Voxel-based dosimetry for predicting treatment response to transarterial radioembolization in hepatocellular carcinoma: significance of intratumoral dose distribution.

Voxel-based dosimetry for predicting treatment response to transarterial radioembolization in hepatocellular carcinoma: significance of intratumoral dose distribution.

Publication date: Dec 17, 2025

We applied a voxel-based personalized dosimetry method using multiple voxel S-values (VSVs) to assess the intratumoral dose distribution in hepatocellular carcinoma (HCC) patients treated with trans-arterial radioembolization (TARE) using glass microspheres. This study aimed to evaluate the predictive value of dose metrics for treatment response and local progression-free survival (L-PFS). Ninety patients with HCC who underwent TARE between November 2015 and December 2019 were retrospectively analyzed. Post-treatment Y-microsphere PET/CT images were used to generate voxel-wise absorbed dose maps via convolution with CT-derived multiple VSV kernels. Tumor volumes were manually delineated on contrast-enhanced CT co-registered with dose map. Dose-volume histogram (DVH) parameters, including V-V (tumor volume receiving 

Concepts Keywords
December Hepatocellular carcinoma
Microsphere Trans-arterial radioembolization
Ninety Tumor heterogeneity
Predictive Voxel-based dosimetry
Tumor

Semantics

Type Source Name
disease MESH hepatocellular carcinoma
pathway KEGG Hepatocellular carcinoma
disease MESH VSVs
disease MESH glass
disease MESH Tumor

Original Article

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