Percutane Image-Guided Cryoablation of Painful Osseous Metastases: A Retrospective Single-Center Review

McArthur, Tatum A.; Narducci, Carl A.; Lander, P; Lopez‐Ben, Robert

doi:10.1067/j.cpradiol.2016.11.007

Cited by 12 publications

(3 citation statements)

References 25 publications

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“…Cryoablation has also been associated with a 44.2% improvement in quality of life after 4 weeks and 59.6% after 8 weeks. These results have been confirmed by many studies in the literature, proving that the CA of painful bone metastases induces a statistically significant improvement in patient pain level and perceived quality of life, and enables satisfactory local tumor control in oligometastatic disease ( Table 2 ) [ 73 , 79 , 86 , 87 , 93 , 94 , 95 , 96 , 97 ].…”

Section: Cryoablationsupporting

confidence: 55%

Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review

Papalexis¹,

Parmeggiani²,

Peta³

et al. 2022

Current Oncology

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Metastases are the main type of malignancy involving bone, which is the third most frequent site of metastatic carcinoma, after lung and liver. Skeletal-related events such as intractable pain, spinal cord compression, and pathologic fractures pose a serious burden on patients’ quality of life. For this reason, mini-invasive treatments for the management of bone metastases were developed with the goal of pain relief and functional status improvement. These techniques include embolization, thermal ablation, electrochemotherapy, cementoplasty, and MRI-guided high-intensity focused ultrasound. In order to achieve durable pain palliation and disease control, mini-invasive procedures are combined with chemotherapy, radiation therapy, surgery, or analgesics. The purpose of this review is to summarize the recently published literature regarding interventional radiology procedures in the treatment of cancer patients with bone metastases, focusing on the efficacy, complications, local disease control and recurrence rate.

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Section: Cryoablationsupporting

confidence: 55%

Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review

Papalexis¹,

Parmeggiani²,

Peta³

et al. 2022

Current Oncology

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“…Given the typically low survival rates of patients, therapeutic options are usually limited, and surgical resection is rare [24,25]. However, skeletal complications such as severe and chronic pain, spinal cord compression, and pathological fractures can greatly impair a patient's quality of life [26][27][28][29][30][31][32]. The escalating interest in thermal ablation techniques for handling bone metastases has positioned cryoablation as a top-tier approach.…”

Section: Bone Metastasesmentioning

confidence: 99%

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

et al. 2023

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In the rapidly evolving field of interventional oncology, minimally invasive methods, including CT-guided cryoablation, play an increasingly important role in tumor treatment, notably in bone and soft tissue cancers. Cryoablation works using compressed gas-filled probes to freeze tumor cells to temperatures below −20 °C, exploiting the Joule–Thompson effect. This cooling causes cell destruction by forming intracellular ice crystals and disrupting blood flow through endothelial cell damage, leading to local ischemia and devascularization. Coupling this with CT technology enables precise tumor targeting, preserving healthy surrounding tissues and decreasing postoperative complications. This review reports the most important literature on CT-guided cryoablation’s application in musculoskeletal oncology, including sarcoma, bone metastases, and bone and soft tissue benign primary tumors, reporting on the success rate, recurrence rate, complications, and technical aspects to maximize success for cryoablation in the musculoskeletal system.

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“…[ 30 ] No major complications were reported, while two patients had postprocedural radicular pain that required corticosteroid injections. In a retrospective single-center review by McArthur et al .,[ 31 ] 16 patients with a single vertebral metastasis from different tumors underwent CA. All reported improvement in pain within 1 week following the procedure and at 3-month follow-up.…”

Section: Cryoablationmentioning

confidence: 99%

Management of metastatic vertebral lesions by interventional techniques: Systematic review of outcomes

Ravikanth¹

2020

J Craniovert Jun Spine

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Vertebral metastases represent an important cause of cancer-related morbidity and mortality. Among all available treatments, interventional percutaneous techniques have recently emerged as potential strategies for the management of oncologic patients with vertebral lesions. Minimally invasive image-guided therapies include “ablative” and “consolidative” ones. According to the number of metastases and the patient's performance status, ablative techniques can be performed with a curative or a palliative purpose since necrosis induced by critic changes of intralesional temperature determines both tumor debulking and destruction of pain receptors. On the other hand, consolidative treatments are based on the injection of polymethylmethacrylate cement to improve structural vertebral integrity and obtain pain alleviation and prevention of skeletal-related events. This article reviews the current recommendations supporting the role of interventional radiology in the management of vertebral metastases, focusing on the last updates in literature.

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Percutane Image-Guided Cryoablation of Painful Osseous Metastases: A Retrospective Single-Center Review

Cited by 12 publications

References 25 publications

Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review

Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review

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

Management of metastatic vertebral lesions by interventional techniques: Systematic review of outcomes

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