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Computed tomography guided radiofrequency ablation of osteoid osteoma in children: a single center’s experience

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Abstract

Objective

To report a single center’s experience evaluating the efficacy and safety of computed tomography–guided radiofrequency ablation for the treatment of osteoid osteoma in children.

Materials and methods

Institutional database research identified 33 symptomatic patients (≤ 18 years of age; male/female ratio: 21/12, mean age 13.09 ± 3.66) with osteoid osteoma who were treated by CT-guided RFA. Technical and clinical success as well as complication rates were recorded. The duration of the procedure, the number of computed tomography scans and the results of the biopsy were assessed. Pain, prior, the following morning and 1 week, 1/6/12 months after the procedure were compared by means of a numeric visual scale (NVS) questionnaire.

Results

Mean lesion size was 8.28 ± 4.24 mm. Mean follow-up was 23.33 ± 17.61 months (range 12–62). Mean pain score prior to radiofrequency ablation was 9.06 ± 0.80 NVS units. On week 1 and 1/6/12 months, all patients were pain-free reporting 0 NVS units (p < 0.05). The mean procedure time was 54 min (range 51–59) and a mean of 7 CT scans were performed during the ablation session. RF electrode was successfully placed in the center of the nidus in all cases. In our study, none of our patient experienced recurrence of the pain, nor complications.

Conclusion

The present study demonstrates that percutaneous CT-guided radiofrequency ablation constitutes a safe and effective technique for osteoid osteoma treatment in children.

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Authors and Affiliations

  1. 2nd Department of Radiology, University General Hospital “ATTIKON”, Medical School, National and Kapodistrian University of Athens, 1 Rimini str, 12462, Haidari/Athens, Greece

    Dimitrios Filippiadis, Danai Stefanou, Argyro Mazioti, Louiza Foti, Athanasios Tsochatzis, Nikolaos Kelekis & Alexis Kelekis

Authors
  1. Dimitrios Filippiadis
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  2. Danai Stefanou
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  3. Argyro Mazioti
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  4. Louiza Foti
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  5. Athanasios Tsochatzis
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  6. Nikolaos Kelekis
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  7. Alexis Kelekis
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Corresponding author

Correspondence to Dimitrios Filippiadis.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Filippiadis, D., Stefanou, D., Mazioti, A. et al. Computed tomography guided radiofrequency ablation of osteoid osteoma in children: a single center’s experience. Skeletal Radiol 51, 855–861 (2022). https://doi.org/10.1007/s00256-021-03904-7

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  • DOI: https://doi.org/10.1007/s00256-021-03904-7

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