Helena Esteban Cuesta1, José Martel Villagran2, Angel Bueno Horcajadas3, Ara Kassarjian4, Gil Rodriguez Caravaca5. 1. Hospital Clínico Universitario Lozano Blesa, San Juan Bosco, 15, 50009, Zaragoza, Spain. Electronic address: helenaestebancuesta@gmail.com. 2. Hospital Universitario Fundación de Alcorcón, Calle Budapest, 1, 28922, Alcorcón, Madrid, Spain. Electronic address: JMartel@fhalcorcon.es. 3. Hospital Universitario Fundación de Alcorcón, Spain. Electronic address: abueno@fhalcorcon.es. 4. Corades, LLC, Brookline, 4 Massachusetts Park St Unit 3, 02446-6244, MA, USA; Medical Service, Madrid Open Tennis, Madrid, Spain. Electronic address: akassarjian@gmail.com. 5. Hospital Universitario Fundación de Alcorcón, Spain. Electronic address: grodriguez@fhalcorcon.es.
Abstract
OBJECTIVES: To define specific characteristics of osteoid osteomas treated with radiofrequency ablation, that may benefit from special technical recommendations. METHODS: Retrospective analysis of all radiofrequency ablations performed by our group from January 2001 to March 2015. A descriptive study was conducted. We compared our results with the available literature to determine the most frequent special scenarios. RESULTS: 207 radiofrequency ablations were performed in 200 patients. We defined the following scenarios: osteoid osteomas located in the spine, close to neurovacular structures, osteoid osteomas in small bones (hands and feet), intra-articular, deeply located or superficial and lesions with extensive periosteal reaction. CONCLUSIONS: The scenarios defined required special considerations and technical variations. Implementing the different tips and tricks shown in the article, the most complex osteoid osteomas could be successfully ablated.
OBJECTIVES: To define specific characteristics of osteoid osteomas treated with radiofrequency ablation, that may benefit from special technical recommendations. METHODS: Retrospective analysis of all radiofrequency ablations performed by our group from January 2001 to March 2015. A descriptive study was conducted. We compared our results with the available literature to determine the most frequent special scenarios. RESULTS: 207 radiofrequency ablations were performed in 200 patients. We defined the following scenarios: osteoid osteomas located in the spine, close to neurovacular structures, osteoid osteomas in small bones (hands and feet), intra-articular, deeply located or superficial and lesions with extensive periosteal reaction. CONCLUSIONS: The scenarios defined required special considerations and technical variations. Implementing the different tips and tricks shown in the article, the most complex osteoid osteomas could be successfully ablated.
Authors: Maria Silvia Spinelli; Mostafa Farouk Balbaa; Mauro Battista Gallazzi; Mohamed Emad-Eldin Eid; Hesham Taha Kotb; Mohamed El Shafei; Anna Maria Ierardi; Primo Andrea Daolio; Antonio Barile; Gianpaolo Carrafiello Journal: Radiol Med Date: 2022-09-04 Impact factor: 6.313