Частная больница Medicabil предлагает радиоэмболизацию при раке печени, располагая специализированной командой с опытом проведения сложных процедур. Больница обслуживает иностранных пациентов и поддерживает высокие показатели успешности в различных хирургических специальностях.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":4464,"alias":"private-medicabil-hospital","name":"Клиника Private Medicabil (Private Medicabil Hospital)","short_description":"Клиника Private Medicabil (Private Medicabil Hospital) — это частный многопрофильный медицинский центр в Бурсе, Турция. Команда клиники занимается нейрохирургией, ортопедией, хирургией для похудения и медицинскими обследованиями. Среди достижений клиники — показатели успешности:
\n\nЧастная клиника Medicabil обслуживает как взрослых, так и детей. 215508 пациентов ежегодно выбирают Private Medicabil Hospital для получения медицинской помощи. Чаще всего клинику посещают пациенты с Балкан, из стран Лиги арабских государств и русскоязычных стран.
\n","images":[{"base_url":"clinic/64ddfaae288fc","title":"Современный фасад клиники Private Medicabil Hospital в Турции"},{"base_url":"clinic/64ddfbb364bce","title":"Зона ресепшн в клинике Private Medicabil Hospital, современная клиника в Турции"},{"base_url":"clinic/64ddfbf0104ff","title":"Отделение интенсивной терапии в Private Medicabil Hospital с современным оборудованием"},{"base_url":"clinic/64ddfc1773ead","title":"Палата пациента в Private Medicabil Hospital с современной кроватью и креслами"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Турция","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Бурса","id":348,"alias":"bursa"},"address":"Fethiye, Mudanya Yolu, Küre Sokak 1/A, 16140 Nilüfer/Бурса, Турция"},"rating":{"rating":0,"google":3.5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":70,"year_foundation":2011},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Международная организация по стандартизации ISO","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/62e2ea948b5d5.jpeg","name":"Сертификат авторизации международного оздоровительного туризма","country_code":"TR"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":23},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":2496,"user":{"id":2535,"name":"Марина ","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Да, конечно","en":"Yes,of course"},"order":{"operation":{"id":783,"name":{"ru":"Радиоэмболизация печени","en":"Radioembolization for liver cancer"}},"illness":{"id":9,"name":{"ru":"Рак печени","en":"Liver cancer"}},"diagnostic":{"id":37,"name":{"ru":"УЗИ","en":"Ultrasound"}}},"clinic_info":{"id":87,"name":"Клиника Анадолу (Anadolu)","alias":"medicinskij-centr-anadolu","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2018-11-29T15:27:49.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}]},{"id":2751,"user":{"id":107481,"name":"Наталья ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Когда узнали, что нужно в клинику - вообще не представляли \"куда бежать\" и к кому обращаться. Координаторы помогли подобрать клинику. Там нам выделили врача. Все прошло замечательно, врач настоящий профессионал. \r\n Отдельно хочу отметить отношение к пациентам. Нас встретили в аэропорту, привезли в клинику и там уже ждал переводчик. Буквально \"за руку\" нас водили по врачам, все переводили. Затем предоставили такси до отеля. \r\n Во время операции палату предоставили на двоих человек - на больного и сопровождающего, питание обоих входило в стоимость операции.\r\n После операции врач провел консультацию, убедился что можно лететь обратно. И уже потом отвечал на вопросы удаленно, которые возникали. \r\n Клинику однозначно рекомендую","en":"When they learned what was needed in the clinic, they didn’t even know where to run and whom to contact. Coordinators helped to select a clinic. They gave us a doctor. Everything went great, the doctor is a true professional.\r\n Separately, I want to note the attitude to patients. We were met at the airport, brought to the clinic and there was already a translator waiting. Literally \"by the hand\" we were taken to the doctors, everyone translated. Then they provided a taxi to the hotel.\r\n During the operation, the ward was provided for two people - for the patient and the attendant; both of them were included in the cost of the operation.\r\n After surgery, the doctor held a consultation, making sure that you can fly back. And only then answered questions remotely that arose.\r\n Clinic definitely recommend"},"order":{"operation":{"id":140,"name":{"ru":"Лучевая терапия","en":"Radiotherapy"}},"illness":{"id":156,"name":{"ru":"Базалиома","en":"Basalioma"}},"diagnostic":{"id":102,"name":{"ru":"Консультация онколога","en":"Consultation with an oncologist"}}},"clinic_info":{"id":410,"name":"Клиника Мемориал Бахчелиэвлер","alias":"klinika-memorial-bahcelievler","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-01-24T06:57:13.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"«Клинику однозначно рекомендую.» Возврат: О докторе: «Врач – настоящий профессионал». О клинике: "Встретили в аэропорту, привезли в клинику и там уже ждал переводчик. Буквально "за руку" повезли к врачам, все переводили. Потом предоставили такси до гостиницы." О результатах: «Во время операции была предоставлена палата для двух человек – для больного и сопровождающего; оба они ","en":"\"Clinic definitely recommend.\" Return: About the doctor: \"The doctor is a true professional.\" About the clinic: \"We were met at the airport, brought to the clinic and there was already a translator waiting. Literally \"by the hand\" we were taken to the doctors, everyone translated. Then they provided a taxi to the hotel.\" About the results: \"During the operation, the ward was provided for two pe"}}},{"id":4245,"user":{"id":99409,"name":"Максим Гришай","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Спасибо Ираде из международного отдела за организацию лечения. Всё прошло на высшем уровне. Спасибо Зульфие за перевод. Спасибо доктору Pelin BASIM и Dilek Ünal за профессионализм и поддержку.","en":"Thank you Irada from the international department for arranging treatment. Everything went at the highest level. Thank you Zulfie for the translation. Thanks to Dr. Pelin BASIM and Dilek Ünal for their professionalism and support."},"order":{"operation":{"id":140,"name":{"ru":"Лучевая терапия","en":"Radiotherapy"}},"illness":{"id":3,"name":{"ru":"Рак груди","en":"Breast cancer"}},"diagnostic":{"id":102,"name":{"ru":"Консультация онколога","en":"Consultation with an oncologist"}}},"clinic_info":{"id":85,"name":"Клиника Медиполь (Medipol)","alias":"universitetskij-gospital-medipol","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-07-03T16:10:46.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"Спасибо Зульфи за перевод.","en":"Thank you Zulfie for the translation."}}},{"id":2955,"user":{"id":92170,"name":"Лилия Moseichuk","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Нахожусь на лечении в клинике медипол. Уровень обслуживания и профессионализма очень высокий.","en":"I am on treatment in the clinic medipol. The level of service and professionalism is very high."},"order":{"operation":{"id":140,"name":{"ru":"Лучевая терапия","en":"Radiotherapy"}},"illness":{"id":416,"name":{"ru":"Рак прямой кишки","en":"Rectal cancer"}}},"clinic_info":{"id":85,"name":"Клиника Медиполь (Medipol)","alias":"universitetskij-gospital-medipol","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-03-01T13:21:34.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"Я нахожусь на лечении в клинике медипол.Отзыв: Врач очень внимательный и дружелюбный, уровень обслуживания и профессионализма очень высокий, после лечения чувствую себя намного лучше, нахожусь на лечении в клинике медиполь.","en":"I am on treatment in the clinic medipol.Return: The doctor is very attentive and friendly, The level of service and professionalism is very high, I'm feeling much better after the treatment, I am on treatment in the clinic medipol."}}},{"id":2342,"user":{"id":119286,"name":"Жамиля Sarsinbaev","country_code":"KZ","country_name":{"ru":"Казахстан","en":"Kazakhstan"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Врачи показались профессиональными. Низкое качество перевода с турецкого на руский и обратно. Почему-то после ПЕТ КТ (возможно, совпадение), по возвращении домой, резко стпло хуже. Пришлось срочно оперировать, хотя турецкие онкологи не видели необходимости в операции, а предлагали выждать месяц.","en":"Doctors seemed professional. Low quality translation from Turkish to Russian and vice versa. For some reason, after PET KT (perhaps a coincidence), upon returning home, it was sharply worse. We had to urgently operate, although Turkish oncologists did not see the need for an operation, but offered to wait a month."},"order":{"operation":{"id":37,"name":{"ru":"Химиотерапия","en":"Chemotherapy"}},"illness":{"id":94,"name":{"ru":"Рак языка","en":"Tongue cancer"}},"diagnostic":{"id":1,"name":{"ru":"ПЭТ-КТ","en":"PET/CT"}}},"clinic_info":{"id":87,"name":"Клиника Анадолу (Anadolu)","alias":"medicinskij-centr-anadolu","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2018-11-07T09:30:26.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"Врачи показались профессионалами.","en":"Doctors seemed professional."}}}],"meta":{"total_count":13,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"promoClinics":{"clinics":[{"text":"Д-р Киванч Дерья Пекер имеет _doctor_4178_years_ опыта в хирургической онкологии. Аккредитованная JCI клиника использует передовую технологию 1,5T MR-LINAC. Диагностика может стоить от 160 $ за консультацию до около 600 $ за ПЭТ-КТ. Хирургические процедуры, такие как овариэктомия, обычно стоят 2500–3000 $. Пакет HIPEC «все включено» стоит около 12000–13000 $ и покрывает 7–10 дней госпитализации, интенсивную терапию и трансферы из аэропорта.
Многопрофильная клиника Hisar Hospital Intercontinental в Стамбуле, Турция, аккредитована Объединенной международной комиссией (JCI) за соответствие высоким стандартам качества и безопасности лечения.
\n\nКлиника специализируется на онкологии, гематологии, сердечно-сосудистой хирургии, ортопедии и бариатрических операциях, включая гастрошунтирование, установку баллона и резекцию желудка. Также предлагаются комплексные медицинские обследования.
\n\nЕжегодно более 500 000 пациентов получают медицинскую помощь в Hisar Hospital Intercontinental. Пациенты из Европы, Америки, Африки, стран СНГ и Балкан выбирают клинику за специализированное и высококачественное лечение.
\n","images":[{"base_url":"clinic/611f4d5aafd19","title":"Современное здание клиники Hisar Intercontinental Hospital в Стамбуле"},{"base_url":"clinic/611f4c3ef37e9","title":"Зона ресепшн в Hisar Hospital Intercontinental, современный дизайн, Стамбул"},{"base_url":"clinic/611f4cd5d0bb5","title":"Палата пациента в Hisar Hospital Intercontinental с современной кроватью и монитором"},{"base_url":"clinic/611f4cac5600f","title":"Палата пациента в Hisar Hospital Intercontinental с современной кроватью и оборудованием"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Турция","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Стамбул","id":107,"alias":"stambul"},"address":"Saray Mah. Site Yolu Cad. No:7 34768 Ümraniye / Стамбул, Турция"},"rating":{"rating":4.5,"google":4.2,"percent_of_satisfied_clients":86},"statistics":{"number_of_reviews":266,"doctors_number":120,"year_foundation":2005},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/651ed4ba8ac14.jpeg","name":"Турецкая медицинская ассоциация","country_code":"TR"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d48fc833289.jpeg","name":"Сертификат Турецкой медицинской ассоциации","country_code":"TR"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa141fccc45.jpeg","name":"Выбор пациентов по онкологии и онкогематологии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa12c83eee0.jpeg","name":"Лучшая координация и сервис для иностранных пациентов","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb718dd79b8.jpeg","name":"Лучшая клиника для проведения лучевой терапии","country_code":"UA"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Доцент Гёкхан Демираяк — специалист по гинекологической онкологии с 19-летним стажем и более чем 900 проведенными процедурами, специализирующийся на малоинвазивных и роботизированных методах. Аккредитованная JCI клиника Memorial Şişli предлагает комплексную диагностику. Первичная консультация стоит около $140. Варианты лечения включают лапароскопическую или роботизированную операцию стоимостью около $20 000, что покрывает процедуру и 3 ночи пребывания в стационаре. Пакет «все включено» (HIPEC + циторедуктивная операция) может стоить около $30 000.
Клиника Мемориал Шишли в Стамбуле — один из ведущих многопрофильных медицинских центров Турции, занимающий площадь 53 000 м², с 252 койками, 13 операционными и современными отделениями интенсивной терапии. Открытая в 2000 году, она стала первой больницей в Турции и 21-й в мире, получившей аккредитацию Joint Commission International (JCI), подтверждающую мировые стандарты качества.
\n\nКлиника известна своей экспертизой в онкологии, трансплантации органов и костного мозга (успех трансплантации органов — 90%), ЭКО, нейрохирургии, бариатрической хирургии, роботизированной хирургии и генетике. Оснащённая передовыми технологиями и специализированными центрами, Клиника Мемориал Шишли ежегодно принимает пациентов из 167 стран, сочетая медицинскую помощь высокого уровня с уникальными культурными и туристическими возможностями Стамбула.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Современное здание клиники Memorial Şişli Hospital в Стамбуле, Турция"},{"base_url":"clinic/5ba3aa9d874b8","title":"Палата пациента в Memorial Şişli Hospital, Стамбул с современной мебелью и ТВ"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Палата и зона отдыха для пациентов в Memorial Şişli Hospital, Стамбул"},{"base_url":"clinic/634ffa7dd8799","title":"Стойка регистрации в Memorial Şişli Hospital с современным интерьером в Стамбуле"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Турция","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Стамбул","id":107,"alias":"stambul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Международная организация по стандартизации ISO","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"День 1: Прибытие
День 2: Предоперационный
День 3: Радиоэмболизация
День 4: После операции
Неделя 1: Реабилитация
Неделя со 2 по 4: Реабилитация
Обратите внимание, что путь каждого пациента к выздоровлению может варьироваться в зависимости от их общего состояния здоровья, размера и расположения опухоли, а также реакции организма на лечение.
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stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"After Y90 delivery; strenuous activity is resumed gradually as fatigue and groin-site discomfort settle."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Response is usually assessed on imaging about 3 months after Y90 delivery and may keep evolving."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After Y90 delivery session; depends on symptoms, puncture-site healing, radiation-safety advice and any air-travel restrictions given by the team."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":37,"max":58,"unit":"days","qualifier":"Counted from mapping angiogram (day 0); Y90 delivery 7-28 days later; visit about 30 days after delivery."}},{"purpose":"result_review","requirement":"routine","after":{"min":97,"max":118,"unit":"days","qualifier":"Counted from mapping angiogram (day 0); Y90 delivery 7-28 days later; imaging review about 3 months after delivery."}}],"indications":["Unresectable hepatocellular carcinoma with adequate liver function","Unresectable colorectal or neuroendocrine liver metastases when options are limited","Intrahepatic cholangiocarcinoma in selected patients","Bridge or downstaging liver-directed treatment in selected patients"],"main_risks":["Post-embolization syndrome (fatigue, nausea, abdominal pain, low-grade fever)","Radioembolization-induced liver disease or liver function decline","Nontarget radiation injury: gastroduodenal ulcer, cholecystitis, pancreatitis","Radiation pneumonitis if lung shunting is significant","Access-site hematoma or bleeding, and hepatic artery injury or dissection","Contrast reaction or kidney injury","Biliary complications, liver abscess (higher risk with prior biliary intervention)"],"pain":"Usually mild to moderate abdominal discomfort, nausea and fatigue for several days after delivery; controlled with standard medication.","preparation":["Liver imaging, blood tests, and multidisciplinary review","Mapping angiography and Tc-99m MAA scan for shunting and dosing","Fasting for several hours before each angiography session","Medication and allergy review by treating team"],"recovery_timeline":[{"phase":"Mapping session (day 0)","description":"Diagnostic angiography with possible coil embolization of vessels, and MAA injection with scan; observation for a few hours with bed rest for femoral puncture-site hemostasis.","restrictions":["Avoid heavy lifting briefly after the puncture"]},{"phase":"Y90 delivery (typically 7-28 days after mapping)","description":"Microspheres are delivered via catheter into the tumor-feeding arteries; discharge is usually the same day.","restrictions":["Follow radiation-safety precautions as instructed","Limit strenuous activity for the first days"]},{"phase":"First 1-2 weeks after delivery","description":"Fatigue, mild nausea or abdominal discomfort may occur and usually settle; gradual return to usual activity.","restrictions":["Avoid strenuous exercise until symptoms resolve"]},{"phase":"About 1 and 3 months after delivery","description":"Clinical and laboratory review at about 1 month, then imaging for response at about 3 months.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery after the Y90 delivery session; no formal rehabilitation program is needed."},"result_longevity":"Tumor response typically lasts several months to a year or more, varying with tumor type and liver function. Radioembolization is not curative alone, and disease may progress, so repeat imaging surveillance is needed.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Patients needing repeat Y90 treatment, usually for the other lobe or progression, within about 12 months."},"scars":"No surgical scar; only a tiny femoral or radial arterial puncture site.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Mapping angiography and Y90 delivery for a single treatment course."},"stages":[{"code":"mapping_angiography","label":"Mapping angiography with MAA shunt scan and dose planning","after":{"min":0,"max":0,"unit":"days","qualifier":"Day 0, the first session."}},{"code":"y90_delivery","label":"Y90 microsphere delivery","after":{"min":7,"max":28,"unit":"days","qualifier":"Counted from the mapping session (day 0)."}}],"qualifier":"Two-visit course for one treatment; treating the other liver lobe may be staged as a separate course."},"success":{"metric":"Disease control (objective response or stable disease) on imaging","value":80,"unit":"percent of patients","horizon":"3-6 months after Y90 delivery","population":"Selected adults with unresectable liver tumors and adequate liver function","evidence_status":"limited"},"techniques":[{"name":"Y90 resin microspheres (SIR-Spheres)","suits_whom":"Selected patients with unresectable liver tumors, including metastases; dose planned from mapping and body-surface area or partition models.","recovery":"Same-day discharge usually; mild post-embolization symptoms for several days."},{"name":"Y90 glass microspheres (TheraSphere)","suits_whom":"Selected patients with hepatocellular carcinoma; dosimetry-based planning required.","recovery":"Similar to resin microspheres; same-day discharge usually, with fewer particles and less embolic effect."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Per angiographic session (mapping or Y90 delivery) in the interventional suite, excluding preparation and post-procedure observation."},"initial_assessment_documents":["Recent contrast liver MRI or CT scans","Biopsy or pathology report","Tumor marker results","Liver function and bilirubin blood tests","Summary of prior chemotherapy and liver treatments","PET-CT report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Mapping and Y90 delivery are 1-4 weeks apart; one trip needs 8-10 days abroad, otherwise two trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether a multidisciplinary tumor board takes the decision to treat","scope":"procedure","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8940802/","host":"pmc.ncbi.nlm.nih.gov","quote":"Therefore, the decision for radioembolization should be taken by a multidisciplinary tumour board in accordance with the current clinical guidelines.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that pretreatment cross-sectional imaging is done before treatment","scope":"procedure","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3221012/","host":"pmc.ncbi.nlm.nih.gov","quote":"Pretreatment cross sectional imaging is essential for treatment planning and post treatment response assessment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the pretreatment assessment, patient selection and dosimetry, which can avoid complications","scope":"procedure","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3221012/","host":"pmc.ncbi.nlm.nih.gov","quote":"However, these can be avoided by meticulous pretreatment assessment, careful patient selection and adequate dosimetry.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that pre-treatment scintigraphy is done to measure 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done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The consultation offers treatment without history, lab and imaging work-up beforehand","scope":"procedure","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3221012/","host":"pmc.ncbi.nlm.nih.gov","quote":"All patients undergo pretreatment assessment consisting of history, laboratory and imaging work-up.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The consultation does not explain the treatment, its benefits and its side effects","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/liver-cancer/treatment/","host":"nhs.uk","quote":"explain the treatments, benefits and side effects work with you to create a treatment plan that is best for you help you manage any side effects, including changes to your diet to help you 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legs","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Feeling feverish or chilled","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/y90-treatment-radioembolization","host":"my.clevelandclinic.org","quote":"Feeling feverish or chilled Bleeding, warmth or swelling where your provider inserted the catheter Belly pain or numbness in your legs","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Post-treatment PET imaging is routine, so the home doctor needs its report","document":"post-treatment pet imaging report","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8940802/","host":"pmc.ncbi.nlm.nih.gov","quote":"Despite this scarcity, 90 Y PET imaging is routinely performed 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