Selective Internal Radiation Therapy (SIRT) as Conversion Therapy for Unresectable Primary Liver Ma

http://www.karger.com/Article/FullText/449341

This article supports what several have been saying on this forum for a while.  I won't cut and paste the whole lot as it is quite long (but free access on the above link) but here is the conclusion.

Conclusions

The available literature suggests that in a considerable proportion of patients with primary liver tumors, a good response can be expected after SIRT. Even if incomplete, a PR may also be sufficient to disengage the tumor from normal vital structures, allowing for sub-sequent surgical resection. Multidisciplinary committees must include expert hepatobiliary surgeons, not only to judge the unresectability of tumors, but also to judge the possibility of performing hepatectomy once down-sizing of the tumor (as well as hypertrophy of the contra-lateral lobe) is achieved. Intention-to-treat studies in this regard are warranted.