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Functional Assessment of Liver for Radiation Oncologist

Radiotherapy of Liver Cancer, Page: 51-57
2021
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Book Chapter Description

Improvement of short- and long-term prognosis after radiation therapy (RT) has been the main focus of radiation oncologists over the last two decades. Most patients with liver cancer have underlying liver disease, and a pre-RT hepatic functional reserve evaluation is important to avoid post-RT hepatic failure and death. Better selection of patients based on hepatic functional reserve can be the most important contributing factor to the success of RT for liver cancer. However, liver function involves a spectrum of metabolic functions, so there is no single test that can accurately and practically measure all functions at the same time. This chapter introduces what radiation oncologists need to know in order to evaluate hepatic functional reserves and several scoring systems to evaluate them.

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