PMID- 36568640 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221227 IS - 1687-8450 (Print) IS - 1687-8469 (Electronic) IS - 1687-8450 (Linking) VI - 2022 DP - 2022 TI - Evaluation of Transarterial Chemoembolization Protocol with Drug-Eluting Beads in Combination with Lipiodol for Hepatocellular Carcinoma: A Single-Center Controlled Study. PG - 1090313 LID - 10.1155/2022/1090313 [doi] LID - 1090313 AB - OBJECTIVES: To evaluate the efficacy and safety of transarterial chemoembolization (TACE) with drug-eluting beads (DEB-TACE) and lipiodol (DEB-Lipiodol TACE) in the treatment of unresectable hepatocellular carcinoma (HCC) patients. MATERIALS AND METHODS: The medical records of consecutive unresectable HCC patients who underwent DEB-TACE or DEB-Lipiodol TACE from June 2016 to July 2021 were retrospectively evaluated. Therapeutic response, overall survival (OS), progression-free survival (PFS), and adverse events (AEs) were compared among the groups. RESULTS: Three hundred and twenty-seven patients were enrolled in the study, including 293 patients in the DEB-TACE group and 34 patients in the DEB-Lipiodol TACE group. The objective response rate in the DEB-Lipiodol TACE group was 17.6%, significantly higher than that in the DEB-TACE group (5.8%, P=0.011). Similarly, DEB-Lipiodol TACE group also had a higher disease control rate (91.2% vs 68.6%, P=0.006). Median OS was 13 months (95% CI: 11.0 months and 15.0 months) and 22 months (95% CI: 17.3 months and 26.7 months) in the DEB-TACE group and DEB-Lipiodol TACE group, respectively (P=0.041). Meanwhile, median PFS was 7 months (95% CI: 5.2 months and 8.8 months) in the DEB-TACE group and 12 months (95% CI: 7.9 months and 16.1 months) in the DEB-Lipiodol TACE group (P=0.174). There was no statistically significant difference in AEs incidence among the two groups (P > 0.05). CONCLUSIONS: DEB-Lipiodol TACE was safe, well tolerated, and had a better efficacy compared with DEB-TACE in unresectable HCC patients. CI - Copyright (c) 2022 Xiangjun Dong et al. FAU - Dong, Xiangjun AU - Dong X AUID- ORCID: 0000-0001-9491-9461 AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan 430022, China. FAU - Wang, Ying AU - Wang Y AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan 430022, China. FAU - Hao, Jieya AU - Hao J AD - Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Chen, Lei AU - Chen L AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan 430022, China. FAU - Sun, Tao AU - Sun T AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan 430022, China. FAU - Zhang, Weihua AU - Zhang W AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan 430022, China. FAU - Sun, Bo AU - Sun B AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan 430022, China. FAU - Zhu, Licheng AU - Zhu L AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan 430022, China. FAU - Guo, Yusheng AU - Guo Y AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan 430022, China. FAU - Zheng, Chuansheng AU - Zheng C AUID- ORCID: 0000-0002-2435-1417 AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan 430022, China. LA - eng PT - Journal Article DEP - 20221214 PL - Egypt TA - J Oncol JT - Journal of oncology JID - 101496537 PMC - PMC9771663 COIS- All authors declare that they have no conflicts of interest. EDAT- 2022/12/27 06:00 MHDA- 2022/12/27 06:01 PMCR- 2022/12/14 CRDT- 2022/12/26 03:56 PHST- 2022/10/08 00:00 [received] PHST- 2022/11/29 00:00 [revised] PHST- 2022/12/01 00:00 [accepted] PHST- 2022/12/26 03:56 [entrez] PHST- 2022/12/27 06:00 [pubmed] PHST- 2022/12/27 06:01 [medline] PHST- 2022/12/14 00:00 [pmc-release] AID - 10.1155/2022/1090313 [doi] PST - epublish SO - J Oncol. 2022 Dec 14;2022:1090313. doi: 10.1155/2022/1090313. eCollection 2022.