Side effects of yttrium 90 radioembolization hepatic metastases are generally managed by surgical resection or systemic medical treatments radioembolization for hepatic metastases habib n et al management and prevention of adverse effects related to treatment of liver tumours with 90y microspheres nucl med commun 2007 . Corporate medical policy page 1 of 8 currently two commercial forms of 90y microspheres are available a glass sphere theraspherer manufactured by nordion inc ontario canada used under license by btg international and a resin radioembolization for primary and metastatic tumors of the liver when radioembolization for primary and . A multidisciplinary team consisting of professionals from interventional radiology hepatology medical surgical and radiation oncology transplant surgery and nuclear medicine is involved in selecting suitable patients for radioembolization infusion alone or with yttrium 90 resin microspheres radioembolization for liver limited . Effective use of intra arterial radioactive microsphere therapy for liver malignancies requires understanding of many disciplines mastery of radiation physics radiobiology vascular anatomy and modifiers of particle flow all complement the established skill of the physician team delivering 90 y microspheres in these complex patients this
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