Radiofrequency Ablation of Osteoid Osteoma: Difficult-to-Reach Places

Ambrose J. Huang

doi:10.1055/s-0036-1594280

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2016; 20(05): 486-495
DOI: 10.1055/s-0036-1594280

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Radiofrequency Ablation of Osteoid Osteoma: Difficult-to-Reach Places

Ambrose J. Huang

¹Department of Radiology, Harvard Medical School, Boston, Massachusetts

²Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts

› Author Affiliations

Abstract

Osteoid osteomas are small painful benign bone tumors that can be effectively treated by radiofrequency ablation (RFA) in most situations. This article briefly reviews the typical imaging findings of osteoid osteomas and the RFA technique used to treat them at our institution. It concludes with several examples of osteoid osteomas in difficult-to-reach places and the approaches used to access and treat them.

Keywords

osteoid osteoma - radiofrequency ablation - benign bone tumor

Full Text

References

References
1 Jaffe HL. “Osteoid-osteoma”: a benign osteoblastic tumor composed of osteoid and atypical bone. Arch Surg 1935; 31 (5) 709-728
2 Greenspan A. Benign bone-forming lesions: osteoma, osteoid osteoma, and osteoblastoma. Clinical, imaging, pathologic, and differential considerations. Skeletal Radiol 1993; 22 (7) 485-500
3 Lee EH, Shafi M, Hui JHP. Osteoid osteoma: a current review. J Pediatr Orthop 2006; 26 (5) 695-700
4 Dockerty MB, Ghormley RK, Jackson AE. Osteoid osteoma; a clinicopathologic study of 20 cases. Ann Surg 1951; 133 (1) 77-89
5 Kransdorf MJ, Stull MA, Gilkey FW, Moser Jr RP. Osteoid osteoma. Radiographics 1991; 11 (4) 671-696
6 Ehara S, Rosenthal DI, Aoki J , et al. Peritumoral edema in osteoid osteoma on magnetic resonance imaging. Skeletal Radiol 1999; 28 (5) 265-270
7 Woods ER, Martel W, Mandell SH, Crabbe JP. Reactive soft-tissue mass associated with osteoid osteoma: correlation of MR imaging features with pathologic findings. Radiology 1993; 186 (1) 221-225
8 Chai JW, Hong SH, Choi J-Y , et al. Radiologic diagnosis of osteoid osteoma: from simple to challenging findings. Radiographics 2010; 30 (3) 737-749
9 Ramnath RR, Rosenthal DI, Cates J, Gebhardt M, Quinn RH. Intracortical chondroma simulating osteoid osteoma treated by radiofrequency. Skeletal Radiol 2002; 31 (10) 597-602
10 Papathanassiou ZG, Megas P, Petsas T, Papachristou DJ, Nilas J, Siablis D. Osteoid osteoma: diagnosis and treatment. Orthopedics 2008; 31 (11) 1118
11 Golding JS. The natural history of osteoid osteoma; with a report of twenty cases. J Bone Joint Surg Br 1954; 36-B (2) 218-229
12 Sherman MS. Osteoid osteoma; review of the literature and report of 30 cases. J Bone Joint Surg Am 1947; 29 (4) 918-930
13 Feletar M, Hall S. Osteoid osteoma: a case for conservative management. Rheumatology (Oxford) 2002; 41 (5) 585-586
14 Kneisl JS, Simon MA. Medical management compared with operative treatment for osteoid-osteoma. J Bone Joint Surg Am 1992; 74 (2) 179-185
15 Campanacci M, Ruggieri P, Gasbarrini A, Ferraro A, Campanacci L. Osteoid osteoma. Direct visual identification and intralesional excision of the nidus with minimal removal of bone. J Bone Joint Surg Br 1999; 81 (5) 814-820
16 Yildiz Y, Bayrakci K, Altay M, Saglik Y. Osteoid osteoma: the results of surgical treatment. Int Orthop 2001; 25 (2) 119-122
17 Sluga M, Windhager R, Pfeiffer M, Dominkus M, Kotz R. Peripheral osteoid osteoma. Is there still a place for traditional surgery?. J Bone Joint Surg Br 2002; 84 (2) 249-251
18 Ward WG, Eckardt JJ, Shayestehfar S, Mirra J, Grogan T, Oppenheim W. Osteoid osteoma diagnosis and management with low morbidity. Clin Orthop Relat Res 1993; (291) 229-235
19 Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings LC, Gebhardt MC, Mankin HJ. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 1998; 80 (6) 815-821
20 Rosenthal DI, Hornicek FJ, Torriani M, Gebhardt MC, Mankin HJ. Osteoid osteoma: percutaneous treatment with radiofrequency energy. Radiology 2003; 229 (1) 171-175
21 Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings LC, Gebhardt MC, Mankin HJ. Decreasing length of hospital stay in treatment of osteoid osteoma. Clin Orthop Relat Res 1999; (361) 186-191
22 Rosenthal DI, Alexander A, Rosenberg AE, Springfield D. Ablation of osteoid osteomas with a percutaneously placed electrode: a new procedure. Radiology 1992; 183 (1) 29-33
23 Peyser A, Applbaum Y, Khoury A, Liebergall M, Atesok K. Osteoid osteoma: CT-guided radiofrequency ablation using a water-cooled probe. Ann Surg Oncol 2007; 14 (2) 591-596
24 Mahnken AH, Tacke JA, Wildberger JE, Günther RW. Radiofrequency ablation of osteoid osteoma: initial results with a bipolar ablation device. J Vasc Interv Radiol 2006; 17 (9) 1465-1470
25 Woertler K, Vestring T, Boettner F, Winkelmann W, Heindel W, Lindner N. Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Interv Radiol 2001; 12 (6) 717-722
26 Lindner NJ, Ozaki T, Roedl R, Gosheger G, Winkelmann W, Wörtler K. Percutaneous radiofrequency ablation in osteoid osteoma. J Bone Joint Surg Br 2001; 83 (3) 391-396
27 Goldberg SN, Gazelle GS, Dawson SL, Rittman WJ, Mueller PR, Rosenthal DI. Tissue ablation with radiofrequency: effect of probe size, gauge, duration, and temperature on lesion volume. Acad Radiol 1995; 2 (5) 399-404
28 Varghese T, Techavipoo U, Zagzebski JA, Lee Jr FT. Impact of gas bubbles generated during interstitial ablation on elastographic depiction of in vitro thermal lesions. J Ultrasound Med 2004; 23 (4) 535-544 ; quiz 545–546
29 Rosenthal D, Callstrom MR. Critical review and state of the art in interventional oncology: benign and metastatic disease involving bone. Radiology 2012; 262 (3) 765-780
30 Laeseke PF, Sampson LA, Winter III TC, Lee Jr FT. Use of dextrose 5% in water instead of saline to protect against inadvertent radiofrequency injuries. AJR Am J Roentgenol 2005; 184 (3) 1026-1027
31 Rybak LD, Gangi A, Buy X, La Rocca Vieira R, Wittig J. Thermal ablation of spinal osteoid osteomas close to neural elements: technical considerations. AJR Am J Roentgenol 2010; 195 (4) W293-8
32 Foeldvari I, Schmitz MC. Rapid development of severe osteoarthritis associated with osteoid osteoma in a young girl. Clin Rheumatol 1998; 17 (6) 534-537