Percutaneous radiofrequency ablation in osteoid osteoma: Tips and tricks in special scenarios. Issue 102 (May 2018)

• Record Type: Journal Article
• Authors: Esteban Cuesta, Helena; Martel Villagran, José; Bueno Horcajadas, Angel; Kassarjian, Ara; Rodriguez Caravaca, Gil
• Is Part Of: European journal of radiology. Issue 102(2018)
• Page Start: 169
• Page End: 175
• Publication Date: 2018-05
• Subjects: OO osteoid osteoma -- RFA radiofrequency ablation -- CT computed tomography -- MR magnetic resonance -- IAOO itra-articular osteoid osteoma -- CSF cerebrospinal fluid; Osteoid osteoma -- Radiofrequency ablation -- Technique -- Recommendations -- Special scenarios; Medical radiology -- Periodicals; Radiology -- Periodicals; Radiologie médicale -- Périodiques; Medical radiology; Periodicals; 616.075705
• DOI: 10.1016/j.ejrad.2018.03.008
• Languages: English
• ISSNs: 0720-048X

Abstract

Abstract: Objectives: To define specific characteristics of osteoid osteomas treated with radiofrequency ablation, that may benefit from special technical recommendations. Methods: Retrospective analysis of all radiofrequency ablations performed by our group from January 2001 to March 2015. A descriptive study was conducted. We compared our results with the available literature to determine the most frequent special scenarios. Results: 207 radiofrequency ablations were performed in 200 patients. We defined the following scenarios: osteoid osteomas located in the spine, close to neurovacular structures, osteoid osteomas in small bones (hands and feet), intra-articular, deeply located or superficial and lesions with extensive periosteal reaction. Conclusions: The scenarios defined required special considerations and technical variations. Implementing the different tips and tricks shown in the article, the most complex osteoid osteomas could be successfully ablated.