Image-Guided Percutaneous Thermal Ablation of Bone Tumors

Groenemeyer, Dietrich H.W.; Schirp, S.; Gevargez, A.

doi:10.1016/s1076-6332(03)80194-0

Cited by 62 publications

(34 citation statements)

References 39 publications

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“…A large randomized, controlled, multicenter phase III trial has shown Focused Ultrasound (FUS) to be effective in the treatment of painful bone metastases [17], confirming results of earlier retrospective reports [18]. Small case series also support benefit from other percutaneous methods of image-guided ablation, including microwave ablation, laser ablation, and irreversible electroporation to treat skeletal metastases, although the data are more limited [19][20][21][22][23][24][25][26]. These studies demonstrate that multiple ablation therapies are effective at palliation of pain due to metastatic skeletal disease.…”

Section: Resultsmentioning

confidence: 59%

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Evaluation of CT Image Guided Radiofrequency Ablation in the Management of Painful Bone Metastases Originating from NSCLC

Botsa¹

2017

SOJAPM

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Section: Resultsmentioning

confidence: 59%

“…Each treatment modality has its advantages and disadvantages, and the choice of ablation technology typically depends on several factors, including interventional rradiologist preference and local expertise [23]. In our study the modality of choice was RFA due to availability, cost and expertise.…”

Section: Resultsmentioning

confidence: 96%

Evaluation of CT Image Guided Radiofrequency Ablation in the Management of Painful Bone Metastases Originating from NSCLC

Botsa¹

2017

SOJAPM

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“…Moreover, external-beam radiation cannot reach the dose for killing the bone tumor because of nearby vital organs. Previously, multiple minimally invasive imageguided ablation strategies have been studied as treatments for painful bone metastases [23,24]. Cryoablation and RF ablation have been the most studied techniques demonstrating significantly reduced pain in patients who are unresponsive or incompletely responsive to standard conventional therapies.…”

Section: Discussionmentioning

confidence: 99%

125 I Brachytherapy in the Palliation of Painful Bone Metastases from Lung Cancer After Failure or Rejection of Conventional Treatments

Xiang

2017

Brachytherapy

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“…24 The term "ablation" refers to the local destruction of the tumour by means of local deposition of some form of energy [radiofrequency (RF), laser, microwave, ultrasound and cryoablation]. [24][25][26] The aim of these techniques is to provide reduction of pain and improvement of the quality of life. They are performed under strict sterile conditions.…”

Section: Percutaneous Techniques Of Ablation In Metastasesmentioning

confidence: 99%

“…The current causes frictional heating and cell death through coagulative necrosis. 25 The mechanisms of action responsible for decreased pain include either direct destruction of sensory nerve fibres in the bone surrounding the metastasis or their decreased stimulation by reduction of the tumoural volume. Destruction of tumour cells that produce nerve-stimulating cytokines [such as tumour necrosis factor-a (TNF-a)] and inhibition of osteoclast activity are also incriminated.…”

Section: Radiofrequency Ablation Indicationsmentioning

confidence: 99%

Interventional MSK procedures: the hip

Dodré¹,

Lefebvre²,

Cockenpot³

et al. 2016

BJR

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Percutaneous musculoskeletal procedures are widely accepted as low invasive, highly effective, efficient and safe methods in a vast amount of hip pathologies either in diagnostic or in therapeutic management. Hip intra-articular injections are used for the symptomatic treatment of osteoarthritis. Peritendinous or intrabursal corticosteroid injections can be used for the symptomatic treatment of greater trochanteric pain syndrome and anterior iliopsoas impingement. In past decades, the role of interventional radiology has rapidly increased in metastatic disease, thanks to the development of many ablative techniques. Image-guided percutaneous ablation of skeletal metastases provides a minimally invasive treatment option that appears to be a safe and effective palliative treatment for localized painful lytic lesion. Methods of tumour destruction based on temperature, such as radiofrequency ablation (RFA) and cryotherapy, are performed for the management of musculoskeletal metastases. MR-guided focused ultrasound surgery provides a non-invasive alternative to these ablative methods. Cementoplasty is now widely used for pain management and consolidation of acetabular metastases and can be combined with RFA. RFA is also used to treat benign tumours, namely osteoid osteomas. New interventional procedures such as percutaneous screw fixation are also proposed to treat non-displaced or minimally displaced acetabular roof fractures. INTRODUCTIONHip intra-articular injections have been used for many years as a diagnostic and/or therapeutic tool and even today remain an effective treatment for osteoarthritis providing pain relief. Ultrasound guidance can be used for injections in patients with greater trochanteric pain syndrome and CT scan guidance for corticosteroid injection in the management of anterior iliopsoas impingement after total hip arthroplasty. Interventional radiology plays a major role in the management of bone tumours. Several image-guided percutaneous ablation methods have proved effective for palliation of metastases involving bone and for the treatment of benign bone tumours, namely osteoid osteoma. To treat pain and consolidate the bone, cementoplasty could be required. In the therapeutic management of acetabular fractures, the combination of CT and fluoroscopy guidance could have a place in treating non-displaced or minimally displaced acetabular roof fractures.

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Image-Guided Percutaneous Thermal Ablation of Bone Tumors

Cited by 62 publications

References 39 publications

Evaluation of CT Image Guided Radiofrequency Ablation in the Management of Painful Bone Metastases Originating from NSCLC

Evaluation of CT Image Guided Radiofrequency Ablation in the Management of Painful Bone Metastases Originating from NSCLC

125 I Brachytherapy in the Palliation of Painful Bone Metastases from Lung Cancer After Failure or Rejection of Conventional Treatments

Interventional MSK procedures: the hip

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