Abstract
To determine the effect of bipolar cooled radiofrequency ablation (BCRF) on bone and tumour in a lapine pathologic femoral model. Under institutional approval, twelve New Zealand white rabbits received a single femoral injection of VX2 carcinoma cells (day 0). The rabbit femora, (n = 24), were block-randomized into four experimental groups: tumour-bearing radiofrequency ablation (RFA) treated, healthy bone RFA treated, tumour-bearing shams and healthy bone shams (n = 6 per group). 15 min of thermally regulated (65 °C) BCRF was applied at day 14. Pre- and post-treatment MR imaging was performed and repeated at day 28 prior to euthanasia. Histologic evaluation was used to determine treatment effect on tumour and bone tissue. A thirteenth injected rabbit served as a histologic control (no BCRF electrode placement). Large volumes (12.9 ± 5.5 cm3) of thermal ablation were achieved. An eight-fold reduction in tumour growth resulted in RFA treated animals compared to tumour-bearing sham controls (p < 0.001). Osteolysis was controlled in the tumour-treated group. Therapeutic effects were best imaged using MR contrast-enhanced SPoiled Gradient Recalled (SPGR) sequences. Osteoclasts and osteoblasts were observed to be sensitive to BCRF but osteocytes were more resilient. A small number of tumour cells within BCRF treated regions appeared viable post treatment. New bone formation was stimulated in the periphery of the targeted BCRF treatment zone. Structurally large VX2 tumour volumes within bone were successfully ablated with BCRF, stimulating new bone formation in the treatment periphery, although viable appearing osteocytes and tumour cells were observed in some treated regions.
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Abbreviations
- RFA:
-
Radiofrequency ablation
- BCRF:
-
Bipolar cooled radiofrequency ablation
- NZW:
-
New Zealand white
- Oc:
-
Osteoclasts
- TRAP:
-
Tartrate-resistant acid phosphatase
- H&E:
-
Hematoxylin and eosin
- TUNEL:
-
Terminal deoxynucleotidyl transferase dUTP nick end labeling
- SPGR:
-
SPoiled Gradient Recalled
- FIESTA:
-
Fast imaging employing steady state acquisition
- Gd:
-
Gadolinium
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Acknowledgments
This research was supported by a peer-reviewed grant from the Ontario Centers of Excellence (OCE) with a matching in kind contribution from Baylis Medical Inc., Mississauga, Ontario. We thank Dr. Rita Kandel for her assistance with histological interpretation, Ms. Sara Moore and Ms. Carrie Purcell for their assistance with the animal studies and Mr. Firas Moosvi for his assistance with the MR imaging.
Conflict of Interest
Co-author JW is an employee of Baylis Medical Inc. This author was not involved in the image/data analysis or animal evaluations.
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Pezeshki, P.S., Akens, M.K., Gofeld, M. et al. Bone targeted bipolar cooled radiofrequency ablation in a VX-2 rabbit femoral carcinoma model. Clin Exp Metastasis 32, 279–288 (2015). https://doi.org/10.1007/s10585-015-9703-8
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DOI: https://doi.org/10.1007/s10585-015-9703-8