Radiographic Local Control of Spinal Metastases with Percutaneous Radiofrequency Ablation and Vertebral Augmentation

Wallace, Adam N.; Tomasian, Anderanik; Vaswani, Devin; Vyhmeister, Ross; Chang, Randy O.; Jennings, Jack W.

doi:10.3174/ajnr.a4595

Cited by 91 publications

(72 citation statements)

References 22 publications

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“…A large prospective study with long-term follow-up should now be carried out to confirm these promising results, especially in patients with painful spinal oligometastatic disease 8 10…”

Section: Discussionmentioning

confidence: 96%

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Republished: Renal cell carcinoma metastasis involving vertebral hemangioma: dual percutaneous treatment by navigational bipolar radiofrequency ablation and high viscosity cement vertebroplasty

Zerlauth

Meuli

Dunet³

2017

J NeuroIntervent Surg

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The case of a 70-year-old woman with progressive renal cell carcinoma (RCC) metastatic invasion of a L3 vertebral hemangioma treated by dual percutaneous radiofrequency ablation (RFA) and vertebroplasty is reported. The patient was surgically treated for RCC in 2001. Chemotherapy and immunotherapy were introduced in 2013 for ovarian, bladder and cerebral metastatic disease. An asymptomatic L3 benign hemangioma was noticed at this time. One-year CT and MRI follow-up studies demonstrated a nodular isolated soft tissue lesion involving the anterior edge of the hemangioma. Percutaneous treatment consisted of a L3 vertebral body unipedicular approach to perform a biopsy, RFA with a navigational bipolar RFA device and vertebroplasty using high viscosity cement. Histopathological examination confirmed metastasis of RCC. The 5-month spinal MRI and CT examinations demonstrated complete disappearance of the tumor.

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“…A large prospective study with long-term follow-up should now be carried out to confirm these promising results, especially in patients with painful spinal oligometastatic disease 8 10…”

Section: Discussionmentioning

confidence: 96%

“…Complete local control of the tumor was shown at 5-month follow-up with no neurological complications. Wallace et al 10 recently published local control rates of 70% at 1 year using the same technique on 55 patients with spinal oligometastases. The rate decreased to 67% in cases of simultaneous systemic metastatic progression.…”

Section: Discussionmentioning

confidence: 99%

Republished: Renal cell carcinoma metastasis involving vertebral hemangioma: dual percutaneous treatment by navigational bipolar radiofrequency ablation and high viscosity cement vertebroplasty

Zerlauth

Meuli

Dunet³

2017

J NeuroIntervent Surg

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“…Cryoablation was performed using the Visual-ICE Cryoablation System (Galil Medical; Arden Hills, Minnesota) for 16 tumours (27%, 16/59). The median number of cryoprobes used to treat a single tumour was 5 (range, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. When multiple cryoprobes were needed to produce a contiguous ice ball that encompassed the planned treatment volume, an inter-probe distance of 10-15 mm was implemented.…”

Section: Thermal Ablation Proceduresmentioning

confidence: 99%

“…The electrode contains two thermocouples located 10 mm (distal thermocouple) and 15 mm (proximal thermocouple) from the centre of the ablation zone that enable real-time monitoring of the ablation zone volume. 10,14,15 Each ablation was performed until the proximal thermocouple registered 50°C. Based on manufacturer thermal distribution curves, dimensions of the ellipsoid ablation volume are 30 9 20 9 20 mm when the proximal thermocouple registers 50°C.…”

Section: Thermal Ablation Proceduresmentioning

confidence: 99%

“…8,9 Minimally invasive percutaneous thermal ablation has been recently described for management of osseous metastases in cohorts consisting of heterogeneous tumour histologies to achieve both pain palliation [10][11][12] and radiographic local tumour control. [13][14][15] The purpose of this study is to systematically and specifically evaluate the safety and efficacy of percutaneous thermal ablation alone or in combination with cementoplasty for pain palliation and local tumour control of RCC osseous metastases.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous thermal ablation alone or in combination with cementoplasty for renal cell carcinoma osseous metastases: Pain palliation and local tumour control

et al. 2020

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Introduction: To evaluate the safety and efficacy of minimally invasive percutaneous thermal ablation alone or in combination with cementoplasty for pain palliation and local tumour control of renal cell carcinoma osseous metastases. Methods: Imaging-guided thermal ablation was performed in 59 renal cell carcinoma osseous metastatic tumours in 23 patients (concomitant cementoplasty in 43 tumours) selected following multidisciplinary consultations to achieve local tumour control and pain palliation (75%, 44/59) or pain palliation alone (25%, 15/59) in this retrospective study. Tumour characteristics, procedural details and complications were documented. Pain palliation was assessed using pre-and post-procedural Numeric Rating Scale scores at 1week, 1-month, 3-month and 6-month time intervals. Pre-and post-procedural cross-sectional imaging was reviewed to assess local tumour control rates at 3-month, 6-month, and 12-month post-treatment time intervals. Results: All procedures were technically successful and performed as pre-operatively planned. The median pre-and post-procedural Numeric Rating Scale scores were 8.0 and 3.0 (at all time intervals), respectively (P < 0.001). Local tumour control rates were 100% (40/40), 100% (36/36) and 85% (28/33) at ≥3 months, ≥6 months and ≥12 months post-procedural time intervals, respectively. There was 1 minor complication (1.7%, 1/59). Conclusions: Percutaneous thermal ablation alone or in combination with cementoplasty is safe and effective for pain palliation and local tumour control of renal cell carcinoma osseous metastases.

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Minimally Invasive Surgery for Spinal Tumors

Pennington

Molina

Sciubba

2019

Minimally Invasive Spine Surgery

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Radiographic Local Control of Spinal Metastases with Percutaneous Radiofrequency Ablation and Vertebral Augmentation

Cited by 91 publications

References 22 publications

Republished: Renal cell carcinoma metastasis involving vertebral hemangioma: dual percutaneous treatment by navigational bipolar radiofrequency ablation and high viscosity cement vertebroplasty

Republished: Renal cell carcinoma metastasis involving vertebral hemangioma: dual percutaneous treatment by navigational bipolar radiofrequency ablation and high viscosity cement vertebroplasty

Percutaneous thermal ablation alone or in combination with cementoplasty for renal cell carcinoma osseous metastases: Pain palliation and local tumour control

Minimally Invasive Surgery for Spinal Tumors

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