Radiofrequency Ablation of Spine Metastases: A Clinical and Technical Approach

Steven Yevich; Stephen Chen; Zeyad Metwalli; Joshua Kuban; Stephen Lee; Peiman Habibollahi; Colin J. McCarthy; David Irwin; Steven Huang; Rahul A. Sheth

doi:10.1055/s-0041-1740351

Seminars in Musculoskeletal Radiology, Inhaltsverzeichnis

Semin Musculoskelet Radiol 2021; 25(06): 795-804
DOI: 10.1055/s-0041-1740351

Review Article

Radiofrequency Ablation of Spine Metastases: A Clinical and Technical Approach

Steven Yevich

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Stephen Chen

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Zeyad Metwalli

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Joshua Kuban

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Stephen Lee

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Peiman Habibollahi

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Colin J. McCarthy

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

David Irwin

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Steven Huang

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

,

Rahul A. Sheth

¹Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

› Institutsangaben

Abstract

Percutaneous radiofrequency ablation (RFA) is an integral component of the multidisciplinary treatment algorithm for both local tumor control and palliation of painful spine metastases. This minimally invasive therapy complements additional treatment strategies, such as pain medications, systemic chemotherapy, surgical resection, and radiotherapy. The location and size of the metastatic lesion dictate preprocedure planning and the technical approach. For example, ablation of lesions along the spinal canal, within the posterior vertebral elements, or with paraspinal soft tissue extension are associated with a higher risk of injury to adjacent spinal nerves. Additional interventions may be indicated in conjunction with RFA. For example, ablation of vertebral body lesions can precipitate new, or exacerbate existing, pathologic vertebral compression fractures that can be prevented with vertebral augmentation. This article reviews the indications, clinical work-up, and technical approach for RFA of spine metastases.

Keywords

radiofrequency - ablation - spine - vertebral

Volltext

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