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Computed tomography guided navigation assisted percutaneous ablation of osteoid osteoma in a 7-year-old patient: the low dose approach

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Abstract

Osteoid osteoma (OO) is a benign tumour that can cause severe pain and functional limitation to children and young adults; the treatment of choice is image-guided ablation. Due to the very small size of the lesion, detection and accurate needle placement may be challenging. Computed tomography (CT) offers very detailed imaging of the skeleton and is the modality of choice for the detection of small OO and for ablation guidance. Nevertheless, CT-guided positioning of the ablation applicator is linked to significant radiation exposure, particularly for the paediatric population. This case describes the successful use of a novel CT-based navigation system that offers the possibility of accurate ablation with only minimal radiation exposure in a paediatric patient.

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Authors and Affiliations

  1. Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Freiburgstrasse, 3010, Bern, Switzerland

    Miltiadis Krokidis, Carlo Tappero, Daniel Bogdanovic & Anna-Christina Stamm

  2. Department of Pediatric Surgery, Inselspital, Bern University Hospital, Bern, Switzerland

    Kai Ziebarth

Authors
  1. Miltiadis Krokidis
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  2. Carlo Tappero
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  3. Daniel Bogdanovic
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  4. Kai Ziebarth
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  5. Anna-Christina Stamm
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Corresponding author

Correspondence to Miltiadis Krokidis.

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Conflict of interest

IRB approval was obtained for retrospective review of the cases where the specific navigation system was used in the department.

The navigation system is owned by the Department of Radiology and is used in everyday clinical practice. None of the authors has any conflicts of interest with the manufacturer.

Author 1: None

Author 2: None

Author 3: None

Author 4: None

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Krokidis, M., Tappero, C., Bogdanovic, D. et al. Computed tomography guided navigation assisted percutaneous ablation of osteoid osteoma in a 7-year-old patient: the low dose approach. Skeletal Radiol 46, 989–993 (2017). https://doi.org/10.1007/s00256-017-2620-y

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  • DOI: https://doi.org/10.1007/s00256-017-2620-y

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