Terapie ablative percutanee imaging-guidate nel trattamento delle metastasi ossee sintomatiche: esperienza preliminare

Carrafiello, G.; Laganà, Domenico; Pellegrino, Carlo; Fontana, Federico; Mangini, Monica; Nicotera, Paolo; Petullà, Maria; Bracchi, Elena; Genovese, Eugenio Annibale; Cuffari, Salvatore; Fugazzola, Carlo

doi:10.1007/s11547-009-0395-5

Cited by 49 publications

(21 citation statements)

References 29 publications

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“…Microwave ablation is the most recent development in the field of tumor ablation [1,4,5,8]. Electromagnetic microwaves agitate water molecules in the surrounding tissue, producing friction and heat, thus inducing cellular death through coagulation necrosis [24].…”

Section: Introductionmentioning

confidence: 99%

“…Microwave ablation has shown potential in the treatment of primary and secondary liver disease, lung malignancies, and renal tumors [1,4,8]. Early clinical use of microwave ablation in primary bone tumors and bone metastases has been promising [5,11]. During the last decade, we performed joint-preservation surgery for patients with juxtaarticular osteosarcoma by transepiphyseal osteotomy after navigation-assisted microwave ablation of the edge of the tumor and reconstruction with an intercalary biologic reconstruction, preserving the native joint and maintaining a nearly normal joint.…”

Section: Introductionmentioning

confidence: 99%

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Does Microwave Ablation of the Tumor Edge Allow for Joint-sparing Surgery in Patients With Osteosarcoma of the Proximal Tibia?

Guo

Wang

et al. 2015

Clin Orthop Relat Res

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Does Microwave Ablation of the Tumor Edge Allow for Joint-sparing Surgery in Patients With Osteosarcoma of the Proximal Tibia?

Guo

Wang

et al. 2015

Clin Orthop Relat Res

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“…A large randomized, controlled, multicenter phase III trial has shown Focused Ultrasound (FUS) to be effective in the treatment of painful bone metastases [17], confirming results of earlier retrospective reports [18]. Small case series also support benefit from other percutaneous methods of image-guided ablation, including microwave ablation, laser ablation, and irreversible electroporation to treat skeletal metastases, although the data are more limited [19][20][21][22][23][24][25][26]. These studies demonstrate that multiple ablation therapies are effective at palliation of pain due to metastatic skeletal disease.…”

Section: Resultsmentioning

confidence: 60%

Evaluation of CT Image Guided Radiofrequency Ablation in the Management of Painful Bone Metastases Originating from NSCLC

Botsa¹

2017

SOJAPM

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“…A few limited reports of treatment of patients with metastatic disease have been reported with promising results. 39,40 Materials and technique Percutaneous microwave ablation is usually performed with the patient under conscious sedation 40 although in certain situations when procedural pain is problematic, a general anaesthesia may be required. 38 After local anaesthesia, a thin microwave antenna is introduced into the lesion under CT guidance.…”

Section: Microwaves Ablation Indicationsmentioning

confidence: 99%

Interventional MSK procedures: the hip

Dodré¹,

Lefebvre²,

Cockenpot³

et al. 2016

BJR

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Percutaneous musculoskeletal procedures are widely accepted as low invasive, highly effective, efficient and safe methods in a vast amount of hip pathologies either in diagnostic or in therapeutic management. Hip intra-articular injections are used for the symptomatic treatment of osteoarthritis. Peritendinous or intrabursal corticosteroid injections can be used for the symptomatic treatment of greater trochanteric pain syndrome and anterior iliopsoas impingement. In past decades, the role of interventional radiology has rapidly increased in metastatic disease, thanks to the development of many ablative techniques. Image-guided percutaneous ablation of skeletal metastases provides a minimally invasive treatment option that appears to be a safe and effective palliative treatment for localized painful lytic lesion. Methods of tumour destruction based on temperature, such as radiofrequency ablation (RFA) and cryotherapy, are performed for the management of musculoskeletal metastases. MR-guided focused ultrasound surgery provides a non-invasive alternative to these ablative methods. Cementoplasty is now widely used for pain management and consolidation of acetabular metastases and can be combined with RFA. RFA is also used to treat benign tumours, namely osteoid osteomas. New interventional procedures such as percutaneous screw fixation are also proposed to treat non-displaced or minimally displaced acetabular roof fractures. INTRODUCTIONHip intra-articular injections have been used for many years as a diagnostic and/or therapeutic tool and even today remain an effective treatment for osteoarthritis providing pain relief. Ultrasound guidance can be used for injections in patients with greater trochanteric pain syndrome and CT scan guidance for corticosteroid injection in the management of anterior iliopsoas impingement after total hip arthroplasty. Interventional radiology plays a major role in the management of bone tumours. Several image-guided percutaneous ablation methods have proved effective for palliation of metastases involving bone and for the treatment of benign bone tumours, namely osteoid osteoma. To treat pain and consolidate the bone, cementoplasty could be required. In the therapeutic management of acetabular fractures, the combination of CT and fluoroscopy guidance could have a place in treating non-displaced or minimally displaced acetabular roof fractures.

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Terapie ablative percutanee imaging-guidate nel trattamento delle metastasi ossee sintomatiche: esperienza preliminare

Cited by 49 publications

References 29 publications

Does Microwave Ablation of the Tumor Edge Allow for Joint-sparing Surgery in Patients With Osteosarcoma of the Proximal Tibia?

Does Microwave Ablation of the Tumor Edge Allow for Joint-sparing Surgery in Patients With Osteosarcoma of the Proximal Tibia?

Evaluation of CT Image Guided Radiofrequency Ablation in the Management of Painful Bone Metastases Originating from NSCLC

Interventional MSK procedures: the hip

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