Osteoid Osteomas in Common and in Technically Challenging Locations Treated with Computed Tomography-guided Percutaneous Radiofrequency Ablation

Overview

Journal Skeletal Radiol

Specialties Orthopedics
Radiology

Date 2010 Jan 13

PMID 20066410

Citations 19

Authors

Sophia Mylona

Sofia Patsoura

Panagiota Galani

Georgios Karapostolakis

Anastasia Pomoni

Loukas Thanos

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the efficacy of computed tomography (CT)-guided radiofrequency (RF) ablation for the treatment of osteoid osteomas in common and in technically challenging locations.

Materials And Methods: Twenty-three patients with osteoid osteomas in common (nine cases) and technically challenging [14 cases: intra-articular (n = 7), spinal (n = 5), metaphyseal (n = 2)] positions were treated with CT-guided RF ablation. Therapy was performed under conscious sedation with a seven-array expandable RF electrode for 8-10 min at 80-110 degrees C and power of 90-110 W. The patients went home under instruction. A brief pain inventory (BPI) score was calculated before and after (1 day, 4 weeks, 6 months and 1 year) treatment.

Results: All procedures were technically successful. Primary clinical success was 91.3% (21 of total 23 patients), despite the lesions' locations. BPI score was dramatically reduced after the procedure, and the decrease in BPI score was significant (P < 0.001, paired t-test; n-1 = 22) for all periods during follow up. Two patients had persistent pain after 1 month and were treated successfully with a second procedure (secondary success rate 100%). No immediate or delayed complications were observed.

Conclusion: CT-guided RF ablation is safe and highly effective for treatment of osteoid osteomas, even in technically difficult positions.

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