CT-guided radiofrequency ablation for osteoid osteomas: a systematic review

Tordjman, Mickaël; Perronne, Laetitia; Madelin, Guillaume; Mali, Rahul D.; Burke, Christopher J.

doi:10.1007/s00330-020-06970-y

Cited by 27 publications

(44 citation statements)

References 78 publications

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“…The authors investigated on whether such factors as lesion location, ablation time, and patient age may affect the recurrence rate. The results of this study confirmed that longer ablation times (>7 min) were associated to lower treatment failure rates, while other elements like age and OO location did not show a statistically significant association with recurrence rate [23].…”

Section: Radiofrequency Ablation (Rfa)supporting

confidence: 74%

Interventional Radiology’s Osteoid Osteoma Management: Percutaneous Thermal Ablation

Bianchi

Zugaro

Palumbo

et al. 2022

JCM

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Osteoid osteoma (OO) is one of the most common benign bone tumors with specific clinical and radiological characteristics. Analgesic therapy and surgical treatment have been considered the only therapy for a long time. Recently, safe and effective new therapeutic options have been introduced, among which percutaneous thermal ablation techniques. This review aims to describe the recent updates in the field of percutaneous thermal ablation techniques in the treatment of OO, assessing the outcomes in terms of efficacy, complications, and recurrence rate.

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Section: Radiofrequency Ablation (Rfa)supporting

confidence: 74%

Interventional Radiology’s Osteoid Osteoma Management: Percutaneous Thermal Ablation

Bianchi

Zugaro

Palumbo

et al. 2022

JCM

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“…Concerning the time period, treatment failure in the later period of studies examined between 2011-2019 was approximately half that of the earlier period 2002-2010 (7% vs. 14%). The overall complication rate was 3%, with skin burns being the most frequent (91).…”

Section: Prognosismentioning

confidence: 96%

Osteoid Osteoma: An Updated Review of Epidemiology, Pathogenesis, Clinical Presentation, Radiological Features, and Treatment Option

TEPELENIS

SKANDALAKIS

PAPATHANAKOS

et al. 2021

In Vivo

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Osteoid osteoma, the third most common benign bone tumor, usually occurs in the cortex of long bones. It consists of a radiolucent nidus surrounded by reactive osteosclerosis. Generally, osteoid osteoma affects young males. Nocturnal pain that eases with salicylates or nonsteroidal anti-inflammatory drugs (NSAID) is the typical clinical presentation. Sometimes, it remains undiagnosed for a long time. Plain radiography and computed tomography are usually sufficient for the diagnosis of osteoid osteoma. Initial treatment includes salicylates and NSAID because the tumor often regresses spontaneously over 2-6 years. Surgical treatment is indicated in case of unresponsive pain to medical therapy, no tolerance of prolonged NSAID therapy due to side effects, and no willingness to activity limitations. Nowadays, minimally invasive techniques have replaced open surgery and are considered the gold standard of surgical treatment. Although cryoablation seems superior in terms of the nerve damage and immunotherapy effect, radiofrequency ablation is the preferred technique.

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“…This last evidence is reinforced by a systematic review performed on 69 trials by Tordjman et al [ 11 ] that investigated whether there are factors associated with RFA treatment failures (TF), such as lesion location, ablation time, and patient age and their correlation with the recurrence rate. Results demonstrated that factors like age and osteoid osteoma location were not statistically significantly associated with recurrence rate, while a longer ablation time (> 7 min) was associated with lower TF rate.…”

Section: Radiofrequency Ablation (Rfa)mentioning

confidence: 99%

“…Results demonstrated that factors like age and osteoid osteoma location were not statistically significantly associated with recurrence rate, while a longer ablation time (> 7 min) was associated with lower TF rate. Another interesting fact emerged from the review is that TF rate evaluated in the studies showed the tendency to decrease over the years between 2011 and 2019 compared to 2002–2010, probably due to progressions in equipment or improvements in operator procedures [ 11 ].…”

Section: Radiofrequency Ablation (Rfa)mentioning

confidence: 99%

Osteoid osteoma: which is the best mininvasive treatment option?

Parmeggiani

Martella

Ceccarelli

et al. 2021

Eur J Orthop Surg Traumatol

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Osteoid osteoma is the third most common benign bone tumor, with well-known clinical presentation and radiological features. Although surgical excision has been the only therapeutic option for a long time, to date it has been replaced by minimally invasive techniques, which proved satisfactory success rates and low complication occurrence. Therefore, the purpose of this literature review was to describe the main updates of these recent procedures in the field of interventional radiology, with particular attention paid to the results of the leading studies relating to the efficacy, complications, and recurrence rate. Nevertheless, this study aimed to analyze the peculiarities of each reported technique, with specific focus on the possible improvements and pitfalls. Results proved that all mininvasive procedures boast a high success rate with slight number of complications and a low recurrence rate. Radiofrequency ablation is still considered the gold standard procedure for percutaneous treatment of osteoid osteoma, and it has the possibility to combine treatment with a biopsy. Interstitial laser ablation’s advantages are the simplicity of use and a lower cost of the electrodes, while cryoablation allows real-time visualization of the ablated zone, increasing the treatment safety. Magnetic resonance-guided focused ultrasound surgery is the most innovative non-invasive procedure, with the unquestionable advantage to be radiation free.

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CT-guided radiofrequency ablation for osteoid osteomas: a systematic review

Cited by 27 publications

References 78 publications

Interventional Radiology’s Osteoid Osteoma Management: Percutaneous Thermal Ablation

Interventional Radiology’s Osteoid Osteoma Management: Percutaneous Thermal Ablation

Osteoid Osteoma: An Updated Review of Epidemiology, Pathogenesis, Clinical Presentation, Radiological Features, and Treatment Option

Osteoid osteoma: which is the best mininvasive treatment option?

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