Kavi Krishnasamy and recorded live in the BackTable studio.

VI Episode #538

VI

There are now multiple phase 3 studies on combination transarterial chemoembolization (TACE) and immunotherapy showing a significant benefit over TACE alone. How do these findings change the hepatocellular carcinoma (HCC) treatment algorithm? In this multidisciplinary episode of the BackTable Podcast, Dr. Richard Finn (Medical Oncologist at UCLA) and Dr. Julius Chapiro (Interventional Radiologist at Yale University) join host Dr. Chris Beck to discuss immunotherapy, TACE, emerging trends in HCC treatment, and the future of the field.

VI Episode #525

VI

Do you ever wish you could be a fly on the wall at a tumor board meeting? In this episode of BackTable, we’re excited to give you an insider’s view of the real case discussions that take place during hepatocellular carcinoma (HCC) tumor boards. Host Dr. Zach Berman sits down with a multidisciplinary team, including Drs. Adam Burgoyne (medical oncologist), Heather Patton (hepatologist), Siddharth Padia (interventional radiologist), and Gabriel Schnickel (transplant and hepatobiliary surgeon).

VI Episode #523

VI

Are you seeking to build your reputation and patient base within interventional oncology? In this episode, host Dr. Zachary Berman interviews Dr. Siddarth Padia, Dr. Tyler Sandow, Dr. Kavi Krishnasamy, and Dr. Kevin Burns about their journeys into interventional oncology (IO) and their experiences providing care in different practice settings.

VI Episode #521

VI

Is surgery truly the "cure" for hepatocellular carcinoma (HCC), and when is it a viable option? In this episode, Dr. Sabeen Dhand leads a roundtable discussion with interventional radiologist Dr. Siddharth Padia and transplant/hepatobiliary surgeons Dr. John Seal and Dr. Gabriel Schnickel, delving into the complexities of surgical treatments for HCC and the evolving landscape of liver resection and transplantation.

VI Episode #519

VI

The process of liver transplantation involves many complexities, and each patient's path to transplant is unique. To offer insider perspectives on this process, Dr. Zachary Berman sits down with transplant and hepatobiliary surgeon Dr. John Seal, as well as transplant hepatologists Dr. Heather Patton and Dr. Steve Young.

VI Episode #517

VI

Treatment of hepatocellular carcinoma (HCC), like that of many other cancers, spans a spectrum from curative to palliative intent. To explore the "grey zone" of treatment goals for intermediate-stage HCC patients, Dr. Sabeen Dhand interviews a panel of experts in the field: medical oncologists Dr. Adam Burgoyne and Dr. Lingling Du, along with interventional radiologists Dr. Kirema Garcia-Reyes and Dr. Zachary Berman.

VI Episode #515

VI

For hepatocellular carcinoma (HCC) patients who are not candidates for liver transplant or resection, lesion ablation can be a curative treatment. With multiple ablation options available and still under investigation, it can be challenging to navigate the differences between them. In this episode, Dr. Tyler Sandow hosts a discussion with interventional radiologists Dr. Kirema Garcia-Reyes, Dr. Sabeen Dhand, and Dr. Kevin Burns on the various ablation options for HCC and when to use each one.

VI Episode #513

VI

In the past five years, the use of immunotherapeutic agents for advanced cancers has emerged as a promising alternative to tyrosine kinase inhibitors and chemotherapy, making it an exciting time to be practicing oncology. In this episode, Dr. Tyler Sandow interviews oncology experts about the landscape of advanced hepatocellular carcinoma (HCC) and the current state of immunotherapy treatments. He is joined by medical oncologists Dr. Jonathan Mizrah, Dr. Lingling Du, and Dr. Adam Burgoyne, as well as interventional oncologist Dr. Zachary Berman.

VI Episode #511

VI

Of all the topics covered during interventional radiology training, dosimetry education is often delayed until after IRs enter clinical practice. In this episode, Drs. Tyler Sandow and Sabeen Dhand host a roundtable discussion with experts on the dosimetry fundamentals that all Y90 operators should understand. They are joined by interventional radiologists Drs. Zachary Berman, Kirema Garcia-Reyes, and Siddharth Padia, who provide their expert insights.

VI Episode #509

VI

Welcome to the first episode of BackTable Tumor Board, and our first recording session at our new in-person studio! Guest host Dr. Tyler Sandow (interventional radiologist) leads a multidisciplinary discussion about patient care coordination in hepatocellular carcinoma (HCC) diagnosis and treatment, with insights from his colleagues at Ochsner Health– Dr. Steven Young (hepatologist), Dr. Jonathan Mizrahi (medical oncologist), and Deondra Bonds-Adams (patient navigator).

VI Episode #491

VI

As providers, we know firsthand how impactful interventional radiology procedures can be. Today, we hear the perspective of Suzanne Martin, a patient who underwent life-saving radioembolization for stage 4 colorectal cancer. Suzanne shares her story with host Dr. Eric Keller, including how things took a positive turn when she was introduced to interventional radiologist Dr. Charles Nutting after initially undergoing ineffective chemotherapy treatment.

VI Episode #379

VI

In this episode, host Dr. Chris Beck continues the discussion on managing hepatocellular carcinoma (HCC) with Dr. Tyler Sandow and Dr. Juan Gimenez, interventional radiologists at Ochsner Health in New Orleans, Louisiana.

VI Episode #377

VI

In this episode, host Dr. Chris Beck interviews Dr. Juan Gimenez and Dr. Tyler Sandow. Juan and Tyler are both interventional radiologists in New Orleans, Louisiana who practice at Ochsner Health System - one of the United States’ leading transplant centers. As a result, both doctors have significant experience in Y-90 radiation segmentectomy and other complex procedures for treatment of hepatocellular carcinoma (HCC).

VI Episode #367

VI

In this episode, host Dr. Aaron Fritts interviews Dr. Aaron Kovaleski on good old-fashioned TV and radio marketing. Aaron is an interventional radiologist and founder of Endovascular Consultants of Colorado, who has found success in using tried and true methods of advertising to grow his practice.

VI Episode #265

VI

In this crossover episode between BackTable VI and BackTable Innovation, Dr. Chris Beck interviews Dr. Riad Salem (Chief of Interventional Radiology at Northwestern University) and Peter Pattison (President of Interventional Oncology at Boston Scientific) about how TheraSpheres for Y90 radioembolization became a mainstay in the IR toolkit for HCC and where the technology is heading next.

VI Episode #256

VI

In this episode, guest host Dr. Nicholas Fidelman interviews Dr. Michael Soulen, a key player in the development and widespread adoption of transarterial chemoembolization (TACE). The doctors discuss how TACE became a major therapeutic option for liver tumors, his preferred method of TACE dosage and management, and exciting new frontiers in chemoembolization.

VI Episode #245

VI

In this episode, host Dr. Ally Baheti interviews Dr. Jayson Brower about building a Y90 service line in his outpatient based lab (OBL).

Y90 Radioembolization Articles

Read our exclusive BackTable VI Articles for quick insights on y90 radioembolization, provided by physicians for physicians.

The Future of Radiation Segmentectomy: New Tech, Tumor Markers & Indications

As the practice of radiation segmentectomy for HCC has become more prevalent, technological innovation and research have kept pace. Dr. Tyler Sandow and Dr. Juan Jimenez cover technological innovations, tumor marker research, and the future of radiation segmentectomy for HCC and other tumors.

Planning for HCC Radiation Segmentectomy: Mapping, Margins & Dosage

Radiation segmentectomy is used to manage primary hepatocellular carcinoma and metastatic liver tumors, particularly in cases where surgical resection is not feasible due to tumor location or underlying liver dysfunction. Interventional radiologists Dr. Tyler Sandow and Dr. Juan Jimenez explain how they plan for a radiation segmentectomy case.

Hepatocellular Carcinoma in Practice: Optimizing Workflows & Treatment Decisions

Dr. Juan Gimenez and Dr. Tyler Sandow explain how they built their hepatocellular carcinoma practice, the finer points of their patient workflows, and how they make treatment decisions favoring a high volume of Y90 radioembolization.

Moving Y90 from the Hospital to the OBL: A Quickstart Guide for Physicians

Moving certain interventional radiology procedures, such as Y90, from the hospital to the office-based lab (OBL) is garnering favor with physicians and patients. Dr. Jayson Brower describes how he set up Y90 in his OBL and advises on how to mirror his practice model.

Y90 in the OBL: Benefits & Considerations

Moving Y90 from the hospital to the office-based lab (OBL) can be an extensive undertaking. As interventional radiologist Dr. Jayson Brower explains, there are several benefits for both providers and patients, such as control of the procedure environment, improved convenience, and increased satisfaction for patients and providers.

Interventional radiologist performing pressure directed Y90 procedure

A pressure directed device may help increase control of Y90 radioembolization delivery to the tumor in hepatocellular carcinoma (HCC). Having performed around 200 pressure directed procedures, Dr. Nutting describes his use of Surefire’s guide catheter and microcatheters when working with the Surefire Infusion System.

Surefire pressure directed infusion system radioembolization tumor

When treating HCC with Y90 radioembolization, a hypovascular tumor with low visibility on angiogram can indicate that a pressure directed device may help to deliver more of the intended dose to the tumor. Studies have shown that pressure directed devices increase tumor uptake and decrease non-target embolization.

Surefire pressure directed infusion system used on hcc tumor

The goal of Y90 radioembolization is to deliver the full dose of therapeutic to the tumor. Pressure directed therapy intermittently stops arterial flow and pushes therapeutic into the tumor using pressure that builds up during infusion, overcoming some of the technical limitations of end-hole catheters.

Y90 Radioembolization Demos

Watch video walkthroughs of y90 radioembolization on the BackTable VI expanded content network.

Y90 Radioembolization Tools

Check out y90 radioembolization apps, calculators, and decision aids to assist you in your day to day practice.

ALBI Score Calculator

Simplify ALBI score calculation with our tool. Learn about liver function grading and its impact on patient care and treatment planning.

Child-Pugh Score Calculator

Backtable's Child-Pugh score calculator is used to assess liver function and determine the severity of liver cirrhosis with ease and accuracy.

MELD Score Calculator

Use our MELD score calculator to evaluate advanced liver disease, including MELD (2016), MELD Na, and MELD 3.0 for accurate short-term mortality prediction.

Disclaimer: The Materials available on https://www.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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Podcasts

Pressure-Enabled Drug Delivery in HCC & Metastatic Liver Lesions with Dr. Zach Berman on the BackTable VI Podcast
Dosimetry University VI: Challenging Case Review with Dr. Tyler Sandow and Dr. Zach Berman on the BackTable VI Podcast
Dosimetry University V: Case Review on Dose Optimization Strategies with Dr. Tyler Sandow and Dr. Zach Berman on the BackTable VI Podcast
Dosimetry University Part IV: Optimizing Radiation Segmentectomy with Dr. Nima Kokabi and Dr. Tyler Sandow on the BackTable VI Podcast
Dosimetry University Part III: Optimizing Single-Session Treatments with Dr. Nima Kokabi and Dr. Tyler Sandow on the BackTable VI Podcast
Multidisciplinary HCC Care: Improving the Patient Experience with Combined Clinics with Dr. Tyler Sandow, Dr. Jonathan Mizrahi, Dr. Steven Young and Deondra Bonds-Adams on the BackTable VI Podcast

Articles

The Future of Radiation Segmentectomy: New Tech, Tumor Markers & Indications

The Future of Radiation Segmentectomy: New Tech, Tumor Markers & Indications

Planning for HCC Radiation Segmentectomy: Mapping, Margins & Dosage

Planning for HCC Radiation Segmentectomy: Mapping, Margins & Dosage

Hepatocellular Carcinoma in Practice: Optimizing Workflows & Treatment Decisions

Hepatocellular Carcinoma in Practice: Optimizing Workflows & Treatment Decisions

Contributors

Dr. Rakesh Ahuja on the BackTable VI Podcast

Dr. Rakesh Ahuja

Dr. Jayson Brower on the BackTable VI Podcast

Dr. Jayson Brower

Dr. Juan Gimenez on the BackTable VI Podcast

Dr. Juan Gimenez

Dr. Justin Lee on the BackTable VI Podcast

Dr. Justin Lee

Dr. Sam Mouli on the BackTable VI Podcast

Dr. Sam Mouli

Dr. Charles Nutting on the BackTable VI Podcast

Dr. Charles Nutting

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