Research Article

Efficacy and Prognostic Factors for Y-90 Radioembolization (Y-90) in Metastatic Neuroendocrine Tumors with Liver Metastases

Table 1

Baseline demographic and clinicopathologic characteristics of patients with metastatic liver-dominant NETs who received Y-90 radioembolization

Baseline characteristicNumber of patients (%)

Age at diagnosis of metastatic disease (years)
Median (range)56.0 (20.71–78.14)

Gender
Male24 (49%)
Female25 (51%)

ECOG status at Y-90 treatment
0–146 (94%)
≥22 (4%)
Unknown1

Location of primary NET
Pancreas15 (31%)
Small bowel20 (41%)
Large bowel3 (6%)
Unknown7 (14%)
Other4 (8%)

Grade
130 (61%)
212 (25%)
31 (2%)
Unknown6 (12%)

Ki-67 (%)
≤218 (37%)
3–2017 (34%)
>201 (2%)
Unknown13 (27%)

Mitotic count (/hpf)
<223 (47%)
2–2013 (27%)
>200
Unknown13 (27%)

Baseline chromogranin A
Median (range)325 (7–44100)

Hepatic tumor burden
<33%9 (18%)
33–66%32 (65%)
>66%7 (14%)
Unknown1 (2%)

Number of extrahepatic metastases
034 (69%)
111 (22%)
23 (6%)
31 (2%)

Previous therapies
Surgical resection of primary tumor31 (63%)
Local ablative therapy12 (25%)
SSA34 (69%)
Systemic therapy17 (35%)

Dose of Y-90 (GBq)
Median (range)2.2 (0.80–3.60)

Type of Y-90
TheraSpheres14 (29%)
SIR-Spheres34 (69%)
Unknown1 (2%)

Type of treatment
Liver segment43 (88%)
Whole liver5 (10%)
Unknown1 (2%)

Response to Y-90 radioembolization
Complete response0
Partial response26 (53%)
Stable disease16 (33%)
Progressive disease6 (12%)
Unknown1 (2%)

Number of liver segments treated
19 (18%)
231 (63%)
34 (8%)
43 (6%)
Unknown2 (4%)

Number of Y-90 treatments
134 (69%)
214 (29%)
31 (2%)