This tutorial gives an overview of Selective Internal Radiation Therapy (SIRT) for treatment of liver cancer.

After completing this tutorial, attendees will be able to:

• Explain how the concept of SIRT works

• Describe the physical appearance of the Y-90 Microspheres and state the approximate diameter of the particles

• Explain why the Microspheres are able to deliver a very high dose to liver tumors while preserving normal liver tissue

• Give a brief description of the treatment planning

• Explain why we must perform an MAA Spect scan prior to the treat ment

• Discuss the options if there is significant shunting to the lungs

• List several side effects of the procedure

• Describe the radiation safety issues associated with this procedure

• Identify the internal radiation dose absorbed by the patient during the procedure

• Know about insurance reimbursement for the procedure 

• Identify 2 advantages to this procedure over all other therapeutic procedures for patients with tumors metastatic to the liver.