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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
Article

Abstract

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.

Keywords

Osteoid osteoma Thermal ablation Radiofrequency ablation Laser interstitial thermal therapy 

References

  1. 1.
    Marcove RC, Heelan RT, Huvos AG, et al. (1991) Osteoid osteoma. Diagnosis, localization, and treatment. Clin Orthop 267:197–201PubMedGoogle Scholar
  2. 2.
    Lindner NJ, Scarborough M, Ciccarelli JM, et al. (1997) CT-controlled thermocoagulation of osteoid osteoma in comparison with traditional methods Z Orthop Ihre Grenzgeb 135(6):522–527PubMedGoogle Scholar
  3. 3.
    Pfeiffer M, Sluga M, Windhager R et al. (2003) Surgical treatment of osteoid osteoma of the extremities Z Orthop Ihre Grenzgeb 141(3):345–348PubMedGoogle Scholar
  4. 4.
    Sluga M, Windhager R, Pfeiffer M et al. (2002) Peripheral osteoid osteoma. Is there still a place for traditional surgery? J Bone Joint Surg Br 84(2):249–251Google Scholar
  5. 5.
    Rosenthal DI, Hornicek FJ, Wolfe MW et al. (1998) Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment J Bone Joint Surg Am 80(6):815–821PubMedGoogle Scholar
  6. 6.
    Rosenthal DI, Alexander A, Rosenberg AE et al. (1992) Ablation of osteoid osteomas with a percutaneously placed electrode: a new procedure Radiology 183(1):29–33PubMedGoogle Scholar
  7. 7.
    Campanacci M, Ruggieri P, Gasbarrini A et al. (1999) Osteoid osteoma. Direct visual identification and intralesional excision of the nidus with minimal removal of bone Bone Joint Surg Br 81(5):814–820Google Scholar
  8. 8.
    Sacks D, McClenny TE, Cardella JF et al. (2003) Society of Interventional Radiology clinical practice guidelines J Vasc Intervent Radiol 14(9 Pt 2):S199–S202Google Scholar
  9. 9.
    Omary RA, Bettmann MA, Cardella JF et al. (2003) Quality improvement guidelines for the reporting and archiving of interventional radiology procedures J Vasc Intervent Radiol 14(9 Pt 2):S293–S295Google Scholar
  10. 10.
    Jaffe HL (1935) Osteoid osteoma: a benign osteoblastic tumor composed of osteoid and atypical bone Arch Surg 31:709–728Google Scholar
  11. 11.
    Mungo DV, Zhang X, O’Keefe RJ et al. (2002) COX-1 and COX-2 expression in osteoid osteomas J Orthop Res 20(1):159–162CrossRefPubMedGoogle Scholar
  12. 12.
    Kneisl JS, Simon MA (1992) Medical management compared with operative treatment for osteoid-osteoma J Bone Joint Surg Am 74(2):179–185PubMedGoogle Scholar
  13. 13.
    Levy JM, Hubbard JO, Crowe JK (1982) Computed tomography—guided removal of an osteoid osteoma: a case report Cardiovasc Intervent Radiol 5(1):14–15PubMedGoogle Scholar
  14. 14.
    Assoun J, Railhac JJ, Bonnevialle P et al. (1993) Osteoid osteoma: percutaneous resection with CT guidance Radiology 188(2):541–547PubMedGoogle Scholar
  15. 15.
    Amendola A, Vellet D, Willits K (1994) Osteoid osteoma of the neck of the talus: percutaneous, computed tomography-guided technique for complete excision Foot Ankle Int 15(8):429–432PubMedGoogle Scholar
  16. 16.
    Erdtmann B, Duda SH, Pereira P et al. (2001) CT-guided therapy of osteoid osteoma by drill trepanation of the nidus. Clinical follow-up results Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 173(8):708–713Google Scholar
  17. 17.
    Klose KC, Forst R, Vorwerk D et al. (1991) The percutaneous removal of osteoid osteomas via CT-guided drilling Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 155(6):532–537PubMedGoogle Scholar
  18. 18.
    Kohler R, Rubini J, Postec F et al. (1995) Treatment of osteoid osteoma by CT-controlled percutaneous drill resection. Apropos of 27 cases Rev Chir Orthop Reparatrice Appar Mot 81(4):317–325Google Scholar
  19. 19.
    Adam G, Keulers P, Vorwerk D et al. (1995) The percutaneous CT-guided treatment of osteoid osteomas: a combined procedure with a biopsy drill and subsequent ethanol injection Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 162(3):232–235PubMedGoogle Scholar
  20. 20.
    Adam G, Neuerburg J, Vorwerk D et al. (1997) Percutaneous treatment of osteoid osteomas: combonation of drill biopsy and subsequent ethanol injection Semin Musculoskelet Radiol 1(2):281–284PubMedGoogle Scholar
  21. 21.
    Sanhaji L, Gharbaoui IS, Hassani RE et al. (1996) A new treatment of osteoid osteoma: percutaneous sclerosis with ethanol under scanner guidance J Radiol 77(1):37–40PubMedGoogle Scholar
  22. 22.
    Duda SH, Schnatterbeck P, Harer T et al. (1997) Treatment of osteoid osteoma with CT-guided drilling and ethanol instillation Dtsch Med Wochenschr 122(16):507–510PubMedGoogle Scholar
  23. 23.
    Rosenthal DI, Hornicek FJ, Torriani M et al. (2003) Osteoid osteoma: percutaneous treatment with radiofrequency energy Radiology 229(1):171–175PubMedGoogle Scholar
  24. 24.
    Vanderschueren GM, Taminiau AH, Obermann WR et al. (2002) Osteoid osteoma: clinical results with thermocoagulation Radiology 224(1):82–86PubMedGoogle Scholar
  25. 25.
    Lindner NJ, Ozaki T, Roedl R et al. (2001) Percutaneous radiofrequency ablation in osteoid osteoma J Bone Joint Surg Br 83(3):391–396CrossRefPubMedGoogle Scholar
  26. 26.
    Woertler K, Vestring T, Boettner F et al. (2001) Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients J Vasc Intervent Radiol 12(6):717–722Google Scholar
  27. 27.
    Cioni R, Armillotta N, Bargellini I, et al. (2004) CT-guided radiofrequency ablation of osteoid osteoma: long-term results. Eur Radiol 14(7):1203–1208CrossRefPubMedGoogle Scholar
  28. 28.
    Gangi A, Dietemann JL, Clavert JM et al. (1998) Treatment of osteoid osteoma using laser photocoagulation. Apropos of 28 cases Rev Chir Orthop Reparatrice Appar Mot 84(8):676–684Google Scholar
  29. 29.
    Witt JD, Hall-Craggs MA, Ripley P et al. (2000) Interstitial laser photocoagulation for the treatment of osteoid osteoma J Bone Joint Surg Br 82(8):1125–1128CrossRefPubMedGoogle Scholar
  30. 30.
    Ghanem I, Collet LM, Kharrat K et al. (2003) Percutaneous radiofrequency coagulation of osteoid osteoma in children and adolescents J Pediatr Orthop B 12(4):244–252PubMedGoogle Scholar
  31. 31.
    Gallazzi MB, Arborio G, Garbagna PG et al. (2001) Percutaneous radio-frequency ablation of osteoid osteoma: technique and preliminary results Radiol Med (Torino) 102(5–6):329–334Google Scholar
  32. 32.
    Barei DP, Moreau G, Scarborough MT et al. (2000) Percutaneous radiofrequency ablation of osteoid osteoma Clin Orthop (373):115–124Google Scholar
  33. 33.
    Venbrux AC, Montague BJ, Murphy KP et al. (2003) Image-guided percutaneous radiofrequency ablation for osteoid osteomas J Vasc Intervent Radiol 14(3):375–380Google Scholar
  34. 34.
    Sequeiros RB, Hyvonen P, Sequeiros AB et al. (2003) MR imaging-guided laser ablation of osteoid osteomas with use of optical instrument guidance at 0.23 T Eur Radiol 13(10):2309–2314CrossRefPubMedGoogle Scholar

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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