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Initial experience, feasibility, and technical development with an electromagnetic navigation assistance in percutaneous pelvic bone cementoplasty: retrospective analysis

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Abstract

Objectives

To assess the feasibility and technical outcomes of pelvic bone cementoplasty using an electromagnetic navigation system (EMNS) in standard practice.

Materials and methods

Monocentric retrospective study of all consecutive patients treated with cementoplasty or reinforced cementoplasty of the pelvic bone with EMNS-assisted procedures. The endpoints were periprocedural adverse events, needle repositioning rates, procedure duration, and radiation exposure.

Results

A detailed description of the technical steps is provided. Thirty-three patients (68 years ± 10) were treated between February 2016 and February 2020. Needle repositioning was required for 1/33 patients (3%). The main minor technical adverse event was soft tissue PMMA cement leaks. No major adverse event was noted. The median number of CT acquisitions throughout the procedures was 4 (range: 2 to 8). Radiation exposure and mean procedure duration are provided.

Conclusion

Electromagnetic navigation system–assisted percutaneous interventions for the pelvic bone are feasible and lead to low rates of minor technical adverse events and needle repositioning. Procedure duration and radiation exposure were low.

Key Points

• Initial experience for 33 patients treated with an electromagnetic navigation assistance for pelvic cementoplasty shows feasibility and safety.

• The use of an electromagnetic navigation system does not expose to high procedure duration or radiation exposure.

• The system is efficient in assisting the radiologist for extra-axial planes in challenging approaches.

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Abbreviations

CBCT:

Cone-beam CT

CT:

Computed tomography

DAP:

Dose-area product

DLP:

Dose-length product

ED:

Effective dose

EMNS:

Electromagnetic navigation system

FICS:

Fixation by internal cemented screw

MBD:

Metastatic bone disease

MRI:

Magnetic resonance imaging

PC:

Percutaneous cementoplasty

PMMA:

Poly-methyl-methacrylate

RC:

Reinforced cementoplasty

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Funding

The authors state that this work has not received any funding.

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Authors and Affiliations

  1. Department of Neuroradiology, Pitié-Salpêtrière Hospital, Sorbonne University, APHP, 47, Bd de l’Hôpital, 75013, Paris, France

    Tom Boeken, Geoffroy Pouliquen, Kévin Premat, Eimad Shotar, Évelyne Cormier, Atika Talbi & Frédéric Clarençon

  2. Imactis, Grenoble, France

    Benjamin Benac

  3. Department of Orthopedic Surgery, Pitié-Salpêtrière Hospital, Sorbonne University, APHP, Paris, France

    Raphaël Bonaccorsi & Hugues Pascal-Mousselard

  4. Department of Oncology, Pitié-Salpêtrière Hospital, Sorbonne University, APHP, Paris, France

    Laetitia Morardet & Jean-Philippe Spano

  5. Department of Hematology, Pitié-Salpêtrière Hospital, Sorbonne University, APHP, Paris, France

    Véronique Morel

  6. Sorbonne University, Paris, France

    Jean-Philippe Spano, Hugues Pascal-Mousselard & Frédéric Clarençon

  7. Clinique Bizet, Paris, France

    Jacques Chiras

  8. GRC BioFast, Sorbonne University, Paris, France

    Frédéric Clarençon

Authors
  1. Tom Boeken
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  2. Geoffroy Pouliquen
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  3. Kévin Premat
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  4. Benjamin Benac
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  5. Eimad Shotar
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  6. Évelyne Cormier
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  7. Atika Talbi
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  8. Raphaël Bonaccorsi
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  9. Laetitia Morardet
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  10. Véronique Morel
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  11. Jean-Philippe Spano
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  12. Hugues Pascal-Mousselard
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  13. Jacques Chiras
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  14. Frédéric Clarençon
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Corresponding author

Correspondence to Frédéric Clarençon.

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Guarantor

The scientific guarantor of this publication is Pr Frederic Clarencon.

Conflict of interest

The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article.

Statistics and biometry

No complex statistical methods were necessary for this paper.

Informed consent

Written informed consent was not required for this study because of the type of study.

Ethical approval

Institutional Review Board approval was obtained.

Methodology

• retrospective

• observational

• performed at one institution

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Boeken, T., Pouliquen, G., Premat, K. et al. Initial experience, feasibility, and technical development with an electromagnetic navigation assistance in percutaneous pelvic bone cementoplasty: retrospective analysis. Eur Radiol 33, 2605–2611 (2023). https://doi.org/10.1007/s00330-022-09252-x

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  • DOI: https://doi.org/10.1007/s00330-022-09252-x

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