Chondroblastoma: Radiofrequency Ablation—Alternative to Surgical Resection in Selected Cases

Rybak, Leon; Rosenthal, Daniel I.; Wittig, James C.

doi:10.1148/radiol.2512080500

Cited by 103 publications

(89 citation statements)

References 16 publications

(20 reference statements)

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“…However, they found radiographic severity and symptom levels as factors that predicted total joint arthroplasty. Because arthritis occurred in more than half of our patients with proximal femur lesions, one might consider alternative approaches such as radiofrequency ablation and grafting through a more limited approach [13,19]. Despite careful surgical dislocation with attention to preserving the epiphyseal vessels, the femoral head sphericity was not retained in many of our patients and that incongruence of the ball and socket resulted in symptomatic hips needing a second surgical procedure [2].…”

Section: Discussionmentioning

confidence: 96%

What Happens to the Articular Surface After Curettage for Epiphyseal Chondroblastoma? A Report on Functional Results, Arthritis, and Arthroplasty

Farfalli

Slullitel

Múscolo

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 96%

What Happens to the Articular Surface After Curettage for Epiphyseal Chondroblastoma? A Report on Functional Results, Arthritis, and Arthroplasty

Farfalli

Slullitel

Múscolo

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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“…In combination with systemic chemotherapy, the survival of patients with stage 2b tumor disease was thereby significantly improved. In addition to individual case reports in the literature such as the treatment of aneurysmal bone cysts or giant cell tumors, when pain is in the forefront of symptoms, percutaneous ablation can additionally be employed in the palliation of primary bone tumors, analogously to the treatment of bone metastases [50].…”

Section: Rare Indicationsmentioning

confidence: 99%

Thermoablation of Bone Tumors

Ringe

Panzica

Falck

2016

Fortschr Röntgenstr

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The aim of this article is to review the significance of percutaneous thermal ablation in the treatment of bone tumors. We describe available ablation techniques as well as advantages and disadvantages in specific settings. In detail, radiofrequency ablation (RFA), microwave ablation (MWA), laser ablation, high intensity focused ultrasound (HIFU) and cryoablation are presented. In the second part of this review curative and palliative indications for the treatment of benign and malignant bone tumors are discussed. This includes especially RFA, laser or cryoablation for the treatment of osteoid osteoma, as well as the palliative treatment of painful bone metastases, for example, by means of MWA or MR-guided HIFU. Key Points: ??The various thermoablative techniques demonstrate specific advantages and disadvantages. ??Radiofrequency ablation is the evidence-based method of choice for treating osteoid osteoma. ??Laser ablation is primarily suited for the treatment of small lesions of the hands and feet. ??The intrinsically analgesic effect of cryoablation is advantageous when treating painful lesions. ??Palliative treatment of painful bone metastases can for example be performed using MWA or MR-guided HIFU, by itself or combined with cementoplasty. Citation Format: ??Ringe KI, Panzica M, von Falck C. Thermoablation of Bone Tumors. Fortschr R?ntgenstr 2016; 188: 539???550

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“…There has been extensive experience of RFA in the adult liver but limited publications in pediatrics [37]. RFA is specifically indicated to ablate unresectable liver lesions and painful bone tumors [38]. Bone tumor ablation has two specific advantages over radiotherapy.…”

Section: Future Applications and Developments In Rfamentioning

confidence: 99%

“…Bone tumor ablation has two specific advantages over radiotherapy. Pain relief from RFA is immediate [38] and RFA can target lesions in a more localized fashion than standard radiotherapy.…”

Section: Future Applications and Developments In Rfamentioning

confidence: 99%

Interventional oncology: the future

Hoffer

2011

Pediatr Radiol

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Interventional radiology techniques to treat oncological disease have already shown value in adults. The adoption and development of interventional oncology (IO) in children have been more limited and challenging. This relates to the approval process for new devices and agents, oncology group protocol limitations and the inherent hesitation of trying new treatments in children. This paper will discuss how new procedures are developed and approved, and the new therapies that will become available to better treat pediatric malignancies. Bringing the benefits of IO to children will require initiative on the part of pediatric diagnostic and interventional radiologists as well as the cooperation of our clinical colleagues.Keywords Interventional oncology . Cancer . Children The challengeUnfortunately, many pediatric interventional radiologists are frequently limited in introducing novel oncological interventions by their institutions' pediatric oncologists and surgeons. The future of pediatric interventional oncology (IO) depends on the initiative of pediatric radiologists, pediatric interventional radiologists, pediatric surgeons and pediatric radiation oncologists. We must either lead the adult experience as our pediatric oncologists now do, or follow the adult experience as commonly occurs in radiology. The processNearly all therapeutic pediatric oncology is performed under prospective clinical trials and protocols associated with large cooperative oncology groups (often funded by individuals, special interest associations and government grants) after scrutiny by scientific committees and institutional review board (IRB) approval.

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Chondroblastoma: Radiofrequency Ablation—Alternative to Surgical Resection in Selected Cases

Abstract: Percutaneous RF ablation is an alternative to surgery for treatment of selected chondroblastomas. Larger lesions beneath weight-bearing surfaces should be approached with caution due to an increased risk of articular collapse and recurrence.

Cited by 103 publications

References 16 publications

What Happens to the Articular Surface After Curettage for Epiphyseal Chondroblastoma? A Report on Functional Results, Arthritis, and Arthroplasty

What Happens to the Articular Surface After Curettage for Epiphyseal Chondroblastoma? A Report on Functional Results, Arthritis, and Arthroplasty

Thermoablation of Bone Tumors

Interventional oncology: the future

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