CardioVascular and Interventional Radiology

, Volume 29, Issue 2, pp 210–215 | Cite as

Osteoid Osteoma: Experience with Laser- and Radiofrequency-Induced Ablation

  • Bernhard GebauerEmail author
  • Per-Ulf Tunn
  • Gunnar Gaffke
  • Ingo Melcher
  • Roland Felix
  • Christian Stroszczynski


The purpose of this study was to analyze the clinical outcome of osteoid osteoma treated by thermal ablation after drill opening. A total of 17 patients and 20 procedures were included. All patients had typical clinical features (age, pain) and a typical radiograph showing a nidus. In 5 cases, additional histological specimens were acquired. After drill opening of the osteoid osteoma nidus, 12 thermal ablations were induced by laser interstitial thermal therapy (LITT) (9F Power-Laser-Set; Somatex, Germany) and 8 ablations by radiofrequency ablation (RFA) (RITA; StarBurst, USA). Initial clinical success with pain relief has been achieved in all patients after the first ablation. Three patients had an osteoid osteoma recurrence after 3, 9, and 10 months and were successfully re-treated by thermal ablation. No major complication and one minor complication (sensible defect) were recorded. Thermal ablation is a safe and minimally invasive therapy option for osteoid osteoma. Although the groups are too small for a comparative analysis, we determined no difference between laser- and radiofrequency-induced ablation in clinical outcome after ablation.


Osteoid osteoma Thermal ablation Radiofrequency ablation Laser interstitial thermal therapy 


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Bernhard Gebauer
    • 1
    Email author
  • Per-Ulf Tunn
    • 2
  • Gunnar Gaffke
    • 1
  • Ingo Melcher
    • 3
  • Roland Felix
    • 1
  • Christian Stroszczynski
    • 1
  1. 1.Department of RadiologyCharité, Medical University BerlinGermany
  2. 2.Department of Surgery and Surgical OncologyCharité, Medical University BerlinGermany
  3. 3.Department of Trauma and Reconstructive SurgeryCharité, Medical University Berlin, Campus Virchow-ClinicGermany

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