CT-guided radiofrequency ablation of osteoid osteoma and osteoblastoma: Clinical success and long-term follow up in 77 patients

Rehnitz, Christoph; Sprengel, Simon David; Lehner, Burkhard; Ludwig, Karl; Omlor, Georg; Merle, Christian; Kauczor, Hans‐Ulrich; Ewerbeck, Volker; Weber, Marc‐André

doi:10.1016/j.ejrad.2012.04.037

Cited by 104 publications

(75 citation statements)

References 45 publications

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“…They may be the first choice if the lesion location is appropriate. Small series with good clinical results are increasing in literature in last decade (17,19,(46)(47)(48). However, there are some drawbacks for these treatment types.…”

Section: Treatmentmentioning

confidence: 99%

Spinal Osteoid Osteoma Associated With Soft Tissue Changes as a Challenging Diagnosis: A Review of the Literature

et al. 2016

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Context: Spinal osteoid osteoma (OO) is an infrequent tumor and due to both its smallness and complex anatomy of the spine diagnosis is challenging. In addition, associated undefined soft tissue changes on magnetic resonance imaging (MRI) frequently cause misdiagnosis. Evidence Acquisition: PubMed database was searched for "spinal osteoid osteoma" and larger clinical series related to clinical pictures, diagnosis or treatment modalities, and also case reports with especially soft tissue changes and related to special treatment modalities were introduced to the study. It was aimed at to make conscious practitioners of clinical and diagnostic characteristics of spinal OOs. Results: Spinal OOs constitute about 10% of OOs and the most of the tumors are seen in adolescents or young adults. The most frequent clinical picture is painful scoliosis or torticollis according to the level of the tumor. On MRI that is the most frequently performed imaging modality in the patients with painful scoliosis, undefined extensive bone and soft tissue changes is quite frequent. Clinicians must be aware from these findings and they must suspect and investigate the patients with bone scintigraphy and thin sectioned computerized tomography that both of them together can show presence of the lesion and provide to determine exact location of the lesion. Despite the increasing number of the studies using percutaneous ablation techniques, standard treatment of spinal OOs is still intralesional excision. Surgical excision usually provides immediate pain relief, and recurrence is not frequent. Conclusions: Diffuse paravertebral muscle and soft tissue involvement having resemblance to myositis is not quite rare in the patients with spinal OO. This may be the sole finding on MRI and it must be alert for the clinicians to look for small OO nidus by bone scintigraphy or thin sectioned CT scan.

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Section: Treatmentmentioning

confidence: 99%

Spinal Osteoid Osteoma Associated With Soft Tissue Changes as a Challenging Diagnosis: A Review of the Literature

et al. 2016

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“…[17][18][19] Sometimes, the patients are grouped with others presenting more frequent pathologies of other nature. 20 This is probably owing to the scarce experience in the use of IR in this field. Thanks to technological advances, however, IR can represent an interesting minimally invasive solution for the treatment of benign bone and soft-tissue lesions to avoid surgical invasiveness and related complications, especially in case of lesions with low aggressiveness.…”

Section: Introductionmentioning

confidence: 99%

Treatment of focal benign lesions of the bone: MRgFUS and RFA

Masciocchi

Arrigoni

Marra

et al. 2016

BJR

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The objective of this study was to evaluate the role of MR-guided focused ultrasound surgery and radiofrequency ablation in the management of bone and soft-tissue lesions. Musculoskeletal interventional radiology represents an interesting option for the treatment of benign bone and soft-tissue lesions to avoid the invasiveness of surgery and related risks. The imaging techniques now available, besides representing an optimal guide, allow control of the temperature reached in the region of interest, avoiding or minimizing damage to the sensitive structures surrounding the lesion. INTRODUCTIONInterventional radiology (IR) procedures are well established in the treatment of malignant, particularly metastatic, diseases of bone and soft tissues and are exhaustively described in literature.

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“…They are typically larger (Ͼ2 cm) and expansile with less sclerotic components compared with osteoid osteomas with thin peripheral sclerosis and may be associated with aneurysmal bone cyst. 43,44 On MR imaging, they demonstrate avid osseous and extraosseous enhancement. Spinal osteoblastomas compose approximately 40% of cases and often involve the posterior elements and are located in the cervical spine in 10%-40% of cases.…”

Section: 34mentioning

confidence: 99%

“…Most untreated lesions lead to painful scoliosis, and surgical excision has traditionally been the treatment of choice for spinal osteoblastomas, which is associated with morbidity, especially given the size of the osseous defect. 43,44 The entire osteolytic component and the soft-tissue component (if present) must be ablated for definitive cure. The imaging guidance (CT) and thermoprotective measures are similar to those in osteoid osteoma ablation.…”

Section: 34mentioning

confidence: 99%

“…26 Both RFA and laser ablation are also recommended for management of these lesions. 15,26,43,44 In case of RFA, considering lesion size, Ն2 ablations with straight unipolar probes should be performed to cover the entire lesion (90°C for 6 minutes each). Alternatively, a navigational bipolar RFA probe could be used to articulate the probe tip in different orientations through a single entry site, with precise determination of the size of the ablation zone by using built-in thermocouples.…”

Section: 34mentioning

confidence: 99%

See 1 more Smart Citation

Benign Spine Lesions: Advances in Techniques for Minimally Invasive Percutaneous Treatment

Tomasian

Wallace

Jennings

2017

AJNR Am J Neuroradiol

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SUMMARY:Minimally invasive percutaneous imaging-guided techniques have been shown to be safe and effective for the treatment of benign tumors of the spine. Techniques available include a variety of tumor ablation technologies, including radiofrequency ablation, cryoablation, microwave ablation, alcohol ablation, and laser photocoagulation. Vertebral augmentation may be performed after ablation as part of the same procedure for fracture stabilization or prevention. Typically, the treatment goal in benign spine lesions is definitive cure. Painful benign spine lesions commonly encountered in daily practice include osteoid osteoma, osteoblastoma, vertebral hemangioma, aneurysmal bone cyst, Paget disease, and subacute/chronic Schmorl node. This review discusses the most recent advancement and use of minimally invasive percutaneous therapeutic options for the management of benign spine lesions. ABBREVIATIONS:PVA ϭ percutaneous vertebral augmentation; RF ϭ radiofrequency; RFA ϭ radiofrequency ablation

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CT-guided radiofrequency ablation of osteoid osteoma and osteoblastoma: Clinical success and long-term follow up in 77 patients

Cited by 104 publications

References 45 publications

Spinal Osteoid Osteoma Associated With Soft Tissue Changes as a Challenging Diagnosis: A Review of the Literature

Spinal Osteoid Osteoma Associated With Soft Tissue Changes as a Challenging Diagnosis: A Review of the Literature

Treatment of focal benign lesions of the bone: MRgFUS and RFA

Benign Spine Lesions: Advances in Techniques for Minimally Invasive Percutaneous Treatment

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