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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 digest your food.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The offer presents radioembolization as curative without explaining its palliative purpose","scope":"procedure","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8940802/","host":"pmc.ncbi.nlm.nih.gov","quote":"Unless performed in a preoperative setting, patients should be told that this therapy is not likely to cure their disease and is a palliative treatment directed to their liver lesion(s).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding at the catheter site","urgency":"contact_clinic","general":false,"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}},{"id":"W2","text":"Numbness in your legs","urgency":"contact_clinic","general":false,"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}},{"id":"W3","text":"Belly pain","urgency":"contact_clinic","general":false,"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}},{"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 post-treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The patient needs written instructions to manage radiation precautions after treatment","document":"aftercare instructions","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8940802/","host":"pmc.ncbi.nlm.nih.gov","quote":"Patients must be advised to reduce unnecessary radiation exposure and contamination to family members and the public.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your tumor is limited to one part of your liver","name":"Liver surgery","source":{"url":"https://my.clevelandclinic.org/health/diseases/21709-hepatocellular-carcinoma-hcc","host":"my.clevelandclinic.org","quote":"You may receive a hepatectomy if the tumor is only limited to one part of your liver.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your liver tumors measure less than 3 centimeters","name":"Ablation therapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/metastatic-liver-cancer","host":"my.clevelandclinic.org","quote":"Your oncologist may use it to eliminate tumors that measure less than 1 inch (3 centimeters).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"Your liver cancer is advanced","name":"Immunotherapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/21709-hepatocellular-carcinoma-hcc","host":"my.clevelandclinic.org","quote":"Immunotherapy medicines also treat advanced HCC.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":283}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"y90-resin-microspheres","name":"Y90 resin microspheres (SIR-Spheres)","how_it_works":{"text":"Tiny radioactive beads travel through the bloodstream to the tumor","source":{"url":"https://my.clevelandclinic.org/health/procedures/y90-treatment-radioembolization","host":"my.clevelandclinic.org","quote":"During the procedure, millions of tiny radioactive glass or plastic beads (about the size of a grain of powdered sugar) travel through your bloodstream until they reach the tumor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"y90-glass-microspheres","name":"Y90 glass microspheres (TheraSphere)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"y90-resin-microspheres","name":"Y90 resin microspheres (SIR-Spheres)","how_it_works":{"id":"H1","text":"Tiny radioactive beads travel through the bloodstream to the tumor","source":{"url":"https://my.clevelandclinic.org/health/procedures/y90-treatment-radioembolization","host":"my.clevelandclinic.org","quote":"During the procedure, millions of tiny radioactive glass or plastic beads (about the size of a grain of powdered sugar) travel through your bloodstream until they reach the tumor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients with unresectable liver tumors, including metastases; dose planned from mapping and body-surface area or partition models.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Same-day discharge usually; mild post-embolization symptoms for several days."},{"id":"y90-glass-microspheres","name":"Y90 glass microspheres (TheraSphere)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients with hepatocellular carcinoma; dosimetry-based planning required.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to resin microspheres; same-day discharge usually, with fewer particles and less embolic effect."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your tumor is limited to one part of your liver","name":"Liver surgery","source":{"url":"https://my.clevelandclinic.org/health/diseases/21709-hepatocellular-carcinoma-hcc","host":"my.clevelandclinic.org","quote":"You may receive a hepatectomy if the tumor is only limited to one part of your liver.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your liver tumors measure less than 3 centimeters","name":"Ablation therapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/metastatic-liver-cancer","host":"my.clevelandclinic.org","quote":"Your oncologist may use it to eliminate tumors that measure less than 1 inch (3 centimeters).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"Your liver cancer is advanced","name":"Immunotherapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/21709-hepatocellular-carcinoma-hcc","host":"my.clevelandclinic.org","quote":"Immunotherapy medicines also treat advanced HCC.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":283}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["austria","china","egypt","germany","india","italy","republic-of-korea","turkey"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.79,"count":10,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Radioembolization for liver cancer in Spain costs from _op_783_price_from_ to _op_783_price_to_. Pricing depends on tumor complexity, number of lobes treated, and the specific hospital facility. People save about _price_percent_discount_% compared to the US, where costs average _price_compare_US_average_. The price typically includes PET/CT imaging, Yttrium-90 microspheres, and a short hospital stay.</p>\n\n<ul>\n<li><strong>Unilobar treatment:</strong> _op_783_price_from_ to _op_783_price_to_ for treating a single liver lobe.</li>\n<li><strong>Bilobar treatment:</strong> Typically costs significantly more when both liver lobes require radiation delivery.</li>\n<li><strong>Metropolitan hubs:</strong> Prices in Madrid and Barcelona often start 10-15% higher than regional centers.</li>\n<li><strong>Ancillary services:</strong> Costs cover specialized oncology consultations, nursing care, and post-procedure monitoring.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Spain offers elite oncology care at a fraction of North American prices. Clinica Universidad de Navarra is a standout choice for international patients. It is accredited by Joint Commission International (JCI). It was also named among the World's Best Hospitals by Newsweek. Choosing such a high-volume center ensures access to 440 expert doctors. This provides a balance of clinical excellence and cost efficiency.</p>","faq":[{"q":"Is Radioembolization a Cure for Liver Cancer?","a":"<p>Radioembolization is primarily a management tool rather than a guaranteed cure for liver cancer. This targeted therapy delivers high-dose Yttrium-90 radiation directly to tumors to shrink or stabilize them. While it effectively extends life, it usually serves as a bridge to curative surgery or transplant.</p> <ul> <li><strong>Bridge to transplant:</strong> Shrinks tumors to meet criteria for curative liver transplantation or surgical resection.</li> <li><strong>Local control therapy:</strong> Limits disease progression for unresectable hepatocellular carcinoma and metastatic colorectal cancer.</li> <li><strong>Success assessment:</strong> Final outcomes are typically confirmed via diagnostic scans 3 months after treatment.</li> <li><strong>Combined modalities:</strong> Some protocols integrate yttrium-90 with drug-eluting bead chemoembolization for enhanced local control.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain represents a unique value proposition where JCI-accredited facilities like Clinica Universidad de Navarra provide advanced oncology care for _op_783_price_from_ to _op_783_price_to_. This is significant because the same procedure averages _price_compare_US_average_ in the US. The _price_percent_discount_% cost reduction allows patients to access multidisciplinary tumor boards at top-tier centers like Hospital Ruber Internacional without sacrificing clinical technology.</p> <p><strong>Patient Consensus:</strong> Many patients emphasize that Y-90 is a vital tool for staying stable while awaiting a transplant. They often report that achieving cancer-free status requires combining this therapy with other surgical or systemic treatments.</p>"},{"q":"What is Radioembolization (Y90) for Liver Cancer?","a":"<p>Radioembolization (Y90) is a targeted treatment for liver cancer delivering high-dose radiation through Yttrium-90 microspheres. This minimally invasive interventional radiology procedure blocks tumor blood supply while sparing healthy tissue. It treats primary hepatocellular carcinoma and metastatic colorectal cancer in JCI-accredited Spanish centers.</p> <ul> <li><strong>Procedure mechanism:</strong> Radioactive glass or resin beads lodge directly inside tumor-feeding blood vessels.</li> <li><strong>Treatment eligibility:</strong> Used for inoperable tumors or as bridging therapy before liver transplantation.</li> <li><strong>Recovery timeline:</strong> Patients require 1 week of rest with results assessed after 3 months.</li> <li><strong>Clinical precision:</strong> Radiation travels less than 0.5 inches to protect adjacent healthy liver cells.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks second globally for radioembolization requests due to high-tier academic centers like Clinica Universidad de Navarra. This facility was Spain's first JCI-accredited hospital and maintains specialized oncology expertise. Choosing these high-volume centers is vital because Y90 is typically limited to 2 sessions per patient.</p> <p><strong>Patient Consensus:</strong> Expect significant fatigue and liver pain during the first week. Patients emphasize that tumor necrosis takes time, so patience is necessary during the 3-month wait for follow-up scans.</p>"},{"q":"What Does the Procedure Involve?","a":"<p>Radioembolization for liver cancer in Spain involves delivering radioactive Yttrium-90 (Y-90) beads directly to tumors through a catheter. This minimally invasive approach utilizes the dual blood supply of the liver. It targets tumors via the hepatic artery while protecting healthy tissue supported by the portal vein.</p> <ul> <li><strong>Pre-treatment mapping:</strong> Essential scans identify tumor blood supply and ensure safe radioactive dosage levels.</li> <li><strong>Lung shunt test:</strong> Required protocol prevents radioactive beads from migrating and causing potential lung complications.</li> <li><strong>Catheter delivery:</strong> Specialists insert a catheter through the femoral artery using precise digital imaging.</li> <li><strong>Sedation protocol:</strong> Patients undergo the outpatient procedure under twilight sedation utilizing medications like fentanyl.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain hosts top-tier facilities like Clinica Universidad de Navarra, the first JCI-accredited hospital there. Data shows Spanish oncology centers often combine radioembolization with systemic therapies like lenvatinib. This multimodal approach aims to arrest tumor growth through central necrosis rather than just shrinkage. Patients benefit from experienced teams performing thousands of specialized vascular interventions yearly.</p> <p><strong>Patient Consensus:</strong> Many find the outpatient nature of the procedure surprisingly manageable compared to major surgery. Most experience only mild fatigue or flu-like symptoms for about 1 week after treatment.</p>"},{"q":"What are the Best Hospitals for Radioembolization in Spain?","a":"<p>Spain hosts premier centers for radioembolization (TARE/SIRT), primarily in Madrid and Pamplona. Leading facilities include Clínica Universidad de Navarra, an ESMO-accredited oncology center, and Hospital Ruber Internacional. These JCI-accredited hospitals utilize multidisciplinary teams of interventional radiologists and nuclear medicine specialists for advanced liver cancer treatment.</p> <ul> <li><strong>Navarra Hospital:</strong> Accredited by the European Society for Medical Oncology for integrated care.</li> <li><strong>Hospital Ruber Internacional:</strong> Ranked among the top 6 Spanish hospitals by Forbes magazine.</li> <li><strong>Specialized technology:</strong> Centers utilize advanced imaging and 3-Tesla MRI for precise tumor mapping.</li> <li><strong>High patient volume:</strong> Navarra serves 140,000 patients annually with a focus on oncology.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks 2nd globally for patient requests in our network. This high volume concentrates expert surgeons in specialized hubs like Madrid and Pamplona. Choosing JCI-accredited centers in these cities ensures access to multidisciplinary teams often missing in smaller clinics. Experience counts here as SIRT requires precise coordination between oncology and radiology.</p> <p><strong>Patient Consensus:</strong> Many patients recommend verifying specific eligibility with an oncologist before traveling. Seeking a second opinion is often encouraged for this highly specialized therapy.</p>"},{"q":"Are There Advantages to Having This Procedure in Spain?","a":"<p>Spain offers high-level radioembolization for liver cancer using Yttrium-90 (Y-90) techniques performed in Joint Commission International (JCI)-accredited facilities. Patients access advanced focal treatment strategies that average _op_783_price_from_ to _op_783_price_to_, significantly less than the _price_compare_US_average_ typical in the United States.</p> <ul> <li><strong>Cost savings:</strong> Patients typically save up to _price_percent_discount_% compared to US medical costs.</li> <li><strong>Clinical excellence:</strong> Clinica Universidad de Navarra was the first JCI-certified hospital in Spain.</li> <li><strong>Advanced technology:</strong> Facilities like Hospital Ruber Internacional utilize Gamma Knife ICON and 3-Tesla MRI.</li> <li><strong>Integrated care:</strong> Top centers hold European Society for Medical Oncology accreditations for specialized liver oncology.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks second globally on Bookimed for complex oncology requests due to institutional expertise. Clinica Universidad de Navarra serves 140,000 patients annually and consistently ranks in Newsweek’s Best World Hospitals. Choosing these high-volume centers ensures access to specialists familiar with various hepatocellular carcinoma protocols.</p> <p><strong>Patient Consensus:</strong> Patients emphasize utilizing Y-90 primarily for tumor stabilization when other therapies fail. Researching hospital-specific outcome reports and finding doctors specializing in neuroendocrine tumor protocols is highly recommended.</p>"}],"h2":[{"text":"Яка вартість радіоемболізації печінки в Іспанії?","kind":"content"},{"text":"Переваги та гарантії Bookimed","kind":"content"},{"text":"Ваш особистий лікар-координатор Bookimed","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з радіоемболізації печінки у Іспанії: 2 перевірені клініки та ціни","kind":"content"},{"text":"Огляд процедури Радіоемболізація печінки в Іспанії","kind":"content"},{"text":"Отримайте медичну консультацію щодо радіоемболізації печінки в Іспанії: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Відгуки про Bookimed: дізнайтеся про реальний досвід пацієнтів","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"FAQ з радіоемболізації печінки в Іспанії","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}