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 Radioljournal_title
Skeletal radiologyauthors
Mylona S,Patsoura S,Galani P,Karapostolakis G,Pomoni A,Thanos Ldoi
10.1007/s00256-009-0859-7subject
Has Abstractpub_date
2010-05-01 00:00:00pages
443-9issue
5eissn
0364-2348issn
1432-2161journal_volume
39pub_type
临床试验,杂志文章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
更新日期:2019-12-01 00:00:00
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
更新日期:2012-09-01 00:00:00
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
更新日期:1984-01-01 00:00:00
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
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050583
更新日期:2000-03-01 00:00:00
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
更新日期:2013-12-01 00:00:00
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journal_title:Skeletal radiology
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050417
更新日期:1998-08-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361209
更新日期:1989-01-01 00:00:00
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journal_title:Skeletal radiology
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更新日期:2013-02-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-004-0747-0
更新日期:2004-05-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050032
更新日期:1996-01-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-019-03304-y
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journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/BF00223096
更新日期:1994-10-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
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更新日期:1990-01-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-004-0762-1
更新日期:2004-10-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章,评审
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更新日期:2014-06-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章,评审
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journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s002560050541
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更新日期:2019-08-01 00:00:00
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journal_title:Skeletal radiology
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更新日期:1994-08-01 00:00:00
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
更新日期:2005-04-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
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更新日期:1995-08-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000213
更新日期:2000-06-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0561-5
更新日期:2002-11-01 00:00:00
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
更新日期:1996-10-01 00:00:00
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
更新日期:1991-01-01 00:00:00
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
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