Advertisement

La radiologia medica

, Volume 119, Issue 7, pp 470–475 | Cite as

Critical role of HIFU in musculoskeletal interventions

  • Carlo Masciocchi
  • Armando Conchiglia
  • Lorenzo Maria Gregori
  • Francesco ArrigoniEmail author
  • Luigi Zugaro
  • Antonio Barile
Magnetic Resonance Imaging

Abstract

Magnetic resonance-guided focused ultrasound surgery (MRgFUS) is a totally noninvasive ablation technique that in the last years had an important development in a large number of applications: in particular gynaecological disorders, bone lesions, prostate, breast, brain and other organs. This review of MRgFUS is focused on the technical aspects and the current clinical application in musculoskeletal interventions. More precisely, this paper aims to review the relatively scarce literature on this topic also in comparison with our 3-year experience in the use of this technique in the field of musculoskeletal interventions.

Keywords

MRgFUS High-intensity focused ultrasound (HIFU) Musculoskeletal interventions Benign bone lesions Management of oncologic bone lesions Noninvasive treatment 

Notes

Conflict of interest

The authors declare no conflict of interest.

References

  1. 1.
    Fennessy FM, Tempany CM, McDannold NJ et al (2007) Uterine leiomyomas: MR imaging-guided focused ultrasound surgery—results of different treatment protocols. Radiology 243:885–893PubMedCrossRefGoogle Scholar
  2. 2.
    Weeks EM, Platt MW, Gedroyc W (2012) MRI-guided focused ultrasound (MRgFUS) to treat facet joint osteoarthritis low back pain—case series of an innovative new technique. Eur Radiol 22:2822–2835PubMedCrossRefGoogle Scholar
  3. 3.
    Goetz MP, Callstrom MR, Charboneau JW (2004) Percutaneous image-guided radiofrequency ablation of painful metastasis involving bone: a multicenter study. J Clin Oncol 22:300–306PubMedCrossRefGoogle Scholar
  4. 4.
    Chow E, Harris K, Fan G et al (2007) Palliative radiotherapy trials for bone metastases: a systematic review. J Clin Oncol 25:1423–1436PubMedCrossRefGoogle Scholar
  5. 5.
    Janjan N, Lutz ST, Bedwinek JM et al (2009) Therapeutic guidelines for the treatment of bone metastasis: a report from the American College of Radiology Appropriateness Criteria Expert Panel on Radiation Oncology. J Palliat Med 12:417–426PubMedCrossRefGoogle Scholar
  6. 6.
    Lo SS, Sahagal A, Hartsell WF et al (2009) The treatment of bone metastasis with highly conformal radiation therapy: a brave new world or a costly mistake. Clin Oncol 21:662–664CrossRefGoogle Scholar
  7. 7.
    Callstrom MR, Charboneau JW, Goetz MP et al (2002) Painful metastases involving bone: feasibility of percutaneous CT and US guided radiofrequency ablation. Radiology 224:87–97PubMedCrossRefGoogle Scholar
  8. 8.
    Goetz MP, Callstrom MR, Charboneau JW (2004) Percutaneous image-guided radiofrequency ablation of painful metastasis involving bone: a multicenter study. J Clin Oncol 22:300–306PubMedCrossRefGoogle Scholar
  9. 9.
    Dupuy DE, Liu D, Hartfeil D et al (2010) Percutaneous radiofrequency ablation of painful osseous metastases: a multicenter American College of Radiology Imaging Network trial. Cancer 116:989–997PubMedCentralPubMedCrossRefGoogle Scholar
  10. 10.
    Catane R, Beck A, Inbar Y et al (2006) MR-guided focused ultrasound surgery (MRgFUS) for the palliation of pain in patients with bone metastases—preliminary clinical experience. Ann Oncol 18:163–167PubMedCrossRefGoogle Scholar
  11. 11.
    Gianfelice D, Gupta C, Kucharczyk W et al (2008) Palliative treatment of painful bone metastases with MR imaging–guided focused ultrasound. Radiology 249:355–363PubMedCrossRefGoogle Scholar
  12. 12.
    Napoli A, Anzidei M, Marincola BC et al (2013) MR imaging-guided focused ultrasound for treatment of bone metastasis. Radiographics 33:1555–1568PubMedCrossRefGoogle Scholar
  13. 13.
    Liberman B, Gianfelice D, Inbar Y et al (2009) Pain palliation in patients with bone metastases using MR guided focused ultrasound surgery: a multicenter study. Ann Surg Oncol 16:140–146PubMedCrossRefGoogle Scholar
  14. 14.
    Napoli A, Anzidei M, Catalano C (2013) Primary pain palliation and local tumor control in bone metastases treated with magnetic resonance-guided focused ultrasound. Invest Radiol 48:351–358PubMedCrossRefGoogle Scholar
  15. 15.
    Napoli A, Mastrantuono M, Passariello R, Catalano C (2013) Osteoid osteoma: MR-guided focused ultrasound for entirely noninvasive treatment. Radiology 267:514–521PubMedCrossRefGoogle Scholar
  16. 16.
    Rosenthal DI, Alexander A, Rosenberg AE, Springfield D (1992) Ablation of osteoid osteomas with a percutaneously placed electrode: a new procedure. Radiology 183:29–33PubMedCrossRefGoogle Scholar
  17. 17.
    Donkol RH, Al-Nammi A, Moghazi K (2008) Efficacy of percutaneous radiofrequency ablation of osteoid osteoma in children. Pediatr Radiol 38:180–185PubMedCrossRefGoogle Scholar
  18. 18.
    Arrigoni F, Gregori LM, La Marra A (2014) Our experience of non-invasive treatment of epiphyseal benign bone lesions using MRgFUS: can it really be a definitive solution? ECR 2014 March 6–10, Vienna (Scientific Paper B-0263)Google Scholar

Copyright information

© Italian Society of Medical Radiology 2014

Authors and Affiliations

  • Carlo Masciocchi
    • 1
  • Armando Conchiglia
    • 1
  • Lorenzo Maria Gregori
    • 1
  • Francesco Arrigoni
    • 1
    Email author
  • Luigi Zugaro
    • 1
  • Antonio Barile
    • 1
  1. 1.Dipartimento di Scienze Cliniche Applicate e Biotecnologiche Ospedale San Salvatore, L’AquilaUniversity of L’AquilaL’AquilaItaly

Personalised recommendations