The Use of Microwaves Ablation in the Treatment of Epiphyseal Osteoid Osteomas

Basile, Antonio; Failla, Giovanni; Reforgiato, Angelo; Scavone, Giovanni; Mundo, Elena; Messina, Martina; Caltabiano, Giuseppe; Arena, Francesco; Ricceri, Viola; Scavone, Antonio; Masala, Salvatore

doi:10.1007/s00270-013-0722-z

Cited by 32 publications

(35 citation statements)

References 13 publications

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“…When directly compared to RFA, MWA offers potential methodological and technical advantages that have been discussed at the beginning of this article; it can be presumed that the clinical results should be similar. However, there are to date only two studies in which a total of 17 patients have been treated using MWA [28,29]. The situation is similar regarding studies of MRgHIFU treatment of osteoid osteoma.…”

Section: Thermal Ablation Of Benign Bone Tumors Osteoid Osteomamentioning

confidence: 88%

Thermoablation of Bone Tumors

Ringe

Panzica

Falck

2016

Fortschr Röntgenstr

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The aim of this article is to review the significance of percutaneous thermal ablation in the treatment of bone tumors. We describe available ablation techniques as well as advantages and disadvantages in specific settings. In detail, radiofrequency ablation (RFA), microwave ablation (MWA), laser ablation, high intensity focused ultrasound (HIFU) and cryoablation are presented. In the second part of this review curative and palliative indications for the treatment of benign and malignant bone tumors are discussed. This includes especially RFA, laser or cryoablation for the treatment of osteoid osteoma, as well as the palliative treatment of painful bone metastases, for example, by means of MWA or MR-guided HIFU. Key Points: ??The various thermoablative techniques demonstrate specific advantages and disadvantages. ??Radiofrequency ablation is the evidence-based method of choice for treating osteoid osteoma. ??Laser ablation is primarily suited for the treatment of small lesions of the hands and feet. ??The intrinsically analgesic effect of cryoablation is advantageous when treating painful lesions. ??Palliative treatment of painful bone metastases can for example be performed using MWA or MR-guided HIFU, by itself or combined with cementoplasty. Citation Format: ??Ringe KI, Panzica M, von Falck C. Thermoablation of Bone Tumors. Fortschr R?ntgenstr 2016; 188: 539???550

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Section: Thermal Ablation Of Benign Bone Tumors Osteoid Osteomamentioning

confidence: 88%

Thermoablation of Bone Tumors

Ringe

Panzica

Falck

2016

Fortschr Röntgenstr

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“…42 Additional advantages of microwave ablation include efficacy in management of osteoblastic lesions due to less susceptibility to increased impedance of dense bone, diminished heat sink phenomena, and lack of need for grounding pads and thus diminished risk of skin burn. [42][43][44][45][46][47][48][49] Antenna shaft cooling systems implemented in the latest generations of microwave ablation equipment eliminate the risk of back-heating phenomena. 43 The literature regarding efficacy and safety of bone microwave ablation is sparse.…”

Section: Microwave Ablationmentioning

confidence: 99%

“…[43][44][45][46][47][48][49] Investigators have successfully utilized microwave ablation for extraspinal osteoid osteomas and chest wall chondroid hamartoma with no complications. [44][45][46] Pusceddu et al 43 treated 21 osseous metastases patients with an average improved pain and quality of life by 92% as measured by the BPI score at 3-month follow-up with 72% of patients becoming symptom free. Successful treatment of 35 patients (37 osseous metastatic lesions) was reported with a combination of microwave ablation and cementoplasty.…”

Section: Microwave Ablationmentioning

confidence: 99%

Percutaneous Ablation in Painful Bone Tumors

Tomasian

Wallace

Hillen

et al. 2016

Semin Musculoskelet Radiol

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Percutaneous image-guided ablation has been shown to be safe and effective for the treatment of benign osseous lesions and has evolved into the treatment of metastatic lesions for both pain palliation and local tumor control. Ablation is increasingly becoming part of the treatment algorithm of painful bone lesions, requiring multidisciplinary input from radiation, surgical, and medical oncologists. Substantial pain reduction is often possible in those who have failed to benefit from conventional therapies such as systemic and radiation therapy. This review details the basics of bone ablation including indications, treatment algorithms, ablation modalities, role of imaging, thermo-protective techniques, and the emerging use for local tumor control in patients with oligometastatic disease.

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“…Microwave ablation has been widely applied in the clinical treatment of bone and soft tissue tumors in the last a few years. From the published records in English and Chinese language literature (Table1) [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34], microwave ablation had been used as a complimentary method for the treatment of different variety of musculoskeletal tumors and in most cases gained satisfactory results.…”

Section: Clinical Application Of Microwave Ablationmentioning

confidence: 99%

Microwave Ablation for Bone Tumors

Niu¹

2014

Orthop Muscul Syst

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Microwave ablation is a technique which achieves tumor ablation by turning the ultrahigh frequency microwave energy into heat in the center of target tissue where the antenna was located. Microwave ablation can produce fast and well-distributed heat and causes necrosis in the tumor tissue. It is a micro invasive surgical method which can be applied in the treatment of a variety of tumors. It has several advantages comparing with other complementary methods for the treatment of tumor. For example, microwave ablation requires little cost, effectively prevents the metastasis of tumor cells, requires shorter time for hospital stay and helps keeping the integrity of the structure of the bone with tumor, which is essential for preserving the function of the limb after the surgery. However, it may also increase the incidence of pathologic fracture, cause nerve injury and poor wound healing. Appropriate output of energy and frequency of microwave, appropriate temperature in the center and surface of tumor as well as well manipulation of several antennas on large tumors can effectively eliminate the treatment related complications and achieve more satisfying results after the surgery.Microwave ablation is a minimally invasive technique, which causes coagulation necrosis by rising the temperature with deposition of electromagnetic energy to a critical level of around 60. Microwave ablation can be applied as a complementary method for the treatment of tumors. It has already been used for the treatment of liver, gastrointestinal, cerebral, renal, lung and musculoskeletal tumors. In this paper, we made a review on the mechanisms, advantages, applications, and challenges for the microwave ablation in musculoskeletal tumor therapy.

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The Use of Microwaves Ablation in the Treatment of Epiphyseal Osteoid Osteomas

Cited by 32 publications

References 13 publications

Thermoablation of Bone Tumors

Thermoablation of Bone Tumors

Percutaneous Ablation in Painful Bone Tumors

Microwave Ablation for Bone Tumors

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