PMID- 32753963 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220416 IS - 1179-1322 (Print) IS - 1179-1322 (Electronic) IS - 1179-1322 (Linking) VI - 12 DP - 2020 TI - Drug-Eluting Beads versus Lipiodol Transarterial Chemoembolization for the Treatment of Hypovascular Hepatocellular Carcinoma: A Single-Center Retrospective Study. PG - 5461-5468 LID - 10.2147/CMAR.S255960 [doi] AB - PURPOSE: To evaluate the efficacy and safety of drug-eluting beads transarterial chemoembolization (DEB-TACE) and conventional TACE (C-TACE) in treating hypovascular hepatocellular carcinoma (HCC). MATERIALS AND METHODS: The medical records based on HCC patients who underwent TACE from January 2016 to June 2019 were reviewed in the study. The diagnosis of hypovascular HCC was conducted by two senior radiologists according to imaging. We evaluated the adverse events (AEs), objective response rate (ORR), disease control rate (DCR), progression-free survival (PFS) and overall survival (OS) in the study. RESULTS: A total of 98 patients with hypovascular HCC were included in the study. 46 patients underwent DEB-TACE treatment, and 52 patients underwent C-TACE treatment. The PFS of DEB-TACE group and C-TACE group was 12.0 months and 7.0 months (P < 0.001), and OS was 21.0 months and 14.0 months (P = 0.035), respectively. In addition, DEB-TACE group had better ORR (76.1% vs 40.4%, P < 0.001) and DCR (91.3% vs 75.0%, P = 0.033) compared to C-TACE group. The occurrence rate of AEs showed no difference between the two groups (67.3% vs 57.7%, P = 0.323). Furthermore, we found that DEB-TACE can be identified as a positive independent prognostic factor for improved PFS and OS. CONCLUSION: DEB-TACE, as an effective treatment, can yield better objective response rate, similar safety profile and improved survival for hypovascular HCC patients compared to C-TACE. CI - (c) 2020 Shi et al. FAU - Shi, Qin AU - Shi Q AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, People's Republic of China. AD - Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, People's Republic of China. FAU - Chen, Dandan AU - Chen D AD - Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, People's Republic of China. AD - Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, People's Republic of China. FAU - Zhou, Chen AU - Zhou C AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, People's Republic of China. AD - Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, People's Republic of China. FAU - Liu, Jiacheng AU - Liu J AUID- ORCID: 0000-0002-7786-9957 AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, People's Republic of China. AD - Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, People's Republic of China. FAU - Huang, Songjiang AU - Huang S AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, People's Republic of China. AD - Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, People's Republic of China. FAU - Yang, Chongtu AU - Yang C AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, People's Republic of China. AD - Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, People's Republic of China. FAU - Xiong, Bin AU - Xiong B AUID- ORCID: 0000-0002-7795-7041 AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, People's Republic of China. AD - Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, People's Republic of China. LA - eng PT - Journal Article DEP - 20200706 PL - New Zealand TA - Cancer Manag Res JT - Cancer management and research JID - 101512700 PMC - PMC7351634 OTO - NOTNLM OT - drug-eluting beads OT - hypovascular hepatocellular carcinoma OT - lipiodol OT - survival OT - transarterial chemoembolization COIS- All authors declare that they have no conflicts of interest in this work. EDAT- 2020/08/06 06:00 MHDA- 2020/08/06 06:01 PMCR- 2020/07/06 CRDT- 2020/08/06 06:00 PHST- 2020/03/28 00:00 [received] PHST- 2020/05/28 00:00 [accepted] PHST- 2020/08/06 06:00 [entrez] PHST- 2020/08/06 06:00 [pubmed] PHST- 2020/08/06 06:01 [medline] PHST- 2020/07/06 00:00 [pmc-release] AID - 255960 [pii] AID - 10.2147/CMAR.S255960 [doi] PST - epublish SO - Cancer Manag Res. 2020 Jul 6;12:5461-5468. doi: 10.2147/CMAR.S255960. eCollection 2020.