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Radiofrequency ablation vs microwave ablation for osteoid osteomas: long-term results

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Abstract

Objective

Osteoid osteomas are benign bone tumors commonly treated using thermal ablation. We compare the technical success, complication rates, and long-term efficacy of the two most common ablation types: radiofrequency and microwave.

Materials and methods

A retrospective study was performed of all osteoid osteoma ablation procedures between 2007 and 2017. A ten-point numerical pain scale was used to quantify symptoms before and after the procedures with > 12-month follow-up. Complications were reported using the Society of Interventional Radiology Adverse Events reporting criteria.

Results

Twenty-nine patients successfully underwent 15 radiofrequency ablations and 15 microwave ablations with a technical success rate of 83% for radiofrequency and 100% for microwave (p = 0.23). Long-term recurrence rates (p = 1.0) and complication rates (p = 0.60) were not significantly different for the groups. One patient developed a skin burn following microwave ablation and another developed 12 months of sciatic neuropathy following radiofrequency ablation.

Conclusion

Microwave and radiofrequency ablation are safe and effective methods for treating osteoid osteomas with similar long-term efficacies. Although radiofrequency ablation is more commonly reported to result in skin burns, this complication can arise during microwave ablation.

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References

  1. Sherman MS, McFarland G Jr. Mechanism of pain in osteoid osteomas. South Med J. 1965;58:163–6.

    Article  CAS  Google Scholar 

  2. Rosenthal DI, Alexander A, Rosenberg AE, Springfield D. Ablation of osteoid osteomas with a percutaneously placed electrode: a new procedure. Radiology. 1992;183:29–33.

    Article  CAS  Google Scholar 

  3. Moser T, Buy X, Goyault G, Tok C, Irani F, Gangi A. Image-guided ablation of bone tumors: review of current techniques. J Radiol. 2008;89:461–71.

    Article  CAS  Google Scholar 

  4. Basile A, Failla G, Reforgiato A, et al. The use of microwaves ablation in the treatment of epiphyseal osteoid osteomas. Cardiovasc Intervent Radiol. 2014;37:737–42.

    Article  Google Scholar 

  5. Lin SM, Lin CJ, Chung HJ, Hsu CW, Peng CY. Power rolloff during interactive radiofrequency ablation can enhance necrosis when treating hepatocellular carcinoma. AJR Am J Roentgenol. 2003;180:151–7.

    Article  Google Scholar 

  6. Donkol RH, Al-Nammi A, Moghazi K. Efficacy of percutaneous radiofrequency ablation of osteoid osteoma in children. Pediatr Radiol. 2008;38:180–5.

    Article  Google Scholar 

  7. Rosenthal DI, Hornicek FJ, Torriani M, Gebhardt MC, Mankin HJ. Osteoid osteoma: percutaneous treatment with radiofrequency energy. Radiology. 2003;229:171–5.

    Article  Google Scholar 

  8. Woertler K, Vestring T, Boettner F, Winkelmann W, Heindel W, Lindner N. Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Interv Radiol. 2001;12:717–22.

    Article  CAS  Google Scholar 

  9. Miyazaki M, Arai Y, Myoui A, et al. Phase I/II multi-institutional study of percutaneous radiofrequency ablation for painful osteoid osteoma (JIVROSG-0704). Cardiovasc Intervent Radiol. 2016;39:1464–70.

    Article  Google Scholar 

  10. Prud'homme C, Nueffer JP, Runge M, Dubut J, Kastler B, Aubry S. Prospective pilot study of CT-guided microwave ablation in the treatment of osteoid osteomas. Skelet Radiol. 2017;46:315–23.

    Article  Google Scholar 

  11. Perry BC, Monroe EJ, McKay T, Kanal KM, Shivaram G. Pediatric percutaneous osteoid osteoma ablation: cone-beam CT with fluoroscopic overlay versus conventional CT guidance. Cardiovasc Intervent Radiol. 2017;40:1593–9.

    Article  Google Scholar 

  12. Rinzler ES, Shivaram GM, Shaw DW, Monroe EJ, Koo KSH. Microwave ablation of osteoid osteoma: initial experience and efficacy. Pediatr Radiol. 2019;49:566–70.

    Article  Google Scholar 

  13. Kostrzewa M, Diezler P, Michaely H, et al. Microwave ablation of osteoid osteomas using dynamic MR imaging for early treatment assessment: preliminary experience. J Vasc Interv Radiol. 2014;25:106–11.

    Article  Google Scholar 

  14. Szendroi M, Kollo K, Antal I, Lakatos J, Szoke G. Intraarticular osteoid osteoma: clinical features, imaging results, and comparison with extraarticular localization. J Rheumatol. 2004;31:957–64.

    PubMed  Google Scholar 

  15. Mylona S, Patsoura S, Galani P, Karapostolakis G, Pomoni A, Thanos L. Osteoid osteomas in common and in technically challenging locations treated with computed tomography-guided percutaneous radiofrequency ablation. Skelet Radiol. 2010;39:443–9.

    Article  Google Scholar 

  16. Esteban Cuesta H, Martel Villagran J, Bueno Horcajadas A, Kassarjian A, Rodriguez CG. Percutaneous radiofrequency ablation in osteoid osteoma: tips and tricks in special scenarios. Eur J Radiol. 2018;102:169–75.

    Article  Google Scholar 

  17. Cribb GL, Goude WH, Cool P, Tins B, Cassar-Pullicino VN, Mangham DC. Percutaneous radiofrequency thermocoagulation of osteoid osteomas: factors affecting therapeutic outcome. Skelet Radiol. 2005;34:702–6.

    Article  CAS  Google Scholar 

  18. Ockendon M, Gregory JJ, Cribb GL, Cool WP, Mangham DC, Lalam R. Osteoid osteoma: can impedance levels in radiofrequency thermocoagulation predict recurrence? Radiol Res Pract. 2011;2011:753502.

    PubMed  Google Scholar 

  19. Rehnitz C, Sprengel SD, Lehner B, et al. CT-guided radiofrequency ablation of osteoid osteoma: correlation of clinical outcome and imaging features. Diagn Interv Radiol. 2013;19:330–9.

    PubMed  Google Scholar 

  20. Shields DW, Sohrabi S, Crane EO, Nicholas C, Mahendra A. Radiofrequency ablation for osteoid osteoma - recurrence rates and predictive factors. Surgeon. 2018;16:156–62.

    Article  Google Scholar 

  21. Baal JD, Pai JS, Chen WC, Joseph GB, O'Donnell RJ, Link TM. Factors associated with osteoid osteoma recurrence after CT-guided radiofrequency ablation. J Vasc Interv Radiol. 2019;30:744–51.

    Article  Google Scholar 

  22. Gebauer B, Collettini F, Bruger C, et al. Radiofrequency ablation of osteoid osteomas: analgesia and patient satisfaction in long-term follow-up. Rofo. 2013;185:959–66.

    CAS  PubMed  Google Scholar 

  23. Kuyumcu G, Mason EG, Ilaslan H. Air-blocking ablation of osteoid osteoma; a technical note. Skelet Radiol. 2017;46:957–60.

    Article  Google Scholar 

  24. Al-Omari MH, Ata KJ, Al-Muqbel KM, Mohaidat ZM, Haddad WH, Rousan LA. Radiofrequency ablation of osteoid osteoma using tissue impedance as a parameter of osteonecrosis. J Med Imaging Radiat Oncol. 2012;56:384–9.

    Article  Google Scholar 

  25. Decadt B, Siriwardena AK. Radiofrequency ablation of liver tumours: systematic review. Lancet Oncol. 2004;5:550–60.

    Article  Google Scholar 

  26. Brace CL. Microwave ablation technology: what every user should know. Curr Probl Diagn Radiol. 2009;38:61–7.

    Article  Google Scholar 

  27. Facciorusso A, Di Maso M, Muscatiello N. Microwave ablation versus radiofrequency ablation for the treatment of hepatocellular carcinoma: a systematic review and meta-analysis. Int J Hyperth. 2016;32:339–44.

    Article  CAS  Google Scholar 

  28. Vogl TJ, Basten LM, Nour-Eldin NA, et al. Evaluation of microwave ablation of liver malignancy with enabled constant spatial energy control to achieve a predictable spherical ablation zone. Int J Hyperth. 2018;34:492–500.

    Article  Google Scholar 

  29. Sans N, Galy-Fourcade D, Assoun J, et al. Osteoid osteoma: CT-guided percutaneous resection and follow-up in 38 patients. Radiology. 1999;212:687–92.

    Article  CAS  Google Scholar 

  30. Cakar M, Esenyel CZ, Seyran M, et al. Osteoid osteoma treated with radiofrequency ablation. Adv Orthop. 2015;2015:807274.

    Article  Google Scholar 

  31. Whitmore MJ, Hawkins CM, Prologo JD, et al. Cryoablation of osteoid Osteoma in the pediatric and adolescent population. J Vasc Interv Radiol. 2016;27:232–7 quiz 238.

    Article  Google Scholar 

  32. Vanderschueren GM, Taminiau AH, Obermann WR, Bloem JL. Osteoid osteoma: clinical results with thermocoagulation. Radiology. 2002;224:82–6.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Seattle Children’s Hospital, 4800 Sand Point Way NE, Seattle, WA, 98105, USA

    Joseph Reis

  2. Department of Radiology, SSM Health Medical Group, 1000 N Lee Ave, Oklahoma City, OK, 73102, USA

    Young Chang

  3. Department of Radiology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642, USA

    Ashwani K. Sharma

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  1. Joseph Reis
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  2. Young Chang
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Correspondence to Joseph Reis.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (University of Rochester Research Subjects Review Board) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Reis, J., Chang, Y. & Sharma, A.K. Radiofrequency ablation vs microwave ablation for osteoid osteomas: long-term results. Skeletal Radiol 49, 1995–2000 (2020). https://doi.org/10.1007/s00256-020-03518-5

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  • DOI: https://doi.org/10.1007/s00256-020-03518-5

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