Title: Role of CT-Guided Radiofrequency Ablation of Osteoid Osteoma in Long Bones
Authors: Dr Sanjiv Patel, Dr Sapna Patel, Dr Vipul Kamaliya
DOI: https://dx.doi.org/10.18535/jmscr/v8i5.23
Abstract
Aims and Objective: To present our experience in treatment of osteoid osteoma of long bones with CT-guided radiofrequency ablation (RFA) along with the clinical outcome and long-term success.
Materials and Methodology: 12 patients with osetoid osteoma came to our institute for CT guided RFA have been selected for study.
Result: All procedures were technically successful. No major or immediate complications were observed. Clinical success was achieved in 11 of 12 patients in the first procedure. A second procedure was performed for 1 patient who had recurrent was successfully treated. The overall rate of success was 91.67%. No complication was observed.
Conclusion: The indications for radiofrequency bone ablation in the case of benign tumours (osteoid osteoma, osteoblastoma) are curative. The long-term outcome of CT-guided RFA of osteoid osteoma is excellent.
Keywords: Ablation, Osteoid osteoma, Computed tomography.
References
- Gangi A, Alizadeh H, Wong L, Buy X, Dietemann JL, Roy C. Osteoid osteoma: percutaneous laser ablation and follow-up in 114 patients. Radiology 2007; 242:293– 301.
- Motamedi D, Learch TJ, Ishimitsu DN, et al. Thermal ablation of osteoid steoma: overview and step-by-step guide. Radiographics 2009; 29:2127–2141.
- Motamedi D, Learch TJ, Ishimitsu DN, Motamedi K, Katz MD, Brien EW, Menendez L. Thermal ablation of osteoid osteoma: overview and step-by-step guide. Radiographics 2009; 29: 2127-2141.
- Venbrux AC, Montague BJ, Murphy KP, Bobonis LA, Washington SB, Soltes AP, Frassica FJ. Image-guided percutaneous radiofrequency ablation for osteoid osteomas. J Vasc Interv Radiol 2003; 14: 375-380.
- Parlier-Cuau C, Champsaur P, Nizard R, Hamze B, Laredo JD. Percutaneous removal of osteoid osteoma. Radiol Clin North Am 1998; 36: 559-566 6 Rosenthal DI, Alexander A.
- Mylona S, Patsoura S, Galani P, Karapostolakis G, Pomoni A, Thanos L. Osteoid osteomas in common and in technically challenging locations treated with computed tomographyguided percutaneous radiofrequency ablation. Skeletal Radiol 2010; 39: 443-449
- Martel J, Bueno A, Nieto-Morales ML, Ortiz EJ. Osteoid osteoma of the spine: CT-guided monopolar radiofrequency ablation. Eur J Radiol 2009; 71: 564-569
- Akhlaghpoor S, Aziz Ahari A, Arjmand Shabestari A, Alinaghizadeh MR. Radiofrequency ablation of osteoid osteoma in atypical locations: a case series. Clin Orthop Relat Res 2010; 468: 1963-1970.