CT-guided percutaneous cryoablation of an osteoid osteoma of the rib☆

Basappa, Eric; Rabang, Joshua; Anderson, William D.; Richardson, Randy Ray; Scott, Ryan

doi:10.1016/j.radcr.2018.12.010

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Therefore, we believe that cryoablation is an effective and minimally invasive technique for the treatment of OO, with comparable efficacy to surgical resection, less trauma, fewer complications, and better safety. And our results are similar to the previous studies, where cryoablation had the same curative effect on patients as surgery ( Basappa et al, 2019 ; Coupal et al, 2014 ; Miyazaki et al, 2018 ; Whitmore et al, 2016 ).…”

Section: Discussionsupporting

confidence: 92%

A preliminary comparative study of percutaneous CT-guided cryoablation with surgical resection for osteoid osteoma

Meng

Xiao

Ren

et al. 2021

PeerJ

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Background The traditional treatment for osteoid osteoma is the nidus’ surgical resection, which was difficult to eradicate with more invasive and complications because of osteosclerosis surrounding the nidus. This study aimed to analyze the efficacy and safety of percutaneous CT-guided cryoablation of osteoid osteoma at different sites (especially refractory sites such as the spine). Methods Fifteen patients with osteoid osteoma who underwent cryoablation at our institution were analyzed retrospectively on their imaging data and clinical visual analog scale (VAS) pain scores before and after the procedure. Fifty-three patients underwent surgical resection during the period were also included in this study as a control group. Treatment efficacy was assessed primarily by comparing the differences in VAS scores at different time points in each group of patients by paired-sample t-test. Differences in length of hospital stay and complications between the two groups were also compared. Results The technical success rate was 100% in both the cryoablation and surgical resection group. Cryoablation had a significantly shorter hospitalization time than surgery (p = 0.001). Clinically, the post-operative VAS scores were all significantly improved compared to the pre-operative period, and the clinical cure was achieved in both groups. Surgical operations had more complications than cryoablation, although there was no significant difference. In the group of cryoablation, only one patient had mild numbness of the left lower extremity, which relieved itself; two patients had mild post-operative pain. No patients in the cryoablation group experienced recurrence during the follow-up period. In the surgery group, three of the patients experienced massive bleeding (>500 ml), and two underwent transfusion therapy. Only one patient in the surgical resection group experienced a recurrence at 29 months postoperatively and underwent a second resection. All patients had local scars on the skin after surgical resection. Conclusion Cryoablation is a minimally invasive, safe, and effective treatment strategy for osteoid osteoma, and is fully comparable to surgical resection.

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Section: Discussionsupporting

confidence: 92%

A preliminary comparative study of percutaneous CT-guided cryoablation with surgical resection for osteoid osteoma

Meng

Xiao

Ren

et al. 2021

PeerJ

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“…Minimally invasive radiological techniques are also suggested for small tumors; nevertheless, attention has to be paid to decreasing the risk of lung damage. In 2019, Basappa et al published the case of a 19-year-old patient affected by rib osteoid osteoma in which an artificial pneumothorax was induced to protect the lung [33].…”

Section: Ribs and Sternummentioning

confidence: 99%

Osteoblastoma: When the Treatment Is Not Minimally Invasive, an Overview

Zoccali

Novello

Arrigoni

et al. 2021

JCM

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Background: osteoblastoma is a bone-forming tumor accounting for about 1% of all primary bone tumors and 3% of benign bone tumors. The gold-standard treatment is surgical excision; nevertheless, minimally invasive radiological techniques such as thermoablation and, more recently, high intensity focused ultrasound are gaining more importance. The aim of the present paper is to analyze surgical indications based on our experience and on the evidences in the literature. Methods: all patients affected by osteoblastoma who underwent surgical excision in January 2009 and December 2018 were reviewed; eleven patients were enrolled in the study. The epidemiological aspects, size of the disease and site of onset, symptoms, surgery type, indications, and results are reported for every case. Results: all treatments were based on a preoperative diagnosis; pain was constant in all cases. Intralesional surgeries were performed in 9 out of 11 cases; the remaining 2 cases underwent wide resection. No early or late complications occurred after the surgical procedure. The indications for surgery were lesions very close to nerves or joints, unclear diagnosis, risk of fracture, lesion too large for radiofrequency thermoablation, or failure of minimally invasive treatments. At a medium follow-up of 88 months, no local recurrences were verified. Conclusions: osteoblastoma is a rare tumor with difficult diagnosis. Identification is based on symptoms, imaging, and histology. When possible, minimally invasive techniques is preferred for treatment but surgery is still considered the gold standard.

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Meta-analysis of application of minimally-invasive ablation methods and classical surgical approach in osteoid osteoma and osteoblastoma

Piwowar,

Hożejowski,

Zolbach

et al. 2024

Medical Journal of Cell Biology

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Osteoblastoma and osteoid osteoma are rare benign bone tumours, sometimes considered variations of the same pathologic process. However, they differ in location, incidence, age group, and size. The gold standard treatment is surgical excision for osteoblastoma and radiofrequency ablation for both. Minimally invasive techniques, including radiofrequency ablation, microwave ablations, cryoablation, ultrasound ablation, and laser ablation, are increasingly used. This meta-analysis aimed to review current treatments, focusing on minimally invasive methods versus traditional surgical excision. A data comparison of 17 original articles from the PubMed database (2014-2024) was conducted, examining treatment methods, patient numbers, success rates, pre/post-operative pain scores, and complication rates. New ablation methods achieve similar clinical results to traditional surgery for treating osteoid osteoma and osteoblastoma while minimizing invasiveness. Most procedures have technical success rates near 100%. Both invasive and non-invasive methods significantly reduce preoperative pain. Classical surgery has higher minor complication rates compared to minimally invasive treatments. Among ablation techniques, magnetic resonance guided focused ultrasound surgery is the least invasive, avoiding radiation and antibiotic-related complications. However, in ablation methods caution is needed to prevent thermal damage to nearby joints and nerves. Protective methods, such as skin protection, hydrodissection, gas dissection, and intraoperative neurostimulation, are recommended. New ablation methods provide less invasive alternatives to surgery, with high clinical and technical success rates and lower complication rates. Among these, magnetic resonance guided focused ultrasound surgery is the least invasive and most promising, though more clinical data is needed due to its recent development.

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CT-guided percutaneous cryoablation of an osteoid osteoma of the rib☆

Cited by 3 publications

References 19 publications

A preliminary comparative study of percutaneous CT-guided cryoablation with surgical resection for osteoid osteoma

A preliminary comparative study of percutaneous CT-guided cryoablation with surgical resection for osteoid osteoma

Osteoblastoma: When the Treatment Is Not Minimally Invasive, an Overview

Meta-analysis of application of minimally-invasive ablation methods and classical surgical approach in osteoid osteoma and osteoblastoma

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