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Interventionelle Radiologie Scan 2014; 02(02): 143-159
DOI: 10.1055/s-0034-1365489
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© Georg Thieme Verlag KG Stuttgart · New York

Radiofrequenzablation von Osteoidosteomen

Federico Collettini
,
Bernhard Gebauer
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Publication Date:
15 May 2014 (online)

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Fazit

Die thermische Ablation von symptomatischen Osteoidosteomen hat die Chirurgie als die Standardtherapie für diese Entität abgelöst. Innerhalb der thermischen Verfahren ist die CT-gesteuerte Radiofrequenzablation die am besten untersuchte und am häufigsten verwendete Therapie von Osteoidosteomen. Große Studien zeigen primäre Erfolgsraten zwischen 76 und 99 % (mittlere primäre Erfolgsrate: 86 %) und sekundäre Erfolgsraten (nach Reablation) zwischen 92 und 100 %. Bei einer zugleich mit etwa 3 % geringen Komplikationsrate handelt es sich somit bei der thermischen Ablation um eine effektive, sichere und kosteneffektive Technik.

 

  • Literatur

  • 1 Bloem JL, Kroon HM. Osseous lesions. Radiologic clinics of North America 1993; 31: 261-278
    Google Scholar
  • 2 Mungo DV, Zhang X, O’Keefe RJ et al. COX-1 and COX-2 expression in osteoid osteomas. J Orthop Res 2002; 20: 159-162
    CrossrefPubMedGoogle Scholar
  • 3 Jaffe HL. Osteoid osteoma: a benign osteoblastic tumor composed of osteoid and atypical bone. Arch Surg 1935; 31: 709-728
    CrossrefGoogle Scholar
  • 4 Moberg E. The natural course of osteoid osteoma. J Bone Joint Surg Am 1951; 33: 166-170
    PubMedGoogle Scholar
  • 5 Ilyas I, Younge DA. Medical management of osteoid osteoma. Can J Surg 2002; 45: 435-437
    Google Scholar
  • 6 Pratali R, Zuiani G, Inada M et al. Open resection of osteoid osteoma guided by a gamma-probe. Int Orthop 2009; 33: 219-223
    CrossrefGoogle Scholar
  • 7 Reverte-Vinaixa MM, Velez R, Alvarez S et al. Percutaneous computed tomography-guided resection of non-spinal osteoid osteomas in 54 patients and review of the literature. Arch Orthop Trauma Surg 2013; 133: 449-455
    CrossrefGoogle Scholar
  • 8 Dorfman HD, Czerniak B. Benign osteoblastic tumors. In: Dorfman HD, Czerniak B, eds. Bone Tumors. St Louis, Mo: Mosby Inc; 1998: 85-127
    Google Scholar
  • 9 Helms CA. Osteoid osteoma. The double density sign. . Clin Orthop Relat Res 1987; 222: 167-173
    Google Scholar
  • 10 Liu PT, Kujak JL, Roberts CC et al. The vascular groove sign: a new CT finding associated with osteoid osteomas. AJR Am J Roentgenol 2011; 196: 168-173
    CrossrefGoogle Scholar
  • 11 McGrath BE, Bush CH, Nelson TE et al. Evaluation of suspected osteoid osteoma. Clin Orthop Relat Res 1996; 327: 247-252
    CrossrefGoogle Scholar
  • 12 Assoun J, Richardi G, Railhac JJ et al. Osteoid osteoma: MR imaging versus CT. Radiology 1994; 191: 217-223
    CrossrefPubMedGoogle Scholar
  • 13 Liu PT, Chivers FS, Roberts CC et al. Imaging of osteoid osteoma with dynamic gadolinium-enhanced MR imaging. Radiology 2003; 227: 691-700
    CrossrefGoogle Scholar
  • 14 Yildiz Y, Bayrakci K, Altay M et al. Osteoid osteoma: the results of surgical treatment. Int Orthop 2001; 25: 119-122
    CrossrefPubMedGoogle Scholar
  • 15 Rosenthal DI, Alexander A, Rosenberg AE et al. Ablation of osteoid osteomas with a percutaneously placed electrode: a new procedure. Radiology 1992; 183: 29-33
    CrossrefGoogle Scholar
  • 16 Sans N, Galy-Fourcade D, Assoun J et al. Osteoid osteoma: CT-guided percutaneous resection and follow-up in 38 patients. Radiology 1999; 212: 687-692
    CrossrefGoogle Scholar
  • 17 Sierre S, Innocenti S, Lipsich J et al. Percutaneous treatment of osteoid osteoma by CT-guided drilling resection in pediatric patients. Pediatr Radiol 2006; 36: 115-118
    CrossrefGoogle Scholar
  • 18 Adam G, Keulers P, Vorwerk D et al. The percutaneous CT-guided treatment of osteoid osteomas: a combined procedure with a biopsy drill and subsequent ethanol injection. Rofo 1995; 162: 232-235
    Article in Thieme ConnectGoogle Scholar
  • 19 Duda SH, Schnatterbeck P, Härer T et al. Treatment of osteoid osteoma with CT-guided drilling and ethanol instillation. Dtsch Med Wochenschr 1997; 122: 507-510
    Article in Thieme ConnectGoogle Scholar
  • 20 Gangi A, Alizadeh H, Wong L et al. Osteoid osteoma: percutaneous laser ablation and follow-up in 114 patients. Radiology 2007; 242: 293-301
    CrossrefGoogle Scholar
  • 21 Witt J, Hall-Craggs MA, Ripley P et al. Interstitial laser photocoagulation for the treatment of osteoid osteoma. J Bone Joint Surg Br 2000; 82: 1125-1128
    CrossrefGoogle Scholar
  • 22 Zouari L, Bousson V, Hamzé B et al. CT-guided percutaneous laser photocoagulation of osteoid osteomas of the hands and feet. Eur Radiol 2008; 18: 2635-2641
    CrossrefGoogle Scholar
  • 23 Gebauer B, Tunn PU, Gaffke G et al. Osteoid osteoma: experience with laser- and radiofrequency-induced ablation. Cardiovasc Intervent Radiol 2006; 29: 210-215
    CrossrefGoogle Scholar
  • 24 Rimondi E, Mavrogenis AF, Rossi G et al. Radiofrequency ablation for non-spinal osteoid osteomas in 557 patients. Eur Radiol 2012; 22: 181-188
    CrossrefGoogle Scholar
  • 25 Peyser A, Applbaum Y, Khoury A et al. Osteoid osteoma: CT-guided radiofrequency ablation using a water-cooled probe. Ann Surg Oncol 2007; 14: 591-596
    CrossrefGoogle Scholar
  • 26 Rehnitz C, Sprengel SD, Lehner B et al. CT-guided radiofrequency ablation of osteoid osteoma and osteoblastoma: clinical success and long-term follow up in 77 patients. Eur J Radiol 2012; 81: 3426-3434
    CrossrefPubMedGoogle Scholar
  • 27 Vanderschueren GM, Obermann WR, Dijkstra SP et al. Radiofrequency ablation of spinal osteoid osteoma: clinical outcome. Spine (Phila Pa 1976) 2009; 34: 901-904
    CrossrefPubMedGoogle Scholar
  • 28 Rosenthal DI, Hornicek FJ, Torriani M et al. Osteoid osteoma: percutaneous treatment with radiofrequency energy. Radiology 2003; 229: 171-175
    CrossrefGoogle Scholar
  • 29 Albisinni U, Rimondi E, Malaguti MC et al. Radiofrequency thermal ablation of non spinal osteoid osteoma: remarks on method. Radiol Med 2005; 109: 555-562
    Google Scholar
  • 30 Vanderschueren GM, Taminiau AH, Obermann WR et al. Osteoid osteoma: clinical results with thermocoagulation. Radiology 2002; 224: 82-86
    CrossrefPubMedGoogle Scholar
  • 31 Cichon CW, Böttner F, Rödl R et al. Minimally invasive treatment of osteoid osteoma with CT-guided radiofrequency ablation in long-term follow-up. Z Orthop Ihre Grenzgeb 2006; 144: 332-337
    Article in Thieme ConnectGoogle Scholar
  • 32 Rehnitz C, Sprengel SD, Lehner B et al. CT-guided radiofrequency ablation of osteoid osteoma: correlation of clinical outcome and imaging features. Diagn Interv Radiol 2013; 19: 330-339
    PubMedGoogle Scholar
  • 33 Gebauer B, Collettini F, Bruger C et al. Radiofrequency ablation of osteoid osteomas: analgesia and patient satisfaction in long-term follow-up. Rofo 2013; 185: 959-966
    Article in Thieme ConnectGoogle Scholar
  • 34 Lindner NJ, Ozaki T, Roedl R et al. Percutaneous radiofrequency ablation in osteoid osteoma. J Bone Joint Surg Br 2001; 83: 391-396
    CrossrefGoogle Scholar
  • 35 Woertler K, Vestring T, Boettner F et al. Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Interv Radiol 2001; 12: 717-722
    CrossrefGoogle Scholar
  • 36 Jankharia B, Burute N. Percutaneous radiofrequency ablation for osteoid osteoma: How we do it. Indian J Radiol Imaging 2009; 19: 36-42
    Article in Thieme ConnectGoogle Scholar
  • 37 Hoffmann RT, Jakobs TF, Kubisch CH et al. Radiofrequency ablation in the treatment of osteoid osteoma-5-year experience. Eur J Radiol 2010; 73: 374-379
    CrossrefGoogle Scholar
  • 38 Cioni R, Armillotta N, Bargellini I et al. CT-guided radiofrequency ablation of osteoid osteoma: long-term results. Eur Radiol 2004; 14: 1203-1208
    Google Scholar
  • 39 Martel J, Bueno A, Ortiz E. Percutaneous radiofrequency treatment of osteoid osteoma using cool-tip electrodes. Eur J Radiol 2005; 56: 403-408
    CrossrefGoogle Scholar
  • 40 Neumann D, Berka H, Dorn U et al. Follow-up of thirty-three computed-tomography-guided percutaneous radiofrequency thermoablations of osteoid osteoma. Int Orthop 2012; 36: 811-815
    CrossrefGoogle Scholar
  • 41 Kjar RA, Powell GJ, Schilcht SM et al. Percutaneous radiofrequency ablation for osteoid osteoma: experience with a new treatment. Med J Aust 2006; 184: 563-565
    Google Scholar
  • 42 Rosenthal DI, Hornicek FJ, Wolfe MW et al. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 1998; 80: 815-821
    CrossrefGoogle Scholar
  • 43 Lindner NJ, Scarborough M, Ciccarelli JM et al. CT-controlled thermocoagulation of osteoid osteoma in comparison with traditional methods. Z Orthop Ihre Grenzgeb 1997; 135: 522-527
    Article in Thieme ConnectGoogle Scholar