Radiofrequency ablation of osteoid osteoma with cooled probes and impedance-control energy delivery.
OBJECTIVE
Our objective was to evaluate the efficacy of percutaneous radiofrequency ablation of osteoid osteoma with cooled radiofrequency probes and impedance control energy delivery from a 200-W generator. We also compared the outcome to published data for therapy with a 5-mm noncooled probe and temperature-controlled short-duration therapy protocols.


METHODS
Radiofrequency ablation was performed on 11 patients with a clinical and radiologic diagnosis of osteoid osteoma. A cooled radiofrequency probe was introduced into the lesion under CT guidance. Twelve minutes of radiofrequency energy was delivered from a 200-W generator under impedance control. Postprocedural pain, function, and satisfaction were evaluated by means of an interview and questionnaire.


RESULTS
All procedures were technically successful. No serious complication occurred. Postoperative pain was scored at a mean of 6.9 +/- 3.06 (95% confidence interval) on a numeric rating scale. Postoperative pain was rated as similar to night pain. By 1 week after therapy, all patients had resolution of pain and returned to normal activity. There was no recurrence during the follow-up period (range, 6-27 months; mean, 14.4 months). Patients rated their satisfaction as high.


CONCLUSIONS
Radiofrequency ablation of osteoid osteoma with a high-energy delivery technique is safe and has a high success rate. When compared with patients in a published series using 5-mm probes and manual energy control from lower-output generators, our cohort showed increased postoperative pain scores and an increased interval to symptom resolution.
Cantwell
Colin P
CP
Department of Radiology, Mater Misericordiae University Hospital, Eccles St., Dublin 7, Ireland. canty@gofree.indigo.ie
O'Byrne
John
J
Eustace
Stephen
S
D000293:Adolescent; D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery*; D017115:Catheter Ablation / Q000295:instrumentation* / Q000379:methods*; D002648:Child; D003080:Cold Temperature; D017097:Electric Impedance; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D010017:Osteoma, Osteoid / Q000601:surgery*