The safety and the efficacy of computed tomography guided percutaneous radiofrequency ablation of osteoid osteoma
Objective: The aim of this study was to investigate the efficacy and safety of Computed Tomography (CT) guided percutaneous Radiofrequency Ablation (RFA) in the treatment of osteoid osteoma (OO). Methods: A total of 116 patients (82 male and 34 female patients; mean age of 17.7 years; age range 13- months-42 years) who had 118 CT guided RFA treatment between June 2015 and November 2018 (42 moths) with the diagnosis of OO were included in this study. All the patients had pre-procedural CT examinations. The clinical and technical success and the safety of the treatment were evaluated by assessing the clinical pain symptoms, complication rates and recovery of posture and gait. Results: All the patients had a favorable immediate relief of the known pain caused by osteoid osteoma in 24 h after the procedure. Only in two patients (15-years-old boy with OO in right femoral neck and a 12 years old boy with OO in femur diaphysis) pain relapse was occurred in 3 months and 12 months after RFA and a second RFA was performed. During follow-up they had no pain. The technical success and efficacy-rates of the procedure were recorded as 100% and 98% respectively in this study. No significant complication was observed during treatment or recovery period. Seven minor complications were noted which were successfully treated. Conclusion: The rapid relief of pain symptoms, low relapse rate and low complication rates demonstrate the efficacy and safety of RFA therapy. RFA is an out-patient procedure that patients can be mobilized immediately after the procedure. RFA can be safely used as a first choice of treatment method in OO therapy.
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1. Iyer RS, Chapman T, Chew FS. Pediatric bone imaging: diagnostic imaging of osteoid osteoma. AJR. 2012;198(5):1039e1052. https://doi.org/10.2214/ AJR.10.7313.2. Rosenthal DI, Springfield DS, Gebhardt MC, Rosenberg AE, Mankin HJ. Osteoid osteoma: percutaneous radio-frequency ablation. Radiology. 1995;197(2): 451e454. https://doi.org/10.1148/radiology.197.2.7480692.
3. Rosenthal DI, Hornicek FJ, Wolfe MW, et al. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am. 1998;80(6):815e821. https://doi.org/10.2106/00004623-199806000-00005.
4. Rosenthal DI, Ouellette H. Radiofrequency ablation of osteoid osteoma. In: vanSonnenberg E, McMullen WN, Solbiati L, Livraghi T, Müeller PR, Silverman SG, eds. Tumor Ablation. New York: Springer; 2005:389e401.
5. Parlier-Cuau C, Nizard R, Champsaur P, Hamze B, Quillard A, Laredo JD. Osteoid osteoma of the acetabulum. Three cases treated by percutaneous resection. Clin Orthop Relat Res. 1999;365:167e174.
6. Weber MA, Sprengel SD, Omlor GW, et al. Clinical long-term outcome, technical success, and cost analysis of radiofrequency ablation for the treatment of osteoblastomas and spinal osteoid osteomas in comparison to open surgical resection. Skelet Radiol. 2015;44(7):981e993. https://doi.org/10.1007/s00256- 015-2139-z.
7. Pinto CH, Taminiau AHM, Vanderschueren GM, Hogendoorn PCW, Bloem JL, Obermann WR. Technical considerations in CT-guided radiofrequency thermal ablation of osteoid osteoma: tricks of the trade. AJR. 2002;179(6):1633e1642. https://doi.org/10.2214/ajr.179.6.1791633.
8. Chahal A, Rajalakshmi P, Khan Sa, Rastogi S, Srivastava DN, Gamanagatti S. CTguided percutaneous radiofrequency ablation of osteoid osteoma: our experience in 87 patients. Indian J Radiol Imaging. 2017;27(2):207e215. https:// doi.org/10.4103/ijri.IJRI_260_16.
9. Shaileshkumar G, Shyamkumar NK, Vinu M, et al. Radiofrequency ablation of osteoid osteoma in common and technically challenging locations in pediatric population. Indian J Radiol Imaging. 2017;27(1):88e89. https://doi.org/10.4103/ 0971-3026.202955.
10. Jankharia B, Burute N. Percutaneous radiofrequency ablation for osteoid osteoma: how we do it. Indian J Radiol Imaging. 2009;19(1):36e42. https://doi.org/ 10.4103/0971-3026.44523.
11. Hage AN, Chick JFB, Gemmete JJ, Srinivasa RN. Percutaneous radiofrequency ablation for the treatment of osteoid osteoma in children and adults: a comperative analysis in 92 patients. Cardiovasc Intervent Radiol. 2018;41(9): 1384e1390. https://doi.org/10.1007/s00270-018-1947-7.
12. Motamedi D, Learch TJ, Ishimitsu DN, et al. Thermal ablation of osteoid osteoma: overview and step-by-step guide. Radiographics. 2009;29(7):2127e2141. https://doi.org/10.1148/rg.297095081.
13. Lassalle L, Campagna R, Corcos G, et al. Therapeutic outcome of CT-guided radiofrequency ablation in patients with osteoid osteoma. Skelet Radiol. 2017;46(7):949e956. https://doi.org/10.1007/s00256-017-2658-x.
14. Arıkan Y, Yavuz U, Lapcin O, Sokucu S, Ozkan B, Kabukcuoglu Y. Percutaneous radiofrequency ablation for osteoid osteoma under guidance of threedimensional fluoroscopy. J Orthop Surg (Hong Kong). 2016;24(3):398e402. https:// doi.org/10.1177/1602400326.
15. Callstrom MR, York JD, Gaba RC, et al. Research reporting standards for imageguided ablation of bone and soft tissue tumors. J Vasc Interv Radiol. 2009;20(12):1527e1540. https://doi.org/10.1016/j.jvir.2009.08.009.
16. Holubar M, Mui E, Deresinski S, Meng L, Tompkins L. Stanford Antimicrobial Safety and Sustainability Program; 8/17/2017. http://med.stanford.edu/ bugsanddrugs/guidebook/_jcr_content/main/panel_builder_584648957/panel_ 0/download/file.res/SHC_SurgProphylaxisGuidelines.pdf. Revision date. Accessed April 30, 2019.
17. Sahin C, Oc Y, Ediz N, Bayrak AH. Successful percutaneous treatment of osteoid osteoma in a 13-month-old boy with radiofrequency ablation under CT guidance. Acta Orthop Traumatol Turc. 2019;53(3):233e237. https://doi.org/ 10.1016/j.aott.2018.10.002.
18. Miyazaki M, Arai Y, Myoui A, et al. Phase I/II multi-institutional study of percutaneous radiofrequency ablation for painful osteoid osteoma (JIVROSG0704). Cardiovasc Intervent Radiol. 2016;39(10):1464e1470. https://doi.org/ 10.1007/s00270-016-1438-7.
19. Muneeb A, Solbiati L, Brace CL, et al. Image-guided tumor ablation: standardization of terminology and reporting criteria - a 10-year update. Radiology. 2014;273(1):241e260. https://doi.org/10.1148/radiol.14132958.
20. Filippiadis DK, Velonakis G, Kostantos C, et al. Computed tomography-guided radiofrequency ablation of intra-articular osteoid osteoma: a single centre's experience. Int J Hyperthermia. 2017;33(6):670e674. https://doi.org/10.1080/ 02656736.2017.1294711.
21. Cioni R, Armillotta N, Bargellini I, et al. CT-guided radiofrequency ablation of osteoid osteoma: long-term results. Eur Radiol. 2004;14(7):1203e1208. https://doi.org/10.1007/s00330-004-2276-6.
22. Vanderschueren GM, Taminiau AH, Obermann WR, et al. Osteoid osteoma: factors for increased risk of unsuccessful thermal coagulation. Radiology. 2004;233(3):757e762. https://doi.org/10.1148/radiol.2333031603.
23. Scipione R, Anzidei M, Bazzocchi A, Gagliardo C, Catalano C, Napoli A. HIFU for bone metastases and other musculoskeletal applications. Semin Intervent Radiol. 2018;35(4):261e267. https://doi.org/10.1055/s-0038-1673363.
24. Kishore S, Kothary N, Lugren M, Mohler D, Avedian R, Ghanouni P. Treatment of osteoid osteoma using MR guided high intensity focussed ultrasound: preliminary results after four patients. J Vasc Interv Radiol. 2016;27(3):S138. https://doi.org/10.1016/j.jvir.2015.12.360.
25. Yarmolenko PS, Eranki A, Partanen A, et al. Technical aspects of osteoid osteoma ablation in children using MR-guided high intensity focussed ultrasound. Int J Hyperthermia. 2018;34(1):49e58. https://doi.org/10.1080/02656736.2017.131 5458.
26. Prud’homme C, Dubut J, Nueffer JP, Runge M, Kastler B, Aubry S. Microwave ablation of osteoid osteom: safety and efficacy Pilot Study. In: Paper presented at: European Congres of Radiology; March 2015. https://doi.org/10.1594/ ecr2015/C-1466. Vienna, AT . Accessed April 30, 2019.
27. Costanzo A, Sandri A, Regis D, et al. CT-guided radiofrequency ablation of osteoid osteoma using a multi-tined expandable electrode system. Acta Biomed. 2017;88(4):31e37. https://doi.org/10.23750/abm.v8814-S.6791.
28. Lindner NJ, Scarborough M, Ciccarelli JM, et al. CT controlled thermocoagulation of osteoid osteoma in comparison with traditional methods. Z Orthop Ihre Grenzgeb. 1997;135(6):522e527. https://doi.org/10.1055/s-2008- 1039739.
- ISSN: 1017-995X
- Başlangıç: 2015
- Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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