Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Das Thema chronische Unterbauch- und Viszeralschmerzen wird im Live-Webinar am 7. Mai von 17.30 bis 19 Uhr aus internistischer, gynäkologischer und psychologisch-neurowissenschaftlicher Perspektive beleuchtet. Besprochen werden krankheitsbedingte Ursachen, Mechanismen der kognitiven Schmerzmodulation sowie mögliche Therapieoptionen. Die Fortbildung ist mit 2 CME-Punkten zertifiziert. Melden Sie sich jetzt an!
Erweiterte Suche
Anmelden
nach oben
European Radiology
Erschienen in: European Radiology 4/2004

01.04.2004 | Musculoskeletal

Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation

verfasst von: Colin P. Cantwell, John Obyrne, Stephen Eustace

Erschienen in: European Radiology | Ausgabe 4/2004

Einloggen, um Zugang zu erhalten

Abstract

This article reviews current trends in the treatment of osteoid osteoma with an emphasis on the evolving use of radiofrequency thermoablation as a primary definitive treatment and for recurrent and residual lesions. In so doing, the article reviews merits and relative disadvantages of both surgical and non-surgical imaging-guided techniques in treatment. Radiofrequency ablation of osteoid osteoma is a highly effective, efficient, minimally invasive and safe method of treating osteoid osteoma. Clinical success range from 76 to 100%. Surgery remains the standard treatment in cases where histology of the lesion is in doubt, neurovascular structures are within 1.5 cm or in repeated failure of any other minimally invasive ablative technique or percutaneous resection. Clinical success of surgery ranges from 88 to 100%. Laser interstitial thermal therapy shares many of the advantages and much of the success of radiofrequency thermoablation but has not been as available. Clinical success ranges from 87 to 100%. Cryotherapy, ethanol therapy and imaging-guided excision remain second-line therapies. Clinical success ranges from 77 to 100% for imaging-guided resection and 100% for ethanol therapy.
Literatur
1.
Unni KK (1996) Dahlin’s bone tumours: general aspects and data on 11,087 Cases. Lippincott-Raven, Philadelphia, vol 9, pp 121–130; vol 10, pp 131–142
2.
Yildiz Y, Bayrakci K, Altay M, Saglik Y (2001) Osteoid osteoma: the results of surgical treatment. Int Orthop 25:119–122CrossRefPubMed
3.
Pieterse AS, Vernon-Roberts B, Paterson DC, Cornish BL, Lewis PR (1983) Osteoid osteoma transforming to aggressive (low-grade malignant) osteoblastoma: a case report and literature review. Histopathology 7:789–800PubMed
4.
Barei DP, Moreau G, Scarborough MT, Neel MD (2000) Percutaneous radiofrequency ablation of osteoid osteoma. Clin Orthop 373:115–124PubMed
5.
Wortler K, Vestring T, Boettner F, Winkelmann W, Heindel W, Lindner N (2001) Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Intervent Radiol 12:717–722
6.
Assoun J, Richardi G, Railhac JJ, Baunin C, Fajadet P, Giron J, Maquin P, Haddad J, Bonnevialle P (1994) Osteoid osteoma: MR imaging versus CT. Radiology 191:217–223PubMed
7.
Davies M, Cassar-Pullicino VN, Davis AM, McCall IW, Tyrrell PNM (2002) The diagnostic accuracy of MR imaging in osteoid osteoma. Skeletal Radiol 31:559–569CrossRefPubMed
8.
9.
Osti OL, Sebben R (1998) High-frequency radio-wave ablation of osteoid osteoma in the lumbar spine. Eur Spine J 7:422–425CrossRefPubMed
10.
Houpt TC (1996) Experimental study of temperature distributions and thermal transport during radiofrequency current therapy of the intervertebral disc. Spine 21:1808CrossRefPubMed
11.
Dupuy DE, Hong R, Oliver B, Goldberg SN (2001) Radiofrequency ablation of spinal tumors: temperature distribution in the spinal canal. AJR 175:1263–1266
12.
Iceton J, Rang M (1986) An osteoid osteoma in an open femoral epiphysis. Clin Orthop 206:162–165PubMed
13.
Doyle T, King K (1989) Percutaneous removal of osteoid osteomas using CT control. Clin Radiol 40:514–517PubMed
14.
Rosenthal DI, Alexander A, Rosenberg AE, Sprongfield D (1992) Ablation of osteoid osteomas with percutaneously placed electrode: a new procedure. Radiology 183:29–33PubMed
15.
Tillotson CL, Rosenberg AE, Rosenthal DI (1989) Controlled thermal injury of bone: report of a percutaneous technique using radiofrequency electrode and generator. Invest Radiol 24:888–892PubMed
16.
Lundskog J (1972). Heat and bone tissue. Scand J Plast Reconstr Surg 9:1–80
17.
Goldberg SN, Gazelle GS, Solbiati L, Rittman WJ, Mueller PR (1996) Radiofrequency tissue ablation: increased lesion diameter with a perfusion electrode. Acad Radiol 3:636–644PubMed
18.
Aschoff AJ, Merkle EM, Emancipator SN, Petersilage CA, Duerk JL, Lewin JS (2002) Femur: MR imaging-guided radiofrequency ablation in a porcine model—feasibility study. Radiology 225:471–478PubMed
19.
Vanderschueren GM, Taminiau AHM, Obermann WR, Bloem JL (2002) Osteoid osteoma: clinical results with thermocoagulation. Radiology 224:82–86PubMed
20.
Lindner NJ, Ozaki T, Roedl R, Gosheger G, Winkelmann W, Wortler K (2001) Percutaneous radiofrequency ablation in osteoid osteoma. J Bone Joint Surg [Br] 83B:391–396
21.
Rosenthal DI (1997) Percutaneous radiofrequency treatment of osteoid osteomas. Semin Musculoskelet Radiol 1:265–272PubMed
22.
Rosenthal DI, Springfield DS, Gerbhardt MC, Rosenberg AE, Mankin HJ (1995) Osteoid osteoma: percutaneous radio-frequency ablation. Radiology 197:451–454PubMed
23.
de Berg JC, Pattynama PMT, Obermann WR, Bode PJ, Vielvoye GJ, Taminiau AHM (1995) Percutaneous computed tomography-guided thermocoagulation for osteoid osteomas. Lancet 346:350–351PubMed
24.
Jackson RP, Reckling FW, Mantz FA (1977) Osteoid osteoma and osteoblastoma: similar histologic lesions with different natural histories. Clin Orthop 128:303–313PubMed
25.
Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings LC, Gerbhardt MC, Mankin HJ (1999) Decreasing length of hospital stay in treatment of osteoid osteoma. Clin Orthop 361:186–191CrossRefPubMed
26.
Ghelman B, Thompson FM, Arnold WD (1981) Intraoperative radioactive localization of osteoid osteoma. J Bone Joint Surg 63A:826–827
27.
Magre GR, Menendez LR (1996) Pre-operative CT localisation and marking of osteoid osteoma: description of a new technique. J Comput Assist Tomogr 20:526–529
28.
O’Brien TM, Murray TE, Malone LA, Dervan P, Walsh M, McManus F, Ennis JT (1984) Osteoid osteoma: excision with scintimetric guidance. Radiology 153:543–544PubMed
29.
Ward WG, Eckardt JJ, Shayestehfar S, Miarra J, Grogan T, Oppenheim W (1993) Osteoid osteoma diagnosis and management with low morbidity. Clin Orthop 291:229–235PubMed
30.
Campanacci M, Ruggieri P, Gasbarrini A, Ferraro A, Campanacci L (1999) Osteoid osteoma: direct visual identification and intralesional excision of the nidus with minimal removal of bone. J Bone Joint Surg 81B:814–820CrossRef
31.
Sim FH, Dahlin DC, Beabout JW (1975) Osteoid osteoma: diagnosis problems. J Bone Joint Surg [Am] 57:154–159
32.
Sluga M, Windhager R, Pfeiffer M, Dominkus M, Kotz R (2002) Peripheral osteoid osteoma: Is there still a place for traditional surgery? J Bone Joint Surg [Br] 84B:249–251
33.
Sans N, Galy-Fourcade D, Assoun J, Jarlaud T, Chiavassa H, Bonnevialle P, Railhac N, Giron J, Morera-Maupome H, Railhac JJ (1999) Osteoid osteoma: CT-guided percutaneous resection and follow-up in 38 patients. Radiology 212:687–692PubMed
34.
Parlier-Cuau C, Champsaur P, Nizard R, Hamze B, Laredo JD (1998) Percutaneous removal of osteoid osteoma. Radiol Clin North Am 36:559–566
35.
Parlier-Cuau C, Nizard R, Champsaur P, Hamze B, Laredo JD (1997) Percutaneous resection of osteoid osteoma. Semin Musculoskelet Radiol 1:257–264PubMed
36.
Roger B, Bellin MF, Wioland M, Grenier P (1996) Osteoid osteoma: CT-guided percutaneous excision confirmed with immediate follow-up scintigraphy in 16 outpatients. Radiology 201:239–242PubMed
37.
Towbin R, Kaye R, Meza MP, Pollack AN, Yaw K, Moreland M (1995) Osteoid osteoma: percutaneous excision using CT-guided co-axial technique. AJR 164:945–949
38.
Musculo L, Velan O, Acero G et al. (1995) Osteoid osteoma of the hip: percutaneous resection guided by computed tomography. Clin Orthop 310:170PubMed
39.
Kohler R, Rubini J, Postec F, Canterino I, Archimbaud F (1995) Treatment of osteoid osteoma by CT-controlled percutaneous drill resection: apropos of 27 cases. Rev Chir Orthop Reparatrice Appar Mot 81:317–325PubMed
40.
Graham HK, Laverick M, Cosgrove A, Crone M (1993) Minimally invasive surgery for osteoid osteoma of the proximal femur. J Bone Joint Surg [Br] 75:115
41.
Assoun J, Railhac JJ, Bonnevialle P, Poey C, Salles de Gauzy J, Baunin C, Cahuzac JP, Clement JL, Coustets B, Railhac N (1993) Osteoid osteoma: percutaneous resection with CT guidance. Radiology 188:541–547PubMed
42.
Mazoyer JF, Kohler R, Bossard D (1991) Osteoid osteoma: CT-guided percutaneous treatment. Radiology 181:269–271PubMed
43.
Voto S, Cook A, Wriner D et al. (1990) Treatment of osteoid osteoma by computer tomography-guided excision in the pediatric patient. J Pediatr Orthop 10:510–513PubMed
44.
Duda SH, Schnatterbeck P, Harer T, Giehl J, Bohm P, Claussen CD (1997) Treatment of osteoid osteoma with CT-guided drilling and ethanol instillation. Dtsch Med Wochenschr 122:507–510PubMed
45.
Adam G, Neuerburg J, Vorwerk D, Forst J, Gunther RW (1997) Percutaneous treatment of osteoid osteomas: combination of drill biopsy and subsequent ethanol injection. Semin Muskuloskelet Radiol 1:281–284
46.
Sanhaji L, Gharbaoui IS, Hassani RE, Chakir N, Jiddane M, Boukhrissi N (1996) A new treatment of osteoid osteoma: percutaneous sclerosis with ethanol under scanner guidance. J Radiol 77:37–40PubMed
47.
Adam G, Keulers P, Vorwerk D, Heller KD, Fuzesi L, Gunther RW (1995) The percutaneous CT-guided treatment of osteoid osteomas: a combined procedure with a biopsy drill and subsequent ethanol injection. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 162:232–235PubMed
48.
Gangi A, Gasser B, Unamuno S de et al. (1997) New trends in interstitial laser photocoagulation of bones. Semin Muskulokelet Radiol 1:331–337
49.
Witt JD, Hall-Craggs A, Ripley P, Cobb JP, Bown SG (2000) Interstitial laser photocoagulation for the treatment of osteoid osteoma. J Bone Joint Surg [BR] 82B:1125–1128
50.
Gangi A, Dietemann JL, Gasser B, Guth S, Unamuno S de, Forgarrassi E, Fuchs C, Siffert P, Roy C (1998) Interventional radiology with laser in bone and joint. Radiol Clin North Am 36:547–557PubMed
51.
Gangi A, Dietemann JL, Gasser B, Mortazavi R, Brunner P, Mourou M, Dosch JC, Durckel J, Marescaux J, Roy C (1997) Interstitial laser photocoagulation of osteoid osteomas with use of CT guidance. Radiology 203:843–848PubMed
52.
Gangi A, Dietemann JL, Guth S, Vinclair L, Sibilia J, Mortazavi R, Steib JP, Roy C (1998) Percutaneous laser photocoagulation of spinal osteoid osteoma under CT guidance. Am J Neuroradiol 19:1955–1958PubMed
53.
Gangi A, Dietmann JL, Clavert JM, Dodelin A, Mortazavi R, Durckel J, Roy C (1998) Treatment of osteoid osteoma using laser photocoagulation: apropos of 28 cases. Rev Chir Orthop Reparatrice Appar Mot 84:676–684PubMed
54.
Skjeldal S, Lilleas F, Folleras G, Stenwig AE, Samset E, Tillung T, Fosse E (2000) Real-time MRI-guided excision and cryo-treatment of osteoid osteoma in os ischii: a case report. Acta Orthop Scand 71:637–638CrossRefPubMed
55.
Norman A (1978) Persistence or recurrence of pain: a sign of surgical failure in osteoid osteoma. Clin Orthop 130:263–266PubMed
56.
Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings CJ, Gerbhardt MC, Mankin HJ (1998) Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg 80:815–821PubMed
Metadaten
Titel
Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation
verfasst von
Colin P. Cantwell
John Obyrne
Stephen Eustace
Publikationsdatum
01.04.2004
Verlag
Springer-Verlag
Erschienen in
European Radiology / Ausgabe 4/2004
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-003-2171-6

Weitere Artikel der Ausgabe 4/2004

European Radiology 4/2004 Zur Ausgabe

Calendar of Events

April 2004

Urogenital

Methods for volume assessment of prostate cancer

Hepatobiliary–Pancreas

Intrahepatic porto-hepatic venous shunts in Rendu-Osler-Weber disease: imaging demonstration

Letter to the Editor

Cerebral vasculitis due to Treponema pallidum infection: MRI and MRA findings

Hepatobiliary–Pancreas

The role of interventional radiology in biliary complications after orthotopic liver transplantation: a single-center experience

Neuro

Blurring of the vessels of the interhemispheric fissure in multislice CT angiography: a sign of meningeal carcinomatosis

Neu im Fachgebiet Radiologie

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise