Image-guided ablation therapy of bone tumors.
A wide range of thermal and cryoablation methods is currently available for the curative eradication or palliative treatment of a variety of bone and soft-tissue tumors. Radiofrequency ablation has been developed as a multipurpose tool for the skeletal system. Cryoablation has the added advantages of direct computed tomography or magnetic resonance visualization and monitoring of treatment outcome with less peri- and postoperative pain. Use of appropriate thermo-sensors and insulation techniques, like carbon dioxide insufflation, results in enhanced safety and efficacy. Ablation of weight-bearing bones has to be supplemented with cement consolidation. The authors present an overview of the current status of percutaneous image-guided ablation therapy of bone and soft-tissue tumors, analyze the merits and limitations of the various systems available, and discuss possible new applications for the future.
Sabharwal
Tarun
T
Department of Interventional Radiology, Guy's and St. Thomas' Hospital, 1st Floor, Lambeth Wing, Lambeth Palace Road, London SE1 7EH, UK Tarun.Sabharwal@gstt.nhs.uk
Katsanos
Konstantinos
K
Buy
Xavier
X
Gangi
Afshin
A
D055011:Ablation Techniques / Q000379:methods*; D001843:Bone Cements / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000601:surgery*; D006801:Humans; D053783:Magnetic Resonance Imaging, Interventional; D010166:Palliative Care; D015641:Radiography, Interventional
D001843:Bone Cements