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Osteoid osteomas in common and in technically challenging locations treated with computed tomography-guided percutaneous radiofrequency ablation

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Abstract

Objective

To evaluate the efficacy of computed tomography (CT)-guided radiofrequency (RF) ablation for the treatment of osteoid osteomas in common and in technically challenging locations.

Materials and methods

Twenty-three patients with osteoid osteomas in common (nine cases) and technically challenging [14 cases: intra-articular (n = 7), spinal (n = 5), metaphyseal (n = 2)] positions were treated with CT-guided RF ablation. Therapy was performed under conscious sedation with a seven-array expandable RF electrode for 8–10 min at 80–110°C and power of 90–110 W. The patients went home under instruction. A brief pain inventory (BPI) score was calculated before and after (1 day, 4 weeks, 6 months and 1 year) treatment.

Results

All procedures were technically successful. Primary clinical success was 91.3% (21 of total 23 patients), despite the lesions’ locations. BPI score was dramatically reduced after the procedure, and the decrease in BPI score was significant (P < 0.001, paired t-test; n − 1 = 22) for all periods during follow up. Two patients had persistent pain after 1 month and were treated successfully with a second procedure (secondary success rate 100%). No immediate or delayed complications were observed.

Conclusion

CT-guided RF ablation is safe and highly effective for treatment of osteoid osteomas, even in technically difficult positions.

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Authors and Affiliations

  1. Red Cross Hospital Korgialenio -Benakio, Athens, Greece

    Sophia Mylona, Sofia Patsoura & Georgios Karapostolakis

  2. Amalia Fleming Hospital, Athens, Greece

    Panagiota Galani

  3. Eygenidio Hospital, Athens, Greece

    Anastasia Pomoni

  4. Sotiria Hospital, Athens, Greece

    Loukas Thanos

Authors
  1. Sophia Mylona
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  2. Sofia Patsoura
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  3. Panagiota Galani
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  4. Georgios Karapostolakis
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  5. Anastasia Pomoni
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  6. Loukas Thanos
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Correspondence to Sophia Mylona.

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Mylona, S., Patsoura, S., Galani, P. et al. Osteoid osteomas in common and in technically challenging locations treated with computed tomography-guided percutaneous radiofrequency ablation. Skeletal Radiol 39, 443–449 (2010). https://doi.org/10.1007/s00256-009-0859-7

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  • DOI: https://doi.org/10.1007/s00256-009-0859-7

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