Thermal ablation of osteoid osteoma: overview and step-by-step guide.
Osteoid osteoma is a small, benign but painful lesion with specific clinical and imaging characteristics. Computed tomography is the imaging modality of choice for visualization of the nidus and for treatment planning. Complete surgical excision of the nidus is curative, providing symptomatic relief, and is the traditionally preferred treatment. However, surgery has disadvantages, including the difficulty of locating the lesion intraoperatively, the need for prolonged hospitalization, and the possibility of postoperative complications ranging from an unsatisfactory cosmetic result to a fracture. Percutaneous radiofrequency (RF) ablation, which involves the use of thermal coagulation to induce necrosis in the lesion, is a minimally invasive alternative to surgical treatment of osteoid osteoma. With reported success rates approaching 90%, RF ablation should be considered among the primary options available for treating this condition.
Motamedi
Daria
D
Department of Imaging, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Learch
Thomas J
TJ
Ishimitsu
David N
DN
Motamedi
Kambiz
K
Katz
Michael D
MD
Brien
Earl W
EW
Menendez
Lawrence
L
D017115:Catheter Ablation / Q000379:methods*; D006801:Humans; D006979:Hyperthermia, Induced / Q000379:methods*; D010017:Osteoma, Osteoid / Q000000981:diagnostic imaging* / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*