Recurrent osteoid osteoma: interstitial laser ablation under magnetic resonance imaging guidance.
Thermal ablation has become a therapy of choice in the treatment of osteoid osteomas. To date, computed tomography has been the standard imaging modality for minimally invasive treatment regimes. We report a case of a 46-year-old man with a recurrent osteoid osteoma in the right tibial head after CT-guided drill excision and repeat treatment with laser ablation under open high-field MRI guidance. We describe the steps of the interventional MRI procedure and discuss related innovative guidance and monitoring features, and potential benefits of MRI compared with CT-guided techniques. In conclusion, MR-guided laser ablation was proved to be safe and effective.
Streitparth
Florian
F
Department of Radiology, Charité, Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. florian.streitparth@charite.de
Teichgräber
Ulf
U
Walter
Thula
T
Schaser
Klaus Dieter
KD
Gebauer
Bernhard
B
D001859:Bone Neoplasms / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D010017:Osteoma, Osteoid / Q000473:pathology* / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013977:Tibia / Q000473:pathology / Q000601:surgery*