Publications by authors named "Mhd W Alnablsi"

Background: Small-molecule biomacromolecules target tumor-specific antigens. They are employed as theranostic agents for imaging and treatment. Intravenous small-molecule radioligands exhibit rapid tumor uptake and excretion.

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Transarterial radioembolization (TARE), also called Selective Internal Radiation Therapy (SIRT), has emerged as an effective locoregional therapy for primary and secondary hepatic tumors, utilizing yttrium-90 (Y90) microspheres and other agents such as holmium-166 and rhenium-188. TARE has various applications in the management of HCC across different BCLC stages. Radiation segmentectomy, which involves administering high doses of Y90 (>190 Gy), can be both curative and ablative, achieving complete necrosis of the tumor.

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Introduction: Great strides have been made identifying molecular and genetic changes expressed by various tumor types. These molecular and genetic changes are used as pharmacologic targets for precision treatment using large molecule (LM) proteins with high specificity. Theranostics exploits these LM biomolecules via radiochemistry, creating sensitive diagnostic and therapeutic agents.

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Article Synopsis
  • Hepatocellular carcinoma (HCC) is a major cause of cancer deaths, with better prognoses in early stages; transarterial radioembolization (TARE) offers a safer alternative treatment option, especially in advanced cases.
  • The study evaluated how certain biomarkers—related to liver function and immune response—might predict tumor response to Y90 TARE among HCC patients.
  • Results from 35 patients showed that 51% responded favorably to treatment, with notable predictive biomarkers being an ALBI score of ≤-2.8 and a low neutrophil-to-lymphocyte ratio, both indicating higher odds of a positive response.
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Adrenal vein sampling (AVS) is the standard procedure for distinguishing unilateral primary aldosteronism (PA) from bilateral PA. In cases where only one adrenal vein is successfully cannulated, it has been suggested that subtype classification can be determined based on the ratio of the concentration of aldosterone between the adrenal vein and the inferior vena cava (AV/IVC index). However, diagnostic performance of the ipsilateral versus contralateral AV/IVC index in predicting lateralization has not been directly compared.

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