Computed tomography guided navigation assisted percutaneous ablation of osteoid osteoma in a 7-year-old patient: the low dose approach

Krokidis, Μiltiadis; Tappero, Carlo; Bogdanovic, Daniel; Ziebarth, Kai; Stamm, Anna-Christina

doi:10.1007/s00256-017-2620-y

Cited by 4 publications

(5 citation statements)

References 13 publications

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“…If we compare only the x-ray flouroscopy marking and MRI-guided drilling with the case report published by Krokidis et al 31 of CT-guided drilling with low-dose imaging, our effective doses are far below the dose published in this study. In our series, the effective dose was 0.027 mSV on average (0.0082-0.0523 mSV).…”

Section: Discussionmentioning

confidence: 51%

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A CT-free protocol to treat osteoid osteoma of the hip region in childhood and adolescence by percutaneous drilling and by hip arthroscopy

et al. 2021

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Introduction: It is often difficult to clinically and radiologically diagnose intra-articular osteoid osteomas and osteoid osteomas of the hip joint. Treatment can also be difficult due to complex locational relationships. CT-guided radiofrequency ablation is currently the standard form of treatment. In this paper we report on a minimally-invasive concept for treating osteoid osteomas near the hip joint in children and adolescents which does not involve using computed tomography. Material and method: 10 patients with an average age of 12.1 years underwent treatment for osteoid osteomas in the hip joint region. The diagnosis was made using a contrast-enhanced MRI. The osteoid osteomas were marked percutaneously using x-ray and MRI guidance. MRI-guided drilling/curettage was performed in 4 cases and arthroscopic resection in 6 cases. Results: All lesions were successfully treated using the MRI-guided method. All patients were free of pain after the treatment. There was no instance of recurrence during the follow-up period, which averaged 10 months. The effective dose for marking the lesion was between 0.0186 mSv and 0.342 mSV (mean 0.084 mSV). Conclusions: Our MRI diagnostics protocol, the MRI-guided drilling and the minimally invasive hip arthroscopy represent an alternative to CT-guided radiofrequency ablation in the treatment of osteoid osteomas. Radiation exposure can thereby be significantly reduced. Hip arthroscopy can also be used to treat secondary pathologies such as femoroacetabular impingement.

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Section: Discussionmentioning

confidence: 51%

“…In our series, the effective dose was 0.027 mSV on average (0.0082-0.0523 mSV). For Krokidis et al 31 the effective dose was 0.68 mSv.…”

Section: Discussionmentioning

confidence: 94%

A CT-free protocol to treat osteoid osteoma of the hip region in childhood and adolescence by percutaneous drilling and by hip arthroscopy

et al. 2021

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“…Decisions regarding imaging guidelines should take into account patient factors, availability, cost, radiation dose, and operator preferences. A navigation system has also been developed, which offers more accurate needle placement and can also predict the area of ablation [176] (Fig. 8).…”

Section: Minimally Invasive Rcc Curative Management Image-guidedmentioning

confidence: 99%

The Role of Imaging in the Management of Renal Masses

Sari¹

2022

JARMHS

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The widespread availability of cross-sectional imaging is responsible for the increased detection of small, usually asymptomatic renal masses. More than 50% of renal cell carcinomas (RCCs) represent incidental findings on noninvasive imaging. Multimodality imaging, including conventional US, contrast-enhanced US (CEUS), multiparametric CT and MRI (mpMRI) is essential in diagnosing and characterizing renal masses, but also provides information regarding its prognosis, therapeutic management, and follow-up. In this review, the imaging data for renal masses that urologists require for accurate treatment planning will be discussed. The roles of US, CEUS, CT and mpMRI in the detection and characterization of renal masses, RCC staging and follow-up of treated or untreated local RCCs will be presented. The role of percutaneous image-guided ablation in the management of RCC will also be reviewed

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“…Decisions regarding imaging guidance should consider patient factors, availability, cost, radiation dose, and operator preference. Navigation systems have also been developed, that offer a more accurate needle placement and may also predict the ablation area [176] (Fig. 8).…”

Section: Minimally Invasive Image-guided Curative Management Of Rccmentioning

confidence: 99%

The role of imaging in the management of renal masses

Tsili

Andriotis

Gkeli

et al. 2021

European Journal of Radiology

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The wide availability of cross-sectional imaging is responsible for the increased detection of small, usually asymptomatic renal masses. More than 50 % of renal cell carcinomas (RCCs) represent incidental findings on noninvasive imaging. Multimodality imaging, including conventional US, contrast-enhanced US (CEUS), CT and multiparametric MRI (mpMRI) is pivotal in diagnosing and characterizing a renal mass, but also provides information regarding its prognosis, therapeutic management, and follow-up. In this review, imaging data for renal masses that urologists need for accurate treatment planning will be discussed. The role of US, CEUS, CT and mpMRI in the detection and characterization of renal masses, RCC staging and follow-up of surgically treated or untreated localized RCC will be presented. The role of percutaneous image-guided ablation in the management of RCC will be also reviewed.

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Computed tomography guided navigation assisted percutaneous ablation of osteoid osteoma in a 7-year-old patient: the low dose approach

Cited by 4 publications

References 13 publications

A CT-free protocol to treat osteoid osteoma of the hip region in childhood and adolescence by percutaneous drilling and by hip arthroscopy

A CT-free protocol to treat osteoid osteoma of the hip region in childhood and adolescence by percutaneous drilling and by hip arthroscopy

The Role of Imaging in the Management of Renal Masses

The role of imaging in the management of renal masses

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