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

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 degrees 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.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Mylona S,Patsoura S,Galani P,Karapostolakis G,Pomoni A,Thanos L

doi

10.1007/s00256-009-0859-7

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

443-9

issue

5

eissn

0364-2348

issn

1432-2161

journal_volume

39

pub_type

临床试验,杂志文章
  • Calcified or ossified benign soft tissue lesions that may simulate malignancy.

    abstract::The purpose of this article is to review calcified or ossified benign soft tissue lesions that may simulate malignancy. We review the clinical presentations, locations, imaging characteristics, and differential diagnostic considerations of myositis ossificans, tophaceous gout, benign vascular lesions, calcific tendino...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-019-03272-3

    authors: Kwee RM,Kwee TC

    更新日期:2019-12-01 00:00:00

  • Paralabral cysts in the hip joint: findings at MR arthrography.

    abstract:PURPOSE:The purpose of this research was to retrospectively characterize paralabral cysts of the hip as seen at MR arthrography. MATERIALS AND METHODS:After Institutional Review Board approval, 704 patients who had MR arthrography were identified over a 3-year period and 40 patients were identified as having a cyst or...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-012-1395-4

    authors: Magerkurth O,Jacobson JA,Girish G,Brigido MK,Bedi A,Fessell D

    更新日期:2012-09-01 00:00:00

  • Failure of bone scanning to detect fractures in a woman on chronic steroid therapy.

    abstract::Osteopenic bones in patients on chronic steroid therapy are often difficult to assess for occult fractures. Such patients are also at greater risk for fractures. Technetium 99m bone scan is currently thought to represent the most sensitive method of diagnosing these lesions. We present a case of failure of diagnosis o...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00361089

    authors: Scott S,Alazraki N,Manaster B

    更新日期:1984-01-01 00:00:00

  • Bone mineral density measurement combined with vertebral fracture assessment increases diagnosis of osteoporosis in postmenopausal women.

    abstract:OBJECTIVE:Osteoporosis is diagnosed based on the results of BMD assessment and/or fragility fractures. Vertebral fracture is the most common fragility fracture. Many vertebral fractures are asymptomatic and are not clinically recognized. Early detection of vertebral fracture may increase diagnosis of osteoporosis. In t...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-019-03280-3

    authors: Cai S,Yu H,Li Y,He X,Yan L,Huang X,Wang P

    更新日期:2020-02-01 00:00:00

  • MR findings of necrotic lesions and the extralesional area of osteonecrosis of the femoral head.

    abstract:OBJECTIVE:To investigate the MR findings of necrotic lesions and the extralesional area of osteonecrosis of the femoral head (ONFH) for each of the radiological stages. DESIGN AND PATIENTS:Forty-nine hips in 29 patients (15 female, 14 male; mean age 38 years, range 17-59 years) were imaged using a 1.0-T superconductin...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050583

    authors: Sakai T,Sugano N,Nishii T,Haraguchi K,Ochi T,Ohzono K

    更新日期:2000-03-01 00:00:00

  • Huge tophaceous pseudogout associated with tenosynovial chondromatosis arising from flexor digitorum tendon sheaths of the foot: a case report.

    abstract::Synovial chondromatosis (SC) is a benign proliferative process of synovial tissue creating multiple cartilaginous nodules in joints. It most commonly occurs in the large joints of the knee, hip, and shoulder, uncommonly in the small joints of the hand and foot, and only rarely in the tenosynovial membrane of tendon sh...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-013-1672-x

    authors: Bahk WJ,Chang ED,Lee AH,Kang YK,Park JM,Chung YG

    更新日期:2013-12-01 00:00:00

  • MRI appearance of the superior transverse scapular ligament.

    abstract:OBJECTIVE:The superior transverse scapular ligament (STSL) forms the roof of the suprascapular notch, which is the most common location of entrapment of the suprascapular nerve, a cause of shoulder pain and weakness. The purpose of this study is to determine the frequency of visualization of the STSL on routine shoulde...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-015-2209-2

    authors: Simeone FJ,Bredella MA,Chang CY,Torriani M,Huang AJ

    更新日期:2015-11-01 00:00:00

  • Intraarticular epithelioid sarcoma.

    abstract::A case of an intraarticular epithelioid sarcoma is presented. The patient was a 35 year old man who presented with a 10 months history of a chronic monoarthritis. The MRI showed a diffuse lesion involving the synovial membrane of the knee. There was a marked increased signal on T2 weighted images. Most epithelioid sar...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050417

    authors: Hurtado RM,McCarthy E,Frassica F,Holt PA

    更新日期:1998-08-01 00:00:00

  • Osteosarcoma--presumed lymph node metastases in two cases.

    abstract::Two patients with osteosarcoma of a lower limb and presumed lymph node metastases are described. The metastases presented in both children as palpable masses, one in the inguinal region and the other in the pelvis. One was visible on plain radiography; both were demonstrated on computed tomography and bone scintigraph...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00361209

    authors: English R,Dicks-Mireaux C,Malone M,Scott R

    更新日期:1989-01-01 00:00:00

  • Who is more accurate in the diagnosis of neck of femur fractures, radiologists or orthopaedic trainees?

    abstract:OBJECTIVE:Our study aims to compare the sensitivity and specificity between orthopaedic trainees and radiologists in diagnosing occult hip fractures from pelvic radiographs. METHODS:All patients undergoing computed tomography (CT) of the hip for a suspected occult hip fracture at our two centres between November 1, 20...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-012-1472-8

    authors: Jordan RW,Dickenson E,Baraza N,Srinivasan K

    更新日期:2013-02-01 00:00:00

  • Pseudarthrosis presenting as a late complication of meningococcal septicaemia and disseminated intravascular coagulation.

    abstract::Late skeletal complications of meningococcal septicaemia and disseminated intravascular coagulation are well recognised in children and are largely centred on the growing epimetaphyseal region of long bones. In this article we describe a case of pseudarthrosis of the mid-ulna presenting 18 months following a devastati...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-004-0747-0

    authors: Wenaden AE,McHugh K,Hill RA,Hall CM

    更新日期:2004-05-01 00:00:00

  • Percutaneous bone cement refixation of aseptically loose hip prostheses: the effect of interface tissue removal on injected cement volumes.

    abstract:OBJECTIVE:To quantify whether injected cement volumes differed between two groups of patients who underwent experimental minimally invasive percutaneous cement injection procedures to stabilize aseptically loose hip prostheses. One patient group was preoperatively treated using gene-directed enzyme prodrug therapy to r...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-014-1924-4

    authors: Malan DF,Valstar ER,Nelissen RG

    更新日期:2014-11-01 00:00:00

  • Assessment of normal patellar cartilage volume and thickness using MRI: an analysis of currently available pulse sequences.

    abstract:OBJECTIVE:The objective of this study was to analyse the potential of magnetic resonance imaging for valid determination of patellar cartilage thickness, comparing currently available pulse sequences. DESIGN:In six patients and one cadaver the cartilage was repetitively imaged employing three spin-echo and six three-d...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050032

    authors: Sittek H,Eckstein F,Gavazzeni A,Milz S,Kiefer B,Schulte E,Reiser M

    更新日期:1996-01-01 00:00:00

  • A novel technique for retrieval of a broken biopsy needle.

    abstract::A broken needle is a rare complication of bone biopsy. We describe an easily applied technique of retrieval of a retained biopsy needle fragment using a cannulated drill typically used for internal fixation of femoral neck fractures. This approach allows for removal under moderate conscious sedation and can be perform...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-019-03304-y

    authors: Asprey W,Knuttinen G,Long JR,Fox M,Flug J,Mayer JP,Schwartz AJ

    更新日期:2020-02-01 00:00:00

  • Case report 866. Pseudotumor of the muscle associated with necrotizing vasculitis of medium- and small-sized arteries and chronic myositis.

    abstract::A case of polymyositis and localized vasculitis presenting as a muscular pseudotumor of a lower extremity and periostitis several years after the onset of symptoms was reported and the MRI characteristics were described. This imaging modality demonstrated muscle signal abnormalities in several muscle groups and was us...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/BF00223096

    authors: Esteva-Lorenzo FJ,Ferreiro JL,Tardaguila F,de la Fuente A,Falasca G,Reginato AJ

    更新日期:1994-10-01 00:00:00

  • Magnetic resonance imaging of the craniocervical junction in rheumatoid arthritis: value, limitations, indications.

    abstract::The cervical spine is the second most common location for manifestation of rheumatoid arthritis (RA). Symptoms are typically related to involvement of the craniocervical junction. Unfortunately, conventional radiographic examination is often unable to demonstrate that RA is the cause of such symptoms. Magnetic resonan...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00193087

    authors: Einig M,Higer HP,Meairs S,Faust-Tinnefeldt G,Kapp H

    更新日期:1990-01-01 00:00:00

  • Chondroblastoma of the hands and feet.

    abstract:OBJECTIVE:To review the imaging findings, age and gender distribution of chondroblastoma of the hands and feet. DESIGN AND PATIENTS:Twenty-five cases of pathologically proven chondroblastoma of the hands and feet were reviewed. Available imaging modalities included radiographs (n=24), CT (n=3), MRI (n=5), and radionuc...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-004-0762-1

    authors: Davila JA,Amrami KK,Sundaram M,Adkins MC,Unni KK

    更新日期:2004-10-01 00:00:00

  • Imaging of radial wrist pain. I. Imaging modalities and anatomy.

    abstract::Radial wrist pain is a common clinical complaint. The relatively complex anatomy in this region, combined with the small size of the anatomical structures and occasionally subtle imaging findings, can pose problems when trying to localize the exact cause of pain. To fully comprehend the underlying pathology, one needs...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-014-1840-7

    authors: Lee RK,Griffith JF,Ng AW,Wong CW

    更新日期:2014-06-01 00:00:00

  • Diffuse skeletal muscle extramedullary plasmacytomas: a rare case and review of the literature.

    abstract::Extramedullary plasmacytomas are rare neoplasms arising from proliferations of monoclonal plasma cells. In primary form, these malignancies occur without other sites of plasma cell disease. Secondary extramedullary plasmacytomas occur in association with multiple myeloma and may be discovered during initial intramedul...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-020-03514-9

    authors: Moore RD,Nelson SM,Cecava ND

    更新日期:2020-12-01 00:00:00

  • The MRI appearance of cystic lesions around the knee.

    abstract::This review presents a comprehensive illustrated overview of the wide variety of cystic lesions around the knee. The aetiology, clinical presentation, MRI appearances and differential diagnosis are discussed. Bursae include those related to the patella as well as pes anserine, tibial collateral ligament, semimembranos...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-003-0741-y

    authors: McCarthy CL,McNally EG

    更新日期:2004-04-01 00:00:00

  • The pathology of total joint arthroplasty. I. Mechanisms of implant fixation.

    abstract::The clinical results of total joint arthroplasty are usually excellent, but surgeons, radiologists, and pathologists are often called upon to evaluate, in one way or another, the stability of the implants. These evaluations are aided by an understanding of the basic pathophysiology of total joint arthroplasty. The fir...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s002560050541

    authors: Bauer TW,Schils J

    更新日期:1999-08-01 00:00:00

  • Anatomical variations related to pathological conditions of the peroneal tendon: evaluation of ankle MRI with a 3D SPACE sequence in symptomatic patients.

    abstract:OBJECTIVE:To evaluate anatomical variations in the lateral ankle and their relationships with pathological conditions of the peroneal tendon on magnetic resonance imaging (MRI) in symptomatic patients. MATERIALS AND METHODS:Sixty-nine ankles MRIs of 60 adult patients with symptomatic ankles were included. The presence...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-019-3151-5

    authors: Ersoz E,Tokgoz N,Kaptan AY,Ozturk AM,Ucar M

    更新日期:2019-08-01 00:00:00

  • Case report 861: Primary lymphedema of the left lower extremity.

    abstract::We believe MR findings to be quite characteristic of primary lymphedema. We believe that MR has a role in diagnosing lymphedema and its complications. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00204617

    authors: Huang A,Fruauff A,DiCarmine F,Schuss A,Losada R,Goffner L

    更新日期:1994-08-01 00:00:00

  • Intra-abdominal gout mimicking pelvic abscess.

    abstract::Gout is the most common crystal-induced arthritis. Gouty tophi typically deposit in the extremities, especially toes and fingers. We present an unusual case of intrapelvic tophaceous gout in a patient suffering from chronic gouty arthritis. CT and MRI of the abdomen and pelvic cavity disclosed calcified gouty tophi ar...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-004-0827-1

    authors: Chen CH,Chen CK,Yeh LR,Pan HB,Yang CF

    更新日期:2005-04-01 00:00:00

  • Thickness of patellofemoral articular cartilage as measured on MR imaging: sequence comparison of accuracy, reproducibility, and interobserver variation.

    abstract:OBJECTIVE:Since the thickness of cartilage is an important indicator of the status, progression and response to therapy of articular disorders, assessment of it is desirable. This study was undertaken to assess the accuracy, precision, and reliability of magnetic resonance (MR) measurements of articular cartilage. MET...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00941240

    authors: van Leersum MD,Schweitzer ME,Gannon F,Vinitski S,Finkel G,Mitchell DG

    更新日期:1995-08-01 00:00:00

  • Mannosidosis: an unusual cause of a deforming arthropathy.

    abstract::We report on a case of a deforming arthropathy in a young man with a lysosomal storage disorder. A 31-year-old man with a known diagnosis of mannosidosis presented with a painful swollen right elbow. Radiographs of his right elbow showed a disorganised joint with multiple fragments resembling the appearances of a neur...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560000213

    authors: DeFriend DE,Brown AE,Hutton CW,Hughes PM

    更新日期:2000-06-01 00:00:00

  • Unusual variant of liposarcoma with multiple punctate calcifications.

    abstract::We report a case of liposarcoma in a 17-year-old boy in which both the radiographs and histology demonstrated multiple punctate calcifications. In addition, this unusual variant consisting of myxoid, round cell and well-differentiated liposarcoma behaved aggressively resulting in the death of the patient. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-002-0561-5

    authors: Tuoheti Y,Okada K,Miyakoshi N,Nishida J,Itoi E

    更新日期:2002-11-01 00:00:00

  • Pelvic granulocytic sarcoma.

    abstract::Granulocytic sarcoma is an uncommon extraskeletal tumor most frequently associated with leukemia. We present a case of bone location with unusual pattern in a patient with no evidence of myeloproliferative disorder at presentation or follow-up. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050162

    authors: Laufer L,Benharroch D,Giryes H,Hertzanu Y

    更新日期:1996-10-01 00:00:00

  • Case report 678. Sporotrichal arthritis.

    abstract::A case of articular sporotrichosis occurring in the wrist and ankle of a 39-year-old man is reported. Review of the literature on this disorder confirms the diagnostic difficulties presented by this usually chronic, progressive, fungal arthritis. The diagnosis of this entity should be considered in the evaluation of a...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF01267667

    authors: Ortiz O,Lefkovitz Z

    更新日期:1991-01-01 00:00:00

  • Synovial chondromatosis of the foot presenting with Lisfranc dislocation.

    abstract::Primary synovial chondromatosis is rare in the foot. We report a case of synovial chondromatosis affecting multiple sites of the foot and causing bone erosions in a 44-year-old woman. Radiographs demonstrated erosions of multiple metatarsals including the tarsometatarsal joints, resulting in Lisfranc tarsometatarsal d...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-005-0923-x

    authors: Harish S,Saifuddin A,Cannon SR,Flanagan AM

    更新日期:2005-11-01 00:00:00