Pediatric Percutaneous Osteoid Osteoma Ablation: Cone-Beam CT with Fluoroscopic Overlay Versus Conventional CT Guidance

Perry, Brandon C.; Monroe, Eric J.; McKay, Tyler; Kanal, Kalpana M.; Shivaram, Giridhar M.

doi:10.1007/s00270-017-1685-2

Cited by 34 publications

(31 citation statements)

References 26 publications

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“…No significant differences in technical success rate, clinical success rate, and complication rate were found between CT and cone-beam CT. The radiation dose received by the cone-beam CT group was significantly less than that received by the conventional CT Group 35 . Positron emission tomography-computed tomography (PET-CT) is also used to guide puncture and percutaneous microwave ablation, which helps to improve puncture accuracy 36 .…”

Section: Recommendation 3: Percutaneous Microwave Ablation Of Bone Tumentioning

confidence: 75%

Clinical Guideline for Microwave Ablation of Bone Tumors in Extremities

Zheng¹,

Yu²,

et al. 2020

Orthopaedic Surgery

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Microwave ablation has been used to treat bone tumors in extremities for more than 30 years. With improved recognition, updated microwave equipment, and expanded clinical application, microwave ablation has recently been widely used to treat bone tumors. To standardize the application of microwave ablation in the clinical treatment of bone tumors in the limbs, research results and clinical experience involving the use of microwave ablation to treat bone tumors in the limbs have been summarized, and a clinical guideline has been designed. This guideline is aimed at providing a reliable clinical basis for indications, preoperative evaluation and decision‐making, perioperative treatment, complications, and other issues via evidence‐based medicine. Two aspects are considered—percutaneous microwave ablation and intraoperative microwave ablation of bone tumors in extremities. Ultimately, the guideline is intended to standardize treatment and improve the clinical efficacy of microwave ablation of bone tumors in extremities.

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Section: Recommendation 3: Percutaneous Microwave Ablation Of Bone Tumentioning

confidence: 75%

Clinical Guideline for Microwave Ablation of Bone Tumors in Extremities

Zheng¹,

Yu²,

et al. 2020

Orthopaedic Surgery

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“…2 In pediatric osteoid osteomas, CBCT has demonstrated similar technical and clinical success, reduced radiation dose, and increased total room utilization time compared with conventional CT guidance. 4 Similarly, reports have demonstrated reduced lung radiation doses in simulated pediatric lung interventions, 6 with successful use in adult lung biopsies for guidance. 7 Published data on use of CBCT in the pediatric lung interventions are comparatively limited.…”

Section: Discussionmentioning

confidence: 99%

“…3 Particularly in artifact-prone areas such as lung and bone, limits in image detail may encourage the operator to prefer standard computed tomography (CT), ultrasound, magnetic resonance imaging (MRI), or fluoroscopic guidance. Early experience, however, suggests that CBCT provides effective image guidance for bone 4 and lung interventions. [5][6][7] Recent advances in commercially available CBCT systems promise to improve image quality through reduction of noise, decreased radiation exposure, 4 and artifact mitigation.…”

Section: Introductionmentioning

confidence: 99%

“…Early experience, however, suggests that CBCT provides effective image guidance for bone 4 and lung interventions. [5][6][7] Recent advances in commercially available CBCT systems promise to improve image quality through reduction of noise, decreased radiation exposure, 4 and artifact mitigation. The use of CBCT in guidance for pediatric procedures is likely to increase with reduced radiation dose and improved image detail.…”

Section: Introductionmentioning

confidence: 99%

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XperCT Sharpening Reconstruction for Cone-Beam Computed Tomography Guided Lung and Bone Interventions

Murphy

Ramoso

Monroe

2020

Journal of Clinical Interventional Radiology ISVIR

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C-arm cone-beam computed tomography (CBCT) is a valuable tool for three-dimensional navigation and mapping in the interventional radiology suite owing to its flexible gantry positioning, real-time three-dimensional volume acquisition, and reduced contrast and radiation use. Reports of CBCT-guided bone and lung interventions are relatively infrequent, however, possibly due in part to the lack of dedicated bone and lung reconstruction algorithms and concerns regarding insufficient lesion conspicuity. Two cases of an ad hoc intraprocedural CBCT sharpening reconstruction are presented in this article.

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“…CBCT-guidance has proven effective for a wide range of pediatric and adult interventions [5] , [6] , [7] , [8] , [9] , [10] , offering several advantages over traditional CT guidance including reduced radiation dose, improved procedural ergonomics, and image-fusion capabilities. The case presented represents the first published use of a CBCT-guided transpterygoidal approach.…”

Section: Discussionmentioning

confidence: 99%

Cone beam computed tomography-guided transpterygoidal aspiration of a carotid space abscess in Lemierre's syndrome

Monroe

Amlie‐Lefond

2018

Radiology Case Reports

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Lemierre's syndrome results from anaerobic bacterial thrombophlebitis of the cervical venous vasculature, occasionally complicated by deep neck space abscesses, sepsis, septic emboli, vascular occlusions, or mycotic aneurysms. Fastidious organisms, such as Fusobacterium necrophorum, may be slow to respond to intravenous antibiotic therapy, prompting a need for more aggressive source control. Concomitant vascular occlusions and mycotic aneurysms present difficult decisions regarding anticoagulation, and the anatomy involved implies important technical considerations for intervention. A case of Lemierre's syndrome complicated by a carotid space abscess and mycotic internal carotid artery pseudoaneurysm progressed despite intravenous antibiosis. Transpterygoidal aspiration using cone beam computed tomography guidance provided both technical and clinical success.

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Pediatric Percutaneous Osteoid Osteoma Ablation: Cone-Beam CT with Fluoroscopic Overlay Versus Conventional CT Guidance

Abstract: Fluoroscopic CBCT guidance for percutaneous osteoid osteoma ablation yields similar technical and clinical success, reduced radiation dose, and increased total room utilization time compared to conventional CT guidance.

Cited by 34 publications

References 26 publications

Clinical Guideline for Microwave Ablation of Bone Tumors in Extremities

Clinical Guideline for Microwave Ablation of Bone Tumors in Extremities

XperCT Sharpening Reconstruction for Cone-Beam Computed Tomography Guided Lung and Bone Interventions

Cone beam computed tomography-guided transpterygoidal aspiration of a carotid space abscess in Lemierre's syndrome

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