Abstract:
:The purpose of this study was to retrospectively evaluate long-term success of CT-guided radiofrequency ablation (RFA) in patients with osteoid osteoma (OO) and osteoblastoma (OB) including tumors in critical locations. Eighty-one CT-guided RFA procedures were performed in 77 patients with OO (65 patients) and OB (12) including 6 spinal and 15 intra/periarticular tumors. Procedural techniques included multiple needle positions, three-dimensional access planning, as well as, thermal protection techniques. Long-term success was assessed using a questionnaire including, among others, several VAS (visual analogue scale) scores. All patients completed 3-6 months follow-up, overall response to the questionnaire was 64/77 (83.1%). Primary success rate was 74/77 (96.1%) of all patients. Retreatment with RFA in 3 patients resulted in a secondary success rate of 77/77 (100%). Long-term follow-up (mean, 38.5 months; range, 3-92) revealed a highly significant (p<0.001) reduction of all assessed limitation scores reaching normal or almost normal values. One major complication, a cannula break leading to a secondary short hospital stay, occurred. In conclusion, RFA is a safe and effective long-lasting treatment of OO and OB. Advanced procedural techniques aid treating tumors in critical locations and in the coverage of larger tumors. Besides night pain, RFA also greatly improves other factors negatively affecting the quality of life.
journal_name
Eur J Radioljournal_title
European journal of radiologyauthors
Rehnitz C,Sprengel SD,Lehner B,Ludwig K,Omlor G,Merle C,Kauczor HU,Ewerbeck V,Weber MAdoi
10.1016/j.ejrad.2012.04.037subject
Has Abstractpub_date
2012-11-01 00:00:00pages
3426-34issue
11eissn
0720-048Xissn
1872-7727pii
S0720-048X(12)00273-2journal_volume
81pub_type
临床试验,杂志文章abstract:OBJECTIVE:Radiologists and other clinicians are facing an increasing number of illegal drug-related medical conditions. We aimed to draw attention to this growing global problem and to highlight some of the important points related to diagnosis and follow-up of body packing. We compare the diagnostic performance of une...
journal_title:European journal of radiology
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journal_title:European journal of radiology
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journal_title:European journal of radiology
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doi:10.1016/s0720-048x(97)00032-6
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journal_title:European journal of radiology
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pub_type: 杂志文章
doi:10.1016/j.ejrad.2007.05.021
更新日期:2008-04-01 00:00:00
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journal_title:European journal of radiology
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journal_title:European journal of radiology
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更新日期:2013-12-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章,评审
doi:10.1016/j.ejrad.2005.11.042
更新日期:2006-05-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2008.10.027
更新日期:2010-02-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:
更新日期:1985-08-01 00:00:00
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journal_title:European journal of radiology
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journal_title:European journal of radiology
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:European journal of radiology
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更新日期:2021-01-27 00:00:00
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更新日期:2008-12-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章,评审
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更新日期:2020-05-01 00:00:00