Ces radiol. 2010, 64(2):103-115

Radiofrequency ablation of osteoid osteomaOriginal article

Jan Křístek
Klinika zobrazovacích metod FN U sv. Anny, Brno

Aim: Summary of clinical signs od osteoid osteoma and its treatment with percutaneous radiofrequency ablation (RFA). Comparison of our group of patients and results with data published in literature and evaluation of efficacy, risks and complications.

Method: We treated 20 patients with osteoid osteoma (71% males, 29% females) in the years 2001-2007, average age was 19,2 years. The osteoid osteoma nidi were in various locations. We used the perfused "wet" electrode type Integra/Berchtold Elektrotom HiTT 106 (Plainsboro, NJ, USA).

Results: Complete relief of symtptoms was achieved in 17 cases (85%), 2 patients (10%) had a recurrence of pain and were treated with a second intervention, we were unsuccesful in one case. The clinical success of treatment was 95%. We had technical difficulties in 2 cases (10%) and clinical complications in 2 patients (10%) (1 self-limited skin burn along the needle trajectory, 1 deep burn complicated by abscess).

Conclusion: Percutaneus RFA can replace the classic surgical treatment in most of cases thanks to the low complication rate, high efficacy, minimal invasivity and brief hospitalization.

Keywords: radiofrequency ablation, osteoid osteoma, perfused electrode

Accepted: April 15, 2010; Published: June 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Křístek J. Radiofrequency ablation of osteoid osteoma. Ces radiol. 2010;64(2):103-115.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Jaffe HL. "Osteoid-osteoma": a benign osteoblastic tumor composed of osteoid and atypical bone. Arch Surg 1935; 31: 709-728. Go to original source...
    2. Jackson RP, Reckling FW, Mants FA. Osteoid osteoma and osteoblastoma. Similar histologic lesions with different natural histories. Clin Orthop 1977; 128: 303-313. Go to original source...
    3. http://www.bonetumor.org/tumors/pages/page13.html
    4. Hasegawa T, Hirose T, Sakamoto R, Seki K, Ikata T, Hizawa K. Mechanism of pain in osteoid osteoma" an immunohistochemical study. Histopathology 1993; 22: 487-491. Go to original source... Go to PubMed...
    5. Murray RO, Jacobson HG. The Radiology of skeletal disorders. Edinburgh: Churchill Livingstone 1971; 388-392.
    6. Dähnert W. Dähnert's Radiology Review Manual, 4th Edition. Philadelphia: by Lippincott Williams and Wilkins; 1999.
    7. Hosalkar HS, Garg S, Moroz L, Pollack A, Dormans JP. The diagnostic accuracy of MRI versus CT imaging for osteoid osteoma in children. Clin Orthop Relat Res 2005; 433: 171-177. Go to original source... Go to PubMed...
    8. Lisbona R, Rosenthall L. Role of radionuclide imaging in osteoid osteoma. http://www.ajronline.org/cgi/reprint/132/1/77.pdf
    9. Iceton J., Rang M. An osteoid osteoma in an open distal femoral epiphyses. Clin Orthop 1986; 206: 193. Go to original source...
    10. 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. Go to original source... Go to PubMed...
    11. Adam G, Neuerburg J, Vorwerk D, Forst J, Gunther RW. Percutaneous treatment of osteoid osteomas: combination of drill biopsy and subsequent ethanol injection. Semin Musculoskelet Radiol 1997; 1(2): 281-284. Go to original source... Go to PubMed...
    12. Duda SH, Schnatterbeck P, Härer T, Giehl J, Böhm P, Claussen CD. Treatment of osteoid osteoma with CT-guided drilling and ethanol instillation. Dtsch Med Wochenschr 1997; 122(16): 507-510. Go to original source... Go to PubMed...
    13. Sanhaji L, Gharbaoui IS, Hassani RE, Chakir N, Jiddane M, Boukhrissi N. A new treatment of osteoid osteoma: percutaneous sclerosis with ethanol under scanner guidance. J Radiol 1996; 77(1): 37-40.
    14. Moser T, Buy X, Goyault G, Tok CH, Irani F, Gangi A. Image-guided ablation of bone tumors: review of current techniques. J Radiol 2008; 89(4): 461-471. Go to original source... Go to PubMed...
    15. Gangi A, Dietemann JL, Gasser B, et al. Interstitial laser coagulation of osteoid osteomas with use of CT guidance. Radiology 1997; 203: 843-848. Go to original source... Go to PubMed...
    16. 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(6): 1633-1642. Go to original source... Go to PubMed...
    17. Gangi A, Guth S. Intersticial Laser Photocoagulation of osteoid osteomas. http://www.openradiology.org/zosirws/survey/survey/ILPofosteoidosteomas
    18. Skjeldal S, Lilleås F, Follerås G, Stenwig AE, Samset E, Tillung T, Fosse E. Real time MRI-guided excision and cryo-treatment of osteoid osteoma in os ischii - a case report. Acta Orthop Scand 2000; 71(6): 637-638. Go to original source... Go to PubMed...
    19. Rosenthal DI, Alexander A, Rosenberg AE, Springfield D. Ablation of osteoid osteoma with a percutaneously placed electrode: A new procedure. Radiology 1992; 183: 29-33. Go to original source... Go to PubMed...
    20. Sim FH, Dahlin CD, Beabout JW. Osteoid-osteoma: diagnostic problems. J Bone Joint Surg Am 1975; 57(2): 154-159. Go to original source...
    21. Rosenthal DI, Hornicek FJ, Torriani M, Gebhardt MC, Mankin HJ. Osteoid osteoma: percutaneous treatment with radiofrequency energy. Radiology 2003; 229(1): 171-175. Epub 2003 Aug 27. Go to original source... Go to PubMed...
    22. Venbrux AC, Montague BJ, Murphy KP, Bobonis LA, Washington SB, Soltes AP, Frassica FJ. Image-guided percutaneous radiofrequency ablation for osteoid osteomas. J Vasc Interv Radiol 2003; 14(3): 375-380. Go to original source... Go to PubMed...
    23. Cantwell CP, Obyrne J, Eustace S. Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation. Eur Radiol 2004; 14(4): 607-617. Epub 2003 Dec 9. Go to original source...
    24. Vanderschueren GM, Taminiau AH, Obermann WR, van den Berg-Huysmans AA, Bloem JL. Osteoid osteoma: factors for increased risk of unsuccessful thermal coagulation. Radiology 2004; 233(3): 757-762. Epub 2004 Oct 21. Go to original source... Go to PubMed...
    25. Yamane T, Tateishi A, Cho S, Manabe S, Yamanashi M, Dezawa A, Yasukouchi H, Ishioka K. The effects of hyperthermia on the spinal cord. Spine 1992; 17(11): 1386-1391. Go to original source... Go to PubMed...
    26. Dupuy DE, Hong R, Oliver B, Goldberg SN. Radiofrequency ablation of spinal tumors: temperature distribution in the spinal canal. AJR Am J Roentgenol 2000; 175(5): 1263-1266. Go to original source... Go to PubMed...
    27. Froese G, Das RM, Dunscombe PB. The sensitivity of the thoracolumbar spinal cord of the mouse to hyperthermia. Radiat Res 1991; 125: 173-180. Go to original source...
    28. Barsa P, Suchomel P, Lukáš R, Taller S, Endrych L. Percutaneous CT-guided radiofrequency ablation in spinal osteoid osteoma treatment. Acta Chir Orthop Traumatol Cech 2007; 74(6): 401-405. Go to original source...
    29. Gangi A, Basile A, Buy X, Alizadeh H, Sauer B, Bierry G. Radiofrequency and laser ablation of spinal lesions. Semin Ultrasound CT MR. 2005; 26(2): 89-97. Review. Erratum in: Semin Ultrasound CT MR 2005; 26(5): 304. Go to original source... Go to PubMed...
    30. Sutphen SA, Murakami JW. Radiofrequency ablation of a cervical osteoid osteoma: a trans-thyroid approach. Pediatr Radiol 2007; 37(1): 83-85. Epub 2006 Oct 19. Go to original source... Go to PubMed...
    31. Martel J, Bueno A, Domínguez MP, Llorens P, Quirós J, Delgado C. Percutaneous radiofrequency ablation: relationship between different probe types and procedure time on length and extent of osteonecrosis in dog long bones. Skeletal Radiol 2008; 37(2): 147-152. Epub 2007 Nov 23. Go to original source... Go to PubMed...
    32. Vanderschueren GM, Taminiau AH, Obermann WR, Bloem JL. Osteoid osteoma: clinical results with thermocoagulation. Radiology 2002; 224(1): 82-86. Go to original source... Go to PubMed...
    33. Rimondi E, Bianchi G, Malaguti MC, Ciminari R, Del Baldo A, Mercuri M, Albisinni U. Radiofrequency thermoablation of primary non-spinal osteoid osteoma: optimization of the procedure. Eur Radiol 2005; 15(7): 1393-1399. Epub 2005 Mar 9. Go to original source... Go to PubMed...
    34. Cichon CW, Böttner F, Rödl R, Winkelmann W, Lindner N. Minimally invasive treatment of osteoid osteoma with CT-guided radiofrequency ablation in long-term follow-up. Z Orthop Ihre Grenzgeb 2006; 144(3): 332-337. Go to original source... Go to PubMed...
    35. 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. Epub 2006 Dec 6. Go to original source... Go to PubMed...
    36. Hoffmann RT, Jakobs TF, Kubisch CH, Trumm CG, Weber C, Duerr HR, Helmberger TK, Reiser MF. Radiofrequency ablation in the treatment of osteoid osteoma-5-year experience. Eur J Radiol 2010; 73(2): 374-379. Go to original source... Go to PubMed...
    37. Sung KS, Seo JG, Shim JS, Lee YS. Computed-tomography-guided percutaneous radiofrequency thermoablation for the treatment of osteoid osteoma-2 to 5 years follow-up. Int Orthop 2009; 33(1): 215-218. Epub 2007 Nov 22. Go to original source... Go to PubMed...
    38. Regan MW, Galey JP, Oakeshott RD. Recurrent osteoid osteoma. Case report with a ten-year asymptomatic interval. Clin Orthop Relat Res 1990; (253): 221-224. Go to original source...

    This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content