Percutaneous Biopsy and Radiofrequency Ablation of Osteoid Osteoma with Excess Reactive New Bone Formation and Cortical Thickening Using a Battery-Powered Drill for Access: A Technical Note

Filippiadis, Dimitrios; Gkizas, Christos V; Kostantos, C; Mazioti, Argyro; Reppas, Lazaros; Brountzos, Elias; Kelekis, Nikolaos; Kelekis, Alexis

doi:10.1007/s00270-016-1366-6

Cited by 11 publications

(9 citation statements)

References 26 publications

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“…Procedure time was significantly reduced with the use of mechanical drills [13,14]. Schnapauff et al [14] reported 23 cases where a battery-charged drill (OBM, Arrow OnControl, Teleflex, Shavano Park, TX, USA) was used and compared the procedure time, number of scans and radiation exposure with those obtained from historical manual bone biopsy systems or conventional orthopaedic drills.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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Osteoid osteoma (OO) is a benign tumour that can cause severe pain and functional limitation to children and young adults; the treatment of choice is image-guided ablation. Due to the very small size of the lesion, detection and accurate needle placement may be challenging. Computed tomography (CT) offers very detailed imaging of the skeleton and is the modality of choice for the detection of small OO and for ablation guidance. Nevertheless, CT-guided positioning of the ablation applicator is linked to significant radiation exposure, particularly for the paediatric population. This case describes the successful use of a novel CT-based navigation system that offers the possibility of accurate ablation with only minimal radiation exposure in a paediatric patient.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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“…The entry point view, in which skin entry point and target were superimposed, was used to locate the skin entry point and place the drill (OnControl Bone Lesion Biopsy System, Teleflex Medical, Morrisville, USA) in the angulation of the planned path [13]. Rotating the C-arm to progress view, perpendicular to the needle path, allowed visualization of the drill-tip in relation to the nidus.…”

Section: Methodsmentioning

confidence: 99%

Laser Guidance in C-Arm Cone-Beam CT-Guided Radiofrequency Ablation of Osteoid Osteoma Reduces Fluoroscopy Time

Kroes

Busser

Hoogeveen

et al. 2016

Cardiovasc Intervent Radiol

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PurposeTo assess whether laser guidance can reduce fluoroscopy and procedure time of cone-beam computed tomography (CBCT)-guided radiofrequency (RF) ablations of osteoid osteoma compared to freehand CBCT guidance.Materials and Methods32 RF ablations were retrospectively analyzed, 17 laser-guided and 15 procedures using the freehand technique. Subgroup selection of 18 ablations in the hip–pelvic region with a similar degree of difficulty was used for a direct comparison. Data are presented as median (ranges).ResultsComparison of all 32 ablations resulted in fluoroscopy times of 365 s (193–878 s) for freehand and 186 s (75–587 s) for laser-guided procedures (p = 0.004). Corresponding procedure times were 56 min (35–97 min) and 52 min (30–85 min) (p = 0.355). The subgroup showed comparable target sizes, needle path lengths, and number of scans between groups. Fluoroscopy times were lower for laser-guided procedures, 215 s (75–413 s), compared to 384 s (193–878 s) for freehand (p = 0.012). Procedure times were comparable between groups, 51 min (30–72 min) for laser guidance and 58 min (35–79 min) for freehand (p = 0.172).ConclusionAdding laser guidance to CBCT-guided osteoid osteoma RF ablations significantly reduced fluoroscopy time without increasing procedure time.Level of EvidenceLevel 4, case series.

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“…The choice of appropriate bone biopsy system depends mainly upon the presence of an intact cortical bone; in such a case, a trocar should be used for the coaxial approach which will also allow the operator to get multiple samples with one puncture ( Figure 1 and Figure 2 ) [ 18 ]. Cases of a cortical bone with increased thickness and excessive periosteal reaction drilling rather than hammering could be technically easier [ 19 , 20 , 21 ].…”

Section: Techniquesmentioning

confidence: 99%

Percutaneous, Imaging-Guided Biopsy of Bone Metastases

2018

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Approximately 70% of cancer patients will eventually develop bone metastases. Spine, due to the abundance of red marrow in the vertebral bodies and the communication of deep thoracic-pelvic veins with valve-less vertebral venous plexuses, is the most common site of osseous metastatic disease. Open biopsies run the risk of destabilizing an already diseased spinal or peripheral skeleton segment. Percutaneous biopsies obviate such issues and provide immediate confirmation of correct needle location in the area of interest. Indications for percutaneous bone biopsy include lesion characterization, optimal treatment and tumor recurrence identification, as well as tumor response and recurrence rate prediction. Predicting recurrence in curative cases could help in treatment stratification, identification, and validation of new targets. The overall accuracy of percutaneous biopsy is 90–95%; higher positive recovery rates govern biopsy of osteolytic lesions. The rate of complications for percutaneous biopsy approaches is <5%. The purpose of this review is to provide information about performing bone biopsy and what to expect from it as well as choosing the appropriate imaging guidance. Additionally, factors governing the appropriate needle trajectory that would likely give the greatest diagnostic yield and choice of the most appropriate biopsy system and type of anesthesia will be addressed.

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Percutaneous Biopsy and Radiofrequency Ablation of Osteoid Osteoma with Excess Reactive New Bone Formation and Cortical Thickening Using a Battery-Powered Drill for Access: A Technical Note

Abstract: The use of battery-powered drill facilitates access to the osteoid osteoma nidus in cases where excess reactive new bone formation is present. Biopsy needle can be used for channel creation during the access offering at the same time the possibility to extract bone samples.

Cited by 11 publications

References 26 publications

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

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

Laser Guidance in C-Arm Cone-Beam CT-Guided Radiofrequency Ablation of Osteoid Osteoma Reduces Fluoroscopy Time

Percutaneous, Imaging-Guided Biopsy of Bone Metastases

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