Percutaneous Bone Tumor Management

Afshin Gangi; Stéphane Guth; Jean-Pierre Imbert; Horia Marin; Lisa L. S. Wong

doi:10.1055/s-2002-35334

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2002; 19(3): 279-286
DOI: 10.1055/s-2002-35334

Percutaneous Bone Tumor Management

Afshin Gangi, Stéphane Guth, Jean-Pierre Imbert, Horia Marin, Lisa L.S. Wong

Department of Radiology B, University Hospital Strasbourg, Strasbourg, France

Abstract

ABSTRACT

Four existing minimally invasive techniques for the treatment of primary and secondary bone tumors-alcoholization (ethanol ablation), cementoplasty, radio frequency ablation, and laser photocoagulation-are reviewed and discussed. Aspects of each technique, including mechanism of action, equipment, patient selection, treatment technique, and recent patient outcome are presented.

KEYWORDS

Bone tumor - radio frequency ablation - intervention

Full Text

References

REFERENCES

1 Shepherd S. Radiotherapy and the management of metastatic bone pain. Clin Radiol . 1988; 39 547-550
2 Gilbert H A, Kagam A R, Nussbaum H. Evaluation of radiation therapy for bone metastases: pain relief and quality of life. AJR Am J Roentgenol . 1977; 129 1095-1096
3 Gangi A, Kastler B, Klinkert A, Dietemann J L. Injection of alcohol into bone metastases under CT guidance. J Comput Assist Tomogr . 1994; 18 932-935
4 Gangi A, Dietemann J L, Schultz A. Interventional radiologic procedures with CT guidance in cancer pain management. Radiographics . 1996; 16 1289-1304
5 Gangi A, Kastler B A, Dietemann J L. Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy. AJNR . 1994; 15 83-86
6 Cotten A, Dewatre F, Cortet B. Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up. Radiology . 1996; 200 525-530
7 Cotten A, Demondion X, Boutry N. Therapeutic Percutaneous injections in the treatment of malignant acetabular osteolyses. Radiographics . 1999; 19 647-653
8 Deramond H, Depriester C, Galibert P, Le Gars D. Percutaneous vertebroplasty with polymethacrylate: technique, indications, results. Radiol Clin N Am . 1998; 3 533-547
9 Weill A, Chiras J, Simon J M. Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement. Radiology . 1996; 199 241-247
10 Harrington K D. The management of acetabular insufficiency secondary to metastatic malignant disease. J Bone Joint Surg Am . 1981; 63 653-664
11 Doppman J L, Oldfield E H, Heiss J D. Symptomatic vertebral hemangiomas: treatment by means of direct intralesional injection of ethanol. Radiology . 2000; 214 341-348
12 Ide C, Gangi A, Rimmelin A. Vertebral hemangiomas with spinal cord compression: the place of pre-operative percutaneous vertebroplasty with methyl methacrylate. Neuroradiology . 1996; 38 585-589
13 Deramond H, Darrason R, Galibert P. Percutaneous vertebroplasty with acrylic cement in the treatment of aggressive spinal angiomas. Rachis . 1989; 2 143-153
14 Heiss J D, Doppman J L, Oldfield E H. Brief report: relief of spinal cord compression from vertebral hemangioma by intralesional injection of absolute ethanol. N Engl J Med . 1994; 331 508-511
15 Heiss J D, Doppman J L, Oldfield E H. Treatment of vertebral hemangioma by intralesional injection of absolute ethanol (letter). N Engl J Med . 1996; 334 1340
16 Dodd 3rd D G, Soulen M C, Kane R A. Minimally invasive treatment of malignant hepatic tumors: at the threshold of a major breakthrough. Radiographics . 2000; 20 9-27
17 Rhim H, Goldberg S N, Dodd 3rd D G. Essential techniques for successful radio-frequency thermal ablation of malignant hepatic tumors. Radiographics . 2001; 21 17S-35S
18 Matthewson K, Coleridge-Smith P, O'Sullivan J P, Northfield T C, Bown S G. Biological effects of intrahepatic neodymium: yttyium-aluminum-garnet laser photocoagulation in rats. Gastroenterology . 1987; 93 550-557
19 Fleischer D, Sivak M V. Endoscopic Nd YAG laser therapy as palliative treatment for advanced adenocarcinoma of the gastric cardia. Gastroenterology . 1984; 87 815-820
20 Nolsoe C P, Torp-Pedersen S, Burcharth F. Interstitial hyperthermia of colorectal liver metastases with a US-guided Nd-YAG laser with a diffuser tip: a pilot clinical study. Radiology . 1993; 187 333-337
21 Vogl T J, Müller P K, Hammerstingl R. Malignant liver tumors treated with MR imaging-guided laser-induced thermotherapy: technique and prospective results. Radiology . 1995; 196 257-265
22 Amin Z, Bown S G, Lees W R. Local treatment of colorectal liver metastases: a comparison of interstitial laser photocoagulation (ILP) and percutaneous alcohol injection (PAI). Clin Radiol . 1993; 48 166-177
23 Gangi A, Guth S, Dietemann J L, Roy C. Interventional musculoskeletal procedures. Radiographics . 2001; 21 520
24 Gangi A, Dietemann J L, Gasser B. New trends in interstitial laser photocoagulation of bones. Semin Intervent Radiol . 1997; 14 331-338
25 Gangi A, Dietemann J L, Gasser B. Interstitial laser photocoagulation of osteoid osteomas with use of CT guidance. Radiology . 1997; 203 843-848
26 Gangi A, Dietemann J L, Gasser B. Interventional radiology with laser in bone and joint. Radiol Clin N Am . 1998; 3 547-559