Percutaneous Radiofrequency Ablation of Osteoid Osteomas with Use of Real-Time Needle Guidance for Accurate Needle Placement: A Pilot Study

Journal Article · Tue Feb 15 00:00:00 EST 2011 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-010-9950-7· OSTI ID:21608812

Busser, Wendy M. H.,; Hoogeveen, Yvonne L ^[1]; Veth, Rene P. H.; Schreuder, H W. Bart ^[2]; Balguid, Angelique ^[3]; Renema, W KlaasJan; SchultzeKool, Leo J ^[1]

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1. Radboud University Nijmegen Medical Centre, Department of Radiology (Netherlands)
2. Radboud University Nijmegen Medical Centre, Department of Orthopedic Surgery (Netherlands)
3. Philips Healthcare (Netherlands)

Purpose: To evaluate the accuracy and technical success of positioning a radiofrequency ablation (RFA) electrode in osteoid osteomas by use of a new real-time needle guidance technology combining cone-beam computed tomography (CT) and fluoroscopy. Materials and Methods: Percutaneous RFA of osteoid osteomas was performed in five patients (median age 18 years), under general anesthesia, with the use of cone-beam CT and fluoroscopic guidance for electrode positioning. The outcome parameters were technical success, meaning correct needle placement in the nidus; accuracy defined as the deviation (in mm) from the center of the nidus; and clinical outcome at follow-up. Results: In all five cases, positioning was possible within 3 mm of the determined target location (median nidus size 6.8 mm; range 5-10.2 mm). All procedures were technically successful. All patients were free of pain at clinical follow-up. No complications were observed. Conclusion: Real-time fluoroscopy needle guidance based on cone-beam CT is a useful tool to accurately position radiofrequency needles for minimally invasive treatment of osteoid osteomas.

• OSTI ID: 21608812
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 34, Issue 1; Conference: BSIR 2010: Annual meeting of the British Society of Interventional Radiology, Liverpool (United Kingdom), 3-5 Nov 2010; Other Information: DOI: 10.1007/s00270-010-9950-7; Copyright (c) 2011 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2010 The Author(s); Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ABLATION
ACCURACY
ANESTHESIA
COMPUTERIZED TOMOGRAPHY
FLUOROSCOPY
MATERIALS
PAIN
PATIENTS
RADIOWAVE RADIATION
BIOMEDICAL RADIOGRAPHY
DIAGNOSTIC TECHNIQUES
ELECTROMAGNETIC RADIATION
MEDICINE
NUCLEAR MEDICINE
RADIATIONS
RADIOLOGY
SYMPTOMS
TOMOGRAPHY