Vietnamese expert consensus on the treatment of hepatocellular carcinoma with transarterial chemoembolization.
| Title: | Vietnamese expert consensus on the treatment of hepatocellular carcinoma with transarterial chemoembolization. |
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| Authors: | Luu VD; Department of Diagnostic Imaging, Hanoi Medical University, Hanoi, Vietnam.; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Tan DD; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Thong PM; Department of Diagnostic Imaging, Hanoi Medical University, Hanoi, Vietnam.; Khang LV; Department of Diagnostic Imaging, Hanoi Medical University, Hanoi, Vietnam.; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Dung LT; Center for Diagnostic Imaging, Viet Duc University Hospital, Hanoi, Vietnam.; Binh LT; Department of Diagnostic Imaging, Hue University of Medicine and Pharmacy, Hue, Vietnam.; Trang NN; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Cuong NN; Department of Diagnostic Imaging, Hanoi Medical University Hospital, Hanoi, Vietnam.; Luan ND; Department of General Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam.; Lam NL; Center for Diagnostic Imaging, National Cancer Hospital (K Hospital), Hanoi, Vietnam.; Chau TH; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Sy TV; Center for Diagnostic Imaging, Viet Duc University Hospital, Hanoi, Vietnam.; Anh ND; Center for Diagnostic Imaging, National Cancer Hospital (K Hospital), Hanoi, Vietnam.; Tho LD; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Huy TD; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Hieu DN; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Son PQ; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Tri LD; Institute for Radiology, Bach Mai Hospital, Hanoi, Vietnam.; Huong ND; Department of Diagnostic Imaging, Hanoi Oncology Hospital, Hanoi, Vietnam.; Phuong PC; Center for Nuclear Medicine and Oncology, Bach Mai Hospital, Hanoi, Vietnam.; Thinh NT; Central Military Hospital 108, Hanoi, Vietnam.; Thong VD; Department of Gastroenterology, University Medical Center, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Phat HT; Department of Gastroenterology, Cho Ray Hospital, Ho Chi Minh City, Vietnam.; Duc PTH; Department of Gastroenterology, Breast, and Urology, Ho Chi Minh City Oncology Hospital, Ho Chi Minh City, Vietnam.; Anh PG; Department of Oncology and Radiotherapy, Viet Duc University Hospital, Hanoi, Vietnam.; Truc VHT; Department of Liver Tumors, Cho Ray Hospital, Ho Chi Minh City, Vietnam.; Trung LQ; Department of Chemotherapy, University Medical Center, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.; Thao LB; Department of General Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City, Vietnam.; Anh LT; Center for Oncology, Cho Ray Hospital, Ho Chi Minh City, Vietnam.; Long TCD; Department of Hepatobiliary and Pancreatic Surgery, University Medical Center, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. |
| Source: | Frontiers in radiology [Front Radiol] 2026 Apr 21; Vol. 6, pp. 1763042. Date of Electronic Publication: 2026 Apr 21 (Print Publication: 2026). |
| Publication Type: | Journal Article; Review |
| Language: | English |
| Journal Info: | Publisher: Frontiers Media SA Country of Publication: Switzerland NLM ID: 9918367586306676 Publication Model: eCollection Cited Medium: Internet ISSN: 2673-8740 (Electronic) Linking ISSN: 26738740 NLM ISO Abbreviation: Front Radiol Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [Lausanne, Switzerland] : Frontiers Media SA, [2021]- |
| Abstract: | Hepatocellular carcinoma (HCC) remains a major public health challenge in Vietnam and, according to GLOBOCAN 2022, accounted for 24,502 new cases in 2022, making it the second most common cancer and the leading cause of cancer-related mortality. Transarterial chemoembolization (TACE), introduced in 1977, is a pivotal treatment for unresectable HCC, delivering chemotherapeutic agents and embolic materials to induce tumor necrosis through cytotoxicity and ischemia. TACE is versatile and, in selected early-stage HCC (BCLC 0-A) treated with a highly selective approach, may achieve complete response; in intermediate-stage disease (BCLC B), it can prolong survival and enable downstaging, and in advanced-stage disease (BCLC C), it may complement systemic therapy. Despite its global use, TACE practices vary, and Vietnam lacks standardized guidelines tailored to its unique clinical landscape. The Vietnamese Society of Radiology and Nuclear Medicine and The Vietnamese Society of Interventional Radiology conducted three workshops in Da Nang, An Giang, and Can Tho between August and December 2024. These workshops engaged interventional radiologists from major hospitals and regional centers to develop consensus-based TACE recommendations. Through literature reviews, discussions, and physician voting, the recommendations cover pre-TACE diagnostic imaging, patient selection criteria, TACE techniques, choice of embolic materials and chemotherapeutic agents, intra- and post-procedure monitoring, and integration with combination therapies. This initiative aligns international standards with local needs, aiming to enhance the efficacy and consistency of TACE for HCC management in Vietnam.; (© 2026 Luu, Tan, Thong, Khang, Dung, Binh, Trang, Cuong, Luan, Lam, Chau, Sy, Anh, Tho, Huy, Hieu, Son, Tri, Huong, Phuong, Thinh, Thong, Phat, Duc, Anh, Truc, Trung, Thao, Anh and Long.) |
| Competing Interests: | The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. |
| Contributed Indexing: | Keywords: Vietnam; consensus guidelines; hepatocellular carcinoma; interventional radiology; transarterial chemoembolization |
| Entry Date(s): | Date Created: 20260507 Date Completed: 20260507 Latest Revision: 20260507 |
| Update Code: | 20260507 |
| PubMed Central ID: | PMC13140673 |
| DOI: | 10.3389/fradi.2026.1763042 |
| PMID: | 42095128 |
| Database: | MEDLINE |
Journal Article; Review