Research Article

Predictors of Successful Yttrium-90 Radioembolization Bridging or Downstaging in Patients with Hepatocellular Carcinoma

Table 5

Adverse events status after Y90-RE, per Common Terminology Criteria for Adverse Events version 5.0.

CharacteristicOutside Milan criteriaInside Milan criteria valueUnfavorable responseFavorable response value
Clinical symptoms presentGrade 1/2Grade 3/4Grade 1/2Grade 3/4Grade 1/2Grade 3/4Grade 1/2Grade 3/4

Encephalopathy0 (0%)0 (0%)1 (2%)0 (0%)10 (0%)0 (0%)1 (1%)0 (0%)1
Ascites20 (26%)0 (0%)5 (8%)2 (3%)0.0618 (33%)0 (0%)7 (9%)2 (2%)0.1
Fatigue28 (36%)1 (1%)15 (25%)0 (0%)0.719 (25%)1 (2%)24 (9%)0 (0%)0.5
Abdominal pain24 (22%)1 (1%)15 (25%)1 (2%)0.616 (29%)2 (4%)23 (28%)0 (0%)0.2
Nausea9 (12%)2 (3%)10 (17%)0 (0%)0.39 (17%)2 (4%)10 (12%)0 (0%)0.3
Vomiting2 (3%)0 (0%)4 (6%)0 (0%)12 (4%)0 (0%)4 (5%)0 (0%)1
Anorexia8 (10%)1 (1%)6 (10%)0 (0%)0.65 (9%)1 (2%)9 (11%)0 (0%)0.4
Constipation4 (5%)0 (0%)0 (0%)0 (0%)12 (4%)0 (0%)2 (2%)0 (0%)1
Fever1 (1%)0 (0%)0 (0%00 (0%)10 (0%)0 (0%)1 (1%)0 (0%)1

Inside Milan criteriaOutside Milan criteria valueFavorable responseUnfavorable response value
Laboratory levelsGrade 1/2Grade 3/4Grade 1/2Grade 3/4Grade 1/2Grade 3/4Grade 1/2Grade 3/4

INR21 (28%)1 (1%)13 (22%)1 (2%)0.613 (24%)1 (2%)21 (26%)1 (1%)0.6
Aspartate transaminase46 (61%)3 (4%)29 (49%)1 (2%)0.533 (61%)2 (4%)42 (52%)2 (2%)0.6
Alkaline phosphatase49 (64%)1 (1%)28 (47%)0 (0%)0.635 (65%)1 (%)42 (52%)0 (0%)0.5
Alanine transaminase15 (20%)1 (1%)13 (22%)0 (0%)0.69 (16%)0 (0%)19 (23%)1 (1%)0.7
Total bilirubin24 (21%)1 (1%)23 (38%)1 (2%)0.721 (39%)0 (0%)28 (32%)2 (2%)0.3
Creatinine10 (13%)1 (1%)7 (12%)1 (2%)0.78 (15%)0 (0%)9 (11%)2 (2%)0.3
Albumin41 (54%)3 (4%)24 (41%)0 (0%)0.323 (61%)3 (5%)32 (39%)0 (0%)0.1
Sodium31 (41%)0 (0%)21 (36%)0 (0%)124 (44%)0 (0%)28 (35%)0 (0%)1

INR = international normalized ratio.