Evidence map›Paper›PMID 37232818›Full record

ArticleCurrent oncology (Toronto, Ont.)2023

Vascular Normalization Caused by Short-Term Lenvatinib Could Enhance Transarterial Chemoembolization in Hepatocellular Carcinoma.

Tetsuya Tachiiri, Hideyuki Nishiofuku, Shinsaku Maeda, Takeshi Sato, Shohei Toyoda, Takeshi Matsumoto, Yuto Chanoki, Kiyoyuki Minamiguchi, Ryosuke Taiji, Hideki Kunichika and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Current oncology (Toronto, Ont.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Use of Radiomics in Characterizing Tumor Hypoxia.International journal of molecular sciences · 2025
    Review
  7. Transarterial Chemoembolization for Hepatocellular Carcinoma: Current Role and Techniques.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025
    Review
  8. Review
  9. Article
  10. Current trends in the characterization and monitoring of vascular response to cancer therapy.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Tetsuya TachiiriDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Hideyuki NishiofukuDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Shinsaku MaedaDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Takeshi SatoDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Shohei ToyodaDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Takeshi MatsumotoDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Yuto ChanokiDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Kiyoyuki MinamiguchiDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Ryosuke TaijiDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Hideki KunichikaDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.ORCID 0009-0008-5587-5337
Satoshi YamauchiDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Takahiro ItoDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Nagaaki MarugamiDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.
Toshihiro TanakaDepartment of Diagnostic and Interventional Radiology, Nara Medical University, Kashihara 634-8522, Japan.ORCID 0000-0003-3756-5278
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe the clinical effects of short-term lenvatinib administration prior to conventional transarterial chemoembolization (cTACE) on tumor vasculature. Two patients with unresectable hepatocellular carcinoma underwent high-resolution digital subtraction angiography (DSA) and perfusion four-dimensional computed tomography during hepatic arteriography (4D-CTHA) before and after administration of lenvatinib treatment. The doses and periods of lenvatinib administration were, respectively, 12 mg/day for 7 days and 8 mg/day for 4 days. In both cases, high-resolution DSA revealed a decrease in dilatation and tortuosity of the tumor vessels. Furthermore, the tumor staining became more refined, and newly formed tiny tumor vessels were observed. Perfusion 4D-CTHA revealed a decrease in arterial blood flow to the tumor by 28.6% (from 487.9 to 139.5 mL/min/100 mg) and 42.5% (from 288.2 to 122.6 mL/min/100 mg) in the two cases, respectively. The cTACE procedure resulted in good lipiodol accumulation and complete response. Patients have remained recurrence-free for 12 and 11 months after the cTACE procedure, respectively. The administration of short-term lenvatinib in these two cases resulted in the normalization of tumor vessels, which likely led to improved lipiodol accumulation and a favorable antitumor effect.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsEthiodized OilHumansPhenylurea CompoundsQuinolinesEthiodized OillenvatinibPhenylurea CompoundsQuinolineshepatocellular carcinomalenvatinibmulti-kinase inhibitorperfusion imagingtransarterial chemoembolizationvascular normalization

Identifiers

PMID37232818
PMCPMC10217704
OpenAlexW4372285914

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.