Radiofrequency ablation in the treatment of osteoid osteoma—5-year experience

Hoffmann, Ralf‐Thorsten; Jakobs, Tobias; Kubisch, Constanze H.; Trumm, C.; Weber, Christof; Duerr, Hans-Roland; Helmberger, Thomas; Reiser, Maximilian

doi:10.1016/j.ejrad.2008.11.018

Cited by 135 publications

(103 citation statements)

References 26 publications

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“…In our study, we recorded two major complications (soft tissue abscess, post-interventional fracture). These complications have also been reported by other authors [25,36]. Furthermore, one of our 59 patients experienced a minor complication in the form of a loss of sensitivity that spontaneously subsided within 2 weeks.…”

supporting

confidence: 89%

Radiofrequency Ablation of Osteoid Osteomas: Analgesia and Patient Satisfaction in Long-term Follow-up

Gebauer

Collettini

Bruger

et al. 2013

Fortschr Röntgenstr

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!Purpose: To review the long term clinical outcomes in the treatment of osteoid osteoma (OO) using radiofrequency ablation (RFA). Materials and Methods: Our retrospective study included 59 patients who were treated in the period from April 2001 to December 2012 due to a symptomatic OO using RFA. Here, the occurrence of complications and postoperative recurrence, as well as postoperative patient satisfaction were examined. Patients satisfaction was assessed by means of a telephone interview with the visual analogue scale (VAS). Results: Mean follow-up was 50 months (2 -116 months). The average size of the nidus was 6 mm (range 2 -14 mm). After initial radiofrequency ablation 11.8 % (7/59) of patient showed a recurrence of symptoms. Symptoms could successfully be treated by a second ablation in 5 patients. Assisted success rate was therefore 96.6 % (57/59). The complication rate was 5.1 % (2 major and one minor complication). Furthermore we report a very high patient satisfaction and acceptance of therapy. Conclusion: RFA is a very successful therapy of symptomatic OOs with a high patient satisfaction.

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supporting

confidence: 89%

Radiofrequency Ablation of Osteoid Osteomas: Analgesia and Patient Satisfaction in Long-term Follow-up

Gebauer

Collettini

Bruger

et al. 2013

Fortschr Röntgenstr

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“…CT-guided RFA, a minimally invasive and safe method, has been proved an effective treatment for spinal osteoid osteoma. 89,90 Surgery is usually reserved for lesions Tc-MDP SPECT scan demonstrates mild increased uptake in the spinous process of L5. B, Axial CT image shows a lucency in the tip of the spinous process of L5 with surrounding sclerosis and a tiny sclerotic nidus.…”

Section: Primary Neoplasmsmentioning

confidence: 99%

Imaging of Back Pain in Children

Rodriguez¹,

Poussaint²

2009

AJNR Am J Neuroradiol

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SUMMARY:While back pain presents less frequently in children than in adults, it still poses a significant clinical challenge with respect to making a firm diagnosis and developing an effective treatment plan. When children have back pain and medical attention is sought, an underlying pathology is usually suspected. Pediatric patients are evaluated, first, with a complete clinical history and examination and, second, by an imaging work-up that is based on initial findings, including the child's age and size, signs and symptoms, and suspected etiology. This article describes 1) the epidemiology of back pain in children, 2) the imaging work-up used, and 3) the correlation of imaging findings with disease entities that may cause back pain in the pediatric patient. The list of diseases giving rise to back pain is not meant to be exhaustive but rather reflective of the most commonly identified pathologies and disorders among young children and adolescents, from athletic injuries to lethal cancers.ABBREVIATIONS: ALARA ϭ as low as reasonably achievable; ESR ϭ erythrocyte sedimentation rate; FSE ϭ fast spin-echo; 18 F ϭ fluorine 18; LCH ϭ Langerhans cell histiocytosis; LDH ϭ lactate dehydrogenase; MBP ϭ mechanical back pain; PET ϭ positron-emission tomography; RFA ϭ radio-frequency ablation, SPECT ϭ single-photon emission computed tomography; STIR ϭ short tau inversion recovery; 99m Tc-MDP ϭ technetium 99m methylene diphosphonate; WHO ϭ World Health Organization B ack pain in children presents less frequently than in adults. The incidence of back pain in adults has been estimated to be as high as 60%-80% 1 ; the actual incidence of back pain in children, however, is unknown. Back pain in children presenting to the emergency department was originally thought to be an uncommon complaint, 2 reflecting significant underlying pathology compared with adults. Although recent studies have shown an increased prevalence of back pain in children, [3][4][5][6][7] relatively few patients receive medical attention.

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“…Utilization of RF ablation for osteoid osteoma was first reported in 1992 by Rosenthal et al (40), and several studies have shown effects of RF ablation in treatment of osteoid osteoma since then. In a recent prospective trial by Hoffman et al (12), 38 patients were successfully treated with RF ablation with only three recurrences during an average follow-up of 32 months, all of which were treated with a second RF ablation. Currently, RF ablation has been shown to be effective in as many as 90% of cases (13).…”

Section: Rf Ablation In Bone Tumorsmentioning

confidence: 99%

“…In most cases, percutaneous RF ablation can be performed in patients under conscious sedation, by using medications similar to those used with any other interventional radiology procedure. In the clinical arena, RF ablation has been used for the treatment of various neoplasms, including metastases from a variety of primary tumors (4,5), such as hepatocellular carcinoma (HCC) (6,7), renal cell carcinoma (RCC) (8,9), non-small cell lung cancer (NSCLC) (10,11), and osteoid osteoma (12,13). In this article we review RF ablation techniques and their clinical implications.…”

mentioning

confidence: 99%

Radiofrequency ablation: technique and clinical applications

Tatlı

Tapan²,

Morrison³

et al. 2011

Diagn Interv Radiol

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Radiofrequency ablation is the most commonly used percutaneous ablation technique and well-documented in the literature on focal therapies. It has become the image-guided ablation method of choice because of its efficacy, safety, and ease of use. Radiofrequency ablation has shown promise in treating selected solid tumors, particularly those involving the liver, kidneys, lungs, and the musculoskeletal system. It is a minimally invasive technique often used in inoperable patients with other comorbidities. Radiofrequency ablation requires a minimal hospital stay or can be performed on an outpatient basis. The aim of this article is to review radiofrequency ablation techniques and their clinical applications.

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Radiofrequency ablation in the treatment of osteoid osteoma—5-year experience

Cited by 135 publications

References 26 publications

Radiofrequency Ablation of Osteoid Osteomas: Analgesia and Patient Satisfaction in Long-term Follow-up

Radiofrequency Ablation of Osteoid Osteomas: Analgesia and Patient Satisfaction in Long-term Follow-up

Imaging of Back Pain in Children

Radiofrequency ablation: technique and clinical applications

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