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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(03): 253-257
DOI: 10.4103/ijri.IJRI_259_19
Interventional Radiology

Computed tomography guided radio-frequency ablation of osteoid osteomas in atypical locations

Julie Senne
Department of Radiology, Interventional Radiology, University of Missouri- Columbia, One Hospital Drive
,
Ryan Davis
Department of Radiology, Interventional Radiology, University of Missouri- Columbia, One Hospital Drive
,
Junaid Yasin
Department of Radiology, Interventional Radiology, University of Missouri- Columbia, One Hospital Drive
University of Missouri-Columbia School of Medicine, One Hospital Drive
,
Olubusola Brimmo
Department of Orthopedic Surgery, Missouri Orthopedic Institute, University of Missouri–Columbia, 1100 Virginia Ave, Columbia, MO, 65212, USA
,
Andrea Evenski
Department of Orthopedic Surgery, Missouri Orthopedic Institute, University of Missouri–Columbia, 1100 Virginia Ave, Columbia, MO, 65212, USA
,
Ambarish P Bhat
Department of Radiology, Interventional Radiology, University of Missouri- Columbia, One Hospital Drive
› Institutsangaben Financial support and sponsorship Nil.
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Abstract

Purpose: Percutaneous radio-frequency ablation is a minimally invasive treatment option for osteoid osteomas. The ablation process is straightforward in the more common locations like the femur/tibia. Surgery has historically been the gold standard, but is currently used in lesions, that may not be effectively and safely ablated, i.e. close to skin/nerve. Radio-frequency ablation can still be used in such cases along with additional techniques/strategies to protect the sensitive structures and hence improve the outcomes. The authors describe their experience with four challenging osteoid osteoma ablation cases. Methods: We retrospectively reviewed radio-frequency ablations of four osteoid osteomas in rather atypical locations, the protective techniques/strategies employed, the adequacy and safety of the radio-frequency ablation with the use of these techniques. Results: All patients had complete resolution of pain with no recurrence in the follow-up period. No complications were reported. Conclusion: RFA has been proven to be an effective and safe option for treatment of OOs in the common locations. It is generally recommended to have a 1 cm safety margin between the RF probe and any critical structures in the vicinity. However, with OOs in atypical locations this may not be always possible and hence additional techniques may be needed to ensure protection of the surrounding sensitive structures and also allow for effective ablation.

Keywords

Atypical locations - nerve damage - osteoid osteoma - protective techniques - radio-frequency ablation


Publikationsverlauf

Eingereicht: 15. Juni 2019

Angenommen: 08. Oktober 2019

Artikel online veröffentlicht:
22. Juli 2021

© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Kransdorf MJ, Stull MA, Gilkey FW, Moser Jr RP. Osteoid osteoma. Radiographics: A review publication of the Radiological Society of North America, Inc 1991; 11: 671-96
    CrossrefPubMedGoogle Scholar
  • 2 Greenspan A. Benign bone-forming lesions: Osteoma, osteoid osteoma, and osteoblastoma. Clinical, imaging, pathologic, and differential considerations. Skeletal Radiol 1993; 22: 485-500
    CrossrefPubMedGoogle Scholar
  • 3 Cohen MD, Harrington TM, Ginsburg WW. Osteoid osteoma: 95 cases and a review of the literature. Semin Arthritis Rheum 1983; 12: 265-81
    CrossrefPubMedGoogle Scholar
  • 4 Motamedi D, Learch TJ, Ishimitsu DN, Motamedi K, Katz MD, Brien EW. et al. Thermal ablation of osteoid osteoma: Overview and step-by-step guide. Radiographics: A review publication of the Radiological Society of North America, Inc 2009; 29: 2127-41
    CrossrefPubMedGoogle Scholar
  • 5 Jaffe HL. “Osteoid-osteoma”: A benign osteoblastic tumor composed of osteoid and atypical bone. Arch Surg 1935; 31: 709-28
    CrossrefGoogle Scholar
  • 6 Yip PS, Lam YL, Chan MK, Shu JS, Lai KC, So YC. Computed tomography-guided percutaneous radiofrequency ablation of osteoid osteoma: Local experience. Hong Kong Med J 2006; 12: 305-9
    PubMedGoogle Scholar
  • 7 Rosenthal DI, Hornicek FJ, Torriani M, Gebhardt MC, Mankin HJ. Osteoid osteoma: Percutaneous treatment with radiofrequency energy. Radiology 2003; 229: 171-5
    CrossrefPubMedGoogle Scholar
  • 8 Fenichel I, Garniack A, Morag B, Palti R, Salai M. Percutaneous CT-guided curettage of osteoid osteoma with histological confirmation: A retrospective study and review of the literature. Int Orthop 2006; 30: 139-42
    CrossrefPubMedGoogle Scholar
  • 9 Marcove RC, Heelan RT, Huvos AG, Healey J, Lindeque BG. Osteoid osteoma. Diagnosis, localization, and treatment. Clin Orthop Relat Res 1991; 197-201
    PubMedGoogle Scholar
  • 10 Ozaki T, Liljenqvist U, Hillmann A, Halm H, Lindner N, Gosheger G. et al. Osteoid osteoma and osteoblastoma of the spine: Experiences with 22 patients. Clin Orthop Relat Res 2002; 394-402
    CrossrefPubMedGoogle Scholar
  • 11 Parlier-Cuau C, Champsaur P, Nizard R, Hamze B, Laredo JD. Percutaneous removal of osteoid osteoma. Radiol Clin North Am 1998; 36: 559-66
    CrossrefPubMedGoogle Scholar
  • 12 Sans N, Galy-Fourcade D, Assoun J, Jarlaud T, Chiavassa H, Bonnevialle P. et al. Osteoid osteoma: CT-guided percutaneous resection and follow-up in 38 patients. Radiology 1999; 212: 687-92
    CrossrefPubMedGoogle Scholar
  • 13 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; 186-91
    CrossrefPubMedGoogle Scholar
  • 14 Pinto CH, Taminiau AH, Vanderschueren GM, Hogendoorn PC, Bloem JL, Obermann WR. Technical considerations in CT-guided radiofrequency thermal ablation of osteoid osteoma: Tricks of the trade. AJR Am J Roentgenol 2002; 179: 1633-42
    CrossrefPubMedGoogle Scholar
  • 15 Rosenthal DI, Alexander A, Rosenberg AE, Springfield D. Ablation of osteoid osteomas with a percutaneously placed electrode: A new procedure. Radiology 1992; 183: 29-33
    CrossrefPubMedGoogle Scholar
  • 16 Gangi A, Dietemann JL, Gasser B, Mortazavi R, Brunner P, Mourou MY. et al. Interstitial laser photocoagulation of osteoid osteomas with use of CT guidance. Radiology 1997; 203: 843-8
    CrossrefPubMedGoogle Scholar
  • 17 Skjeldal S, Lilleas F, Folleras G, Stenwig AE, Samset E, Tillung T. et al. Real time MRI-guided excision and cryo-treatment of osteoid osteoma in os ischii--A case report. Acta Orthop Scand 2000; 71: 637-8
    CrossrefPubMedGoogle Scholar
  • 18 Kostrzewa M, Diezler P, Michaely H, Rathmann N, Attenberger UI, Schoenberg SO. et al. Microwave ablation of osteoid osteomas using dynamic MR imaging for early treatment assessment: Preliminary experience. J Vasc Interv Radiol 2014; 25: 106-11
    CrossrefPubMedGoogle Scholar
  • 19 Kulkarni SS, Shetty NS, Polnaya AM, Janu A, Kumar S, Puri A. et al. CT-guided radiofrequency ablation in osteoid osteoma: Result from a tertiary cancer centre in India. Indian J Radiol Imaging 2017; 27: 318-23
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 20 Jankharia B, Burute N. Percutaneous radiofrequency ablation for osteoid osteoma: How we do it. Indian J Radiol Imaging 2009; 19: 36-42
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 21 Lindner NJ, Ozaki T, Roedl R, Gosheger G, Winkelmann W, Wortler K. Percutaneous radiofrequency ablation in osteoid osteoma. J Bone Joint Surg British 2001; 83: 391-6
    CrossrefGoogle Scholar
  • 22 Rehnitz C, Sprengel SD, Lehner B, Ludwig K, Omlor G, Merle C. et al. CT-guided radiofrequency ablation of osteoid osteoma: Correlation of clinical outcome and imaging features. Diagn Interv Radiol 2013; 19: 330-9
    PubMedGoogle Scholar
  • 23 Healey JH, Ghelman B. Osteoid osteoma and osteoblastoma. Current concepts and recent advances. Clin Orthop Relat Res 1986; 76-85
    PubMedGoogle Scholar
  • 24 Flanagin BA, Lindskog DM. Intraoperative radiofrequency ablation for osteoid osteoma. Am J Orthop 2015; 44: 127-30
    PubMedGoogle Scholar
  • 25 Shields DW, Sohrabi S, Crane EO, Nicholas C, Mahendra A. Radiofrequency ablation for osteoid osteoma–recurrence rates and predictive factors. Surgeon 2018; 16: 156-62
    CrossrefPubMedGoogle Scholar
  • 26 Akhlaghpoor S, Aziz Ahari A, Arjmand Shabestari A, Alinaghizadeh MR. Radiofrequency ablation of osteoid osteoma in atypical locations: A case series. Clin Orthop Relat Res 2010; 468: 1963-70
    CrossrefPubMedGoogle Scholar
  • 27 Garge S, Keshava SN, Moses V, Koshy G, Ahmed M, Mammen S. et al. Radiofrequency ablation of osteoid osteoma in common and technically challenging locations in pediatric population. Indian J Med Paediatr Oncol 2017; 38: 302-5
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 28 Mahata KM, Keshava SK, Jacob KM. Osteoid osteoma of the femoral head treated by radiofrequency ablation: A case report. J Med Case Reports 2011; 5: 115
    CrossrefPubMedGoogle Scholar
  • 29 Ishikawa T, Kubota T, Horigome R, Kimura N, Honda H, Iwanaga A. et al. Radiofrequency ablation during continuous saline infusion can extend ablation margins. World J Gastroenterol 2013; 19: 1278-82
    CrossrefPubMedGoogle Scholar