Interventional Techniques for Bone and Musculoskeletal Soft Tissue Tumors: Current Practices and Future Directions – Part II. Stabilization

Abstract

Percutaneous image-guided oncologic interventions have rapidly evolved over the last two decades as an independent strategy or used within a first-, second-, or even third-line strategy in the treatment of musculoskeletal (MSK) tumors. Abundant mostly nonrandomized publications have described the safety, efficacy, and reproducibility of implementing percutaneous therapies both with curative and palliative intent. In this article, we continue to share our experience in bone and MSK soft tissue interventions focusing on stabilization and combined ablation and stabilization. We propose a pathway and explore future directions of image-guided interventional oncology related to skeletal disease. We reflect on the advantages and limitations of each technique and offer guidance and pearls to improve outcomes. Representing patterns from our practices, we demonstrate the role of collaborative working within a multidisciplinary team, ideally within a dedicated tumor treatment center, to deliver patient-specific therapy plans that are value based and favored by patients when given the choice.

The New Ice Age of Musculoskeletal Intervention: Role of Percutaneous Cryoablation in Bone and Soft Tissue Tumors

“…Surgical resection is the common protocol for localized conditions, while chemotherapy or radiation therapy may be employed for more extensive diseases or recurrences [10][11][12]. Lately, minimally invasive techniques such as radiofrequency ablation, microwave ablation, or cryoablation have been proposed as potential surgical alternatives for some selected recurrent bone and soft tissue tumors [13][14][15][16][17]. Studies evaluating the role of cryoablation in the management of malignant bone and soft tissue tumors are summarized in Table 1.…”

Current Status and Prospects of Clinical Treatment of Osteosarcoma

“…In the treatment of malignant bone tumors, simple embolization can decrease intraoperative bleeding and improve the resection rate and limb salvage rate. 99 Figure 2. Clinical workflow of computer-assisted tumor surgery.…”