Interventional radiology with laser in bone and joint.
Laser energy is able to ablate, coagulate, and vaporize tissues. Its transmissibility in thin optical fibers makes it an ideal tool for use in percutaneous procedures. This article describes two applications in interventional musculoskeletal radiology. In percutaneous laser disc decompression the laser source is used to vaporize a small portion of the nucleus pulposus. In interstitial laser photocoagulation of osteoid osteoma the laser energy is used to coagulate and destroy the tumor by direct heating.
Gangi
A
A
Department of Radiology, University Hospital of Strasbourg, France. gangi@rad6.u-strasbg.fr
Dietemann
J L
JL
Gasser
B
B
Guth
S
S
de Unamuno
S
S
Fogarrassi
E
E
Fuchs
C
C
Siffert
P
P
Roy
C
C
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D000075202:Contraindications; D019299:Decompression, Surgical / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D017587:Diskectomy, Percutaneous / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D053685:Laser Therapy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010017:Osteoma, Osteoid / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D015641:Radiography, Interventional / Q000295:instrumentation / Q000379:methods*; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed