Percutaneous Bone Tumor Management

  • Afshin Gangi
  • Georgia Tsoumakidou
  • Xavier Buy
  • Julien Garnon
  • Tarun Sabharwal
  • Ricardo Douarte


Interventional radiology plays a major role in the management of bone tumors. Many different percutaneous techniques are available. Some aim to treat pain and consolidate a pathological bone (cementoplasty); others aim to ablate tumor or to reduce its volume (sclerotherapy and thermal ablation). In this chapter, the different image-guided techniques for the treatment of primary and secondary bone tumors such as vertebroplasty, ethanol injection, radiofrequency ablation, laser photocoagulation, cryoablation, and radiofrequency ionization (coblation) will be reviewed. The basic principles, the indications, and the results for each technique will be presented separately. The technical choice should depend on the therapeutic intent (curative or palliative), the need for consolidation, but also on the general status of the patient, and the alternative therapeutic options. For the most complex cases, combined treatments can be applied. However, the less-disabling technique should always be considered first.


Bone Tumor Thermal Ablation Laser Photocoagulation Osteoid Osteoma Cement Leakage 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Afshin Gangi
    • 1
  • Georgia Tsoumakidou
    • 1
  • Xavier Buy
    • 1
  • Julien Garnon
    • 1
  • Tarun Sabharwal
    • 2
  • Ricardo Douarte
    • 1
  1. 1.Department of RadiologyUniversity Hospital of StrasbourgStrasbourgFrance
  2. 2.Department of RadiologyGuy’s and St. Thomas’ HospitalLondonUK

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