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Yttrium-90 Radioembolization in the Office-Based Lab
Ryan M Hickey1, John M Maslowski1, Eric T Aaltonen1
1Department of Radiology, Division of Vascular & Interventional Radiology, NYU Langone Health, 660 First Ave, Suite 300, New York, NY 10016.
Journal of Vascular and Interventional Radiology : JVIR
|August 18, 2020
Summary
Performing yttrium-90 radioembolization in an office-based lab (OBL) is feasible. OBLs offer more efficient scheduling and shorter procedure times compared to hospital settings for radioembolization treatments.
Area of Science:
- Interventional Radiology
- Hepatobiliary Imaging
- Oncology
Background:
- Radioembolization is a minimally invasive treatment for liver tumors.
- Traditionally performed in hospital settings, its efficiency in alternative locations is under investigation.
Purpose of the Study:
- To assess the feasibility and benefits of yttrium-90 radioembolization in an office-based lab (OBL) versus a hospital setting.
- To compare procedure scheduling and duration between OBL and hospital-based radioembolization.
Main Methods:
- A comparative study evaluating mapping and treatment angiograms from March 2019 to January 2020.
- Data collected from an OBL managed by a tertiary care center's radiology department and a hospital setting.
- Analysis of procedure start delays, duration, and dose administration.
Main Results:
- No significant differences in angiogram proportions or dose vial administration between OBL and hospital.
- Significantly shorter procedure start delays in OBL (0.8 min) vs. hospital (28.6 min).
- OBL procedures were shorter (1 hr 44.4 min) than hospital procedures (2 hr 1.8 min).
Conclusions:
- Establishing a radioembolization program in an OBL is feasible.
- Office-based labs demonstrate greater efficiency in procedure scheduling and duration compared to hospitals.
- Yttrium-90 radioembolization in OBLs offers potential benefits for patient throughput and resource utilization.
