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| 1 | Clinical impact of selective transarterial chemoembolization on hepatocellular carcinoma:A cohort study显示文摘AIM:To prospectively evaluate the short and long term clinical impact of selective transarterial chemoembolization (TACE) on liver function in patients with hepatocellular carcinoma (HCC).To assess side effects in relation to treatments.To analyze the overall survival and HCC progression free survival probability. METHODS:One hundred and seventeen cirrhotic patients with HCC were enrolled.Baseline liver function included Child-Pugh score and serum levels of alanineaminotransferase (ALT),prothrombin time(PT)and bilirubin.According to Cancer Liver Italian Program (CLIP) and Barcelona Clinic Liver Cancer (BCLC) staging systems,71 patients were eligible for TACE; 32 had previously received treatment for HCC.No significant differences in liver function were observed between previously treated and not treated patients. TACE was performed by selective catheterization of the arteries nourishing the lesions.While hospitalized, patient sunder went clinical,hematologicand ultrasonographic assessments.One month after TACE a CT scan was performed to assess tumor response. A second TACE was performed'on demand'.Liver function tests were checked in all patients every four months.RESULTS:After first TACE,the mean Child-Pugh score increased from a mean baseline 5.62±1.12 to 6.11±1.57 at discharge time (P<0.0001),decreasing after four months to 5.81±0.73 (not significant).ALT,PT and bilirubin significantly (P<0.0001)increased 24 h after TACE and progressively decreased until discharge. After the second TACE,variations in Child-Pugh score,ALT,PT and bilirubin were comparable to that described after the first TACE.No major complications were observed.The mean follow-up was 14.7±6.3 mo (median:16 mo).Only one patient died.No other patient experienced important long term worsening of clinical status.The overall survival probability at twenty-four months was 98.18%with a correspondent HCC progression free survival probability of 69%. CONCLUSION:Selectiv TAC Emayproduce significant,but transitory increases in ALT values, with no major impact on liver function and Child-Pugh score.Preservation of liver function is achievable also in patients previously treated with other therapeutic modalities and in patients undergoing multiple TACE cycles.Liver function can remain stable in the long-term, with optimal medium term survival.This result can be achieved through rigorous patient selection on the basis of tumour characteristics and clinical conditions. | Rodolfo Sacco Marco Bertini Pasquale Petruzzi Michele Bertoni Irene Bargellini Giampaolo Bresci Graziana Federici Luigi Gambardella Salvatore Metrangolo Giuseppe Parisi Antonio Romano Antonio Scaramuzzino Emanuele Tumino Alessandro Silvestri Emanuele Altomare Claudio Vignali Alfonso Capria | 2009 | World Journal of Gastroenterology2009，15，15： | 7 |
| 2 | Transarterial radioembolization for hepatocellular carcinoma:An update and perspectives显示文摘In the last decade trans-arterial radioembolization has given promising results in the treatment of patients with intermediate or advanced stage hepatocellular carcinoma(HCC),both in terms of disease control and tolerability profile.This technique consists of the selective intra-arterial administration of microspheres loaded with a radioactive compound(usually Yttrium90),and exerts its therapeutic effect through the radiation carried by these microspheres.A careful and meticulous selection of patients is crucial before performing the radioembolization to correctly perform the procedure and reduce the incidence of complications.Radioembolization is a technically complex and expensive technique,which has only recently entered clinical practice and is supported by scant results from phase Ⅲ clinical trials.Nevertheless,it may represent a valid alternative to transarterial chemoembolization(TACE) in the treatment of intermediate-stage HCC patients,as shown by a comparative retrospective assessment that reported a longer time to progression,but not of overall survival,and a more favorable safety profile for radioembolization.In addition,this treatment has reported a higher percentage of tumor shrinkage,if compared to TACE,for pre-transplant downsizing and it represents a promising therapeutic option in patients with large extent of disease and insufficient residual liver volume who are not immediately eligible for surgery.Radioembolization might also be a suitable companion to sorafenib in advanced HCC or it can be used as a potential alternative to this treatment in patients who are not responding or do not tolerate sorafenib. | Rodolfo Sacco Valeria Mismas Sara Marceglia Antonio Romano Luca Giacomelli Marco Bertini Graziana Federici Salvatore Metrangolo Giuseppe Parisi Emanuele Tumino Giampaolo Bresci Ambra Corti Manuel Tredici Michele Piccinno Luigi Giorgi Carlo Bartolozzi Irene Bargellini | 2015 | World Journal of Gastroenterology2015，21，21： | 4 |
| 3 | Transarterial chemoembolization in very early and early-stage hepatocellular carcinoma patients excluded from curative treatment: A prospective cohort study显示文摘 | Irene Bargellini Rodolfo Sacco Elena Bozzi Marco Bertini Barbara Ginanni Antonio Romano Antonio Cicorelli Emanuele Tumino Graziana Federici Roberto Cioni Salvatore Metrangolo Michele Bertoni Giampaolo Bresci Giuseppe Parisi Emanuele Altomare Alfonso Capri | 2011 | European Journal of Radiology2011，，6： | 2 |
| 4 | Assessment of clinical and radiological response to sorafenib in hepatocellular carcinoma patients显示文摘Sorafenib is an effective anti-angiogenic treatment forhepatocellular carcinoma(HCC). The assessment of tumor progression in patients treated with sorafenib is crucial to help identify potentially-resistant patients,avoiding unnecessary toxicities. Traditional methods to assess tumor progression are based on variations in tumor size and provide unreliable results in patients treated with sorafenib. New methods to assess tumor progression such as the modified Response Evaluation Criteria in Solid Tumors or European Association for the Study of Liver criteria are based on imaging to measure the vascularization and tumor volume(viable or necrotic). These however fail especially when the tumor response results in irregular development of necrotic tissue. Newer assessment techniques focus on the evaluation of tumor volume,density or perfusion. Perfusion computed tomography and Dynamic ContrastEnhanced-UltraS ound can measure the vascularization of HCC lesions and help predict tumor response to antiangiogenic therapies. Mean Transit Time is a possible predictive biomarker to measure tumor response. Volumetric techniques are reliable,reproducible and time-efficient and can help measure minimal changes in viable tumor or necrotic tissue,allowing the prompt identification of non-responders. Volume ratio may be a reproducible biomarker for tumor response. Larger trials are needed to confirm the use of these techniques in the prediction of response to sorafenib. | Rodolfo Sacco Valeria Mismas Antonio Romano Marco Bertini Michele Bertoni Graziana Federici Salvatore Metrangolo Giuseppe Parisi Emanuele Tumino Giampaolo Bresci Luca Giacomelli Sara Marceglia Irene Bargellini | 2015 | World Journal of Hepatology2015，7，1： | 2 |
| 5 | Efficacy and Safety of Combination Therapy With Everolimus and Sorafenib for Recurrence of Hepatocellular Carcinoma After Liver Transplantation显示文摘 | P. De Simone L. Crocetti D. Pezzati I. Bargellini D. Ghinolfi P. Carrai G. Leonardi C. Della Pina D. Cioni L. Pollina D. Campani C. Bartolozzi R. Lencioni F. Filipponi | 2014 | Transplantation Proceedings2014，，1： | 2 |
| 6 | Trace elements, anxiety andimmune parameters in patients affected by cancer 显示文摘 | Bargellini A piccinini L De Palma M | 2003 | J Trace Elem MedBioll2003，17，1： | 1 |
| 7 | Vascular injuries after percu- taneous renal procedures: treatment by transcatheter emholization 显示文摘 | Vigali C Lonzi S Bargellini L | 2004 | Eur Radiol2004，14，： | 1 |
| 8 | Vascular injuries after percutaneous renal procedures: treatment by transcatheter embolization显示文摘 | Vignali C Lonzi S Bargellini 1 | 2004 | Europe- an Radiology2004，14，4： | 1 |
| 9 | Puerperal vulvovagi- nal hematoma: sonographic findings with MRI correlation 显示文摘 | Guerriero S Ajossa S Bargellini R | 2004 | J Clin Ultrasound2004，32，8： | 1 |
| 10 | TIPS with expanded polytetrafluoroethylene-covered stent: results of an Italian muhicenter study显示文摘 | Vignali C Bargellini I Grosso M | 2005 | AJR Am J Roentgenol2005，185，2： | 1 |
| 11 | Vascular injuries after per-cutaneous renal procudures: treatment by transcatheter emboliza-tion显示文摘 | VigaliC Lonzi S Bargellini L | 2004 | Eur Radiol2004，14，5： | 1 |
| 12 | Modified RECIST to assess tumor response after Transarterial Chemoembolization of Hepatocellular Carcinoma: CT-pathologic correlation in 178 liver explants显示文摘 | Irene Bargellini Elena Bozzi Daniela Campani Paola Carrai Paolo De Simone Luca Pollina Roberto Cioni Franco Filipponi Carlo Bartolozzi | 2012 | European Journal of Radiology2012，，： | 1 |
| 13 | Vascular injuries after percutaneous renalprocedures: treatment by transcatheter embolization 显示文摘 | Vignali C Lonzi S Bargellini I | 2004 | EurRadiol2004，14，4： | 1 |
| 14 | Laparoscopic splenectomy 15 year after 显示文摘 | Bargellini T1 Martellucci J Bruscino A | 2014 | Surg Laparosc Endosc Percutan Tech2014，24，1： | 1 |
| 15 | Vascular injuries after per- cutaneous renal procedures : treatment by transcatheter embolization 显示文摘 | Vignali C Lonzi S Bargellini I | 2004 | Eur Radio12004，14，4： | 1 |
| 16 | PS with expanded polyte- trafluoroethylene-covered stent: results of an Italian muhicenter study显示文摘 | Vignali C Bargellini I Grosso M | 2005 | AJR Am J Roentgenol2005，185，2： | 1 |
| 17 | Trace elements, anxiety and immune parameters in patients afected by cancer显示文摘 | Bargellini A Piccinini L Depalma M | 2003 | J Trace Elem Med Biol2003，17，1： | 1 |
| 18 | Radiofrequency ablation of lung tumours 显示文摘 | Bargellini I Bozzi E Cioni R | 2011 | Insights Imaging2011，2，5： | 1 |
| 19 | Hepatocellular carcinoma: CT for tumor response after transarterial chemoembolization in patients ex- ceeding Milan Criteria - Selection parameter for liver transplantation 显示文摘 | Bargellini I Vignali C Cioni R | 2010 | Radiology2010，225，： | 1 |
| 20 | TIPS with expanded polytetrafluoroethylene- covered stent: results of an Italian muhicenter study显示文摘 | Vignali C Bargellini I Grosso M | 2005 | Am J Roentgenol2005，185，： | 1 |
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