Prospective pilot study of CT-guided microwave ablation in the treatment of osteoid osteomas
Purpose The aims of this work were to assess the feasibility and efficacy of CT-guided microwave ablation (MWA) in the treatment of osteoid osteomas (OOs). Materials and methods Thirteen consecutive patients (range 11–31 years old) presenting with OO were prospectively included and treated by CT-gui...
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| Veröffentlicht in: | Skeletal radiology 2017-03, Vol.46 (3), p.315-323 |
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| creator | Prud’homme, Clara Nueffer, Jean-Philippe Runge, Michel Dubut, Jonathan Kastler, Bruno Aubry, Sébastien |
| description | Purpose
The aims of this work were to assess the feasibility and efficacy of CT-guided microwave ablation (MWA) in the treatment of osteoid osteomas (OOs).
Materials and methods
Thirteen consecutive patients (range 11–31 years old) presenting with OO were prospectively included and treated by CT-guided MWA. Power and duration of MWA were both recorded. The patient’s pain was assessed using a numeric pain rating scale (NRS), and side effects were recorded during procedures, after 1 day, 7 days and 1 month. The nidus vascularization and the volume of necrosis induced by MWA were assessed using contrast-enhanced MRI. Success was defined as the complete relief of the patient’s pain 1 month after the first procedure, associated with necrosis of the nidus on follow-up MRI.
Results
The success rate was up to 92.3% (12/13). At 1 day, 7 days and 1 month, the median NRSs were respectively 5 [interquartile range (IQR) 2–5], 0 (IQR 0–1) and 0 (IQR 0–0). Side effects observed were one partial and self-resolving lesion of a sensory branch of the radial nerve and two skin burns. The median power of the MWA used was 60 W (IQR 50–60) with a 1.5-min duration (IQR 1–2), leading to MWA-induced necrosis measuring on average 23 × 15 × 16 mm.
Conclusion
CT-guided MWA of OO has a success rate that appears to be almost similar to that of laser or radiofrequency ablation, but care must be taken to prevent nerve or skin lesions. |
| doi_str_mv | 10.1007/s00256-016-2558-5 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_1865252697</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A731035790</galeid><sourcerecordid>A731035790</sourcerecordid><originalsourceid>FETCH-LOGICAL-c406t-3dcca182944c8a821c0fa07b654b7e2f370f85fd580deeae62af39c93ba203863</originalsourceid><addsrcrecordid>eNp1kUtr3DAURkVpaSZJf0A3xdC10yvJengZhj4CgWaR7gJClq-mCmNrKskt-ffV4PQFDVpckM53Jd1DyGsKFxRAvcsATMgWqGyZELoVz8iGdpy1jEr6nGyAy65lvNMn5DTnewCqlJAvyQnTwLRQ3Ybc3aSYD-hK-I7NIexjaXJZxocm-mZ72-6WMOLYTMGl-MNWxA57W0KcmzA35Ss2JaEtE87lGIi5YAzjWiebz8kLb_cZXz3WM_Llw_vb7af2-vPHq-3ldes6kKXlo3OWatZ3ndNWM-rAW1CDFN2gkHmuwGvhR6FhRLQomfW8dz0fLAOuJT8jb9e-hxS_LZiLuY9LmuuVhmopmGCyV3-ond2jCbOPJVk3hezMpeIUuFA9VOriP1RdI9YpxBl9qPv_BOgaqCPKOaE3hxQmmx4MBXPUZFZNpmoyR01G1Mybxwcvw4Tj78QvLxVgK5Dr0bzD9NePnuz6E_iWnDk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1865252697</pqid></control><display><type>article</type><title>Prospective pilot study of CT-guided microwave ablation in the treatment of osteoid osteomas</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Prud’homme, Clara ; Nueffer, Jean-Philippe ; Runge, Michel ; Dubut, Jonathan ; Kastler, Bruno ; Aubry, Sébastien</creator><creatorcontrib>Prud’homme, Clara ; Nueffer, Jean-Philippe ; Runge, Michel ; Dubut, Jonathan ; Kastler, Bruno ; Aubry, Sébastien</creatorcontrib><description>Purpose
The aims of this work were to assess the feasibility and efficacy of CT-guided microwave ablation (MWA) in the treatment of osteoid osteomas (OOs).
Materials and methods
Thirteen consecutive patients (range 11–31 years old) presenting with OO were prospectively included and treated by CT-guided MWA. Power and duration of MWA were both recorded. The patient’s pain was assessed using a numeric pain rating scale (NRS), and side effects were recorded during procedures, after 1 day, 7 days and 1 month. The nidus vascularization and the volume of necrosis induced by MWA were assessed using contrast-enhanced MRI. Success was defined as the complete relief of the patient’s pain 1 month after the first procedure, associated with necrosis of the nidus on follow-up MRI.
Results
The success rate was up to 92.3% (12/13). At 1 day, 7 days and 1 month, the median NRSs were respectively 5 [interquartile range (IQR) 2–5], 0 (IQR 0–1) and 0 (IQR 0–0). Side effects observed were one partial and self-resolving lesion of a sensory branch of the radial nerve and two skin burns. The median power of the MWA used was 60 W (IQR 50–60) with a 1.5-min duration (IQR 1–2), leading to MWA-induced necrosis measuring on average 23 × 15 × 16 mm.
Conclusion
CT-guided MWA of OO has a success rate that appears to be almost similar to that of laser or radiofrequency ablation, but care must be taken to prevent nerve or skin lesions.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-016-2558-5</identifier><identifier>PMID: 28028574</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Ablation (Surgery) ; Adolescent ; Adult ; Bone Neoplasms - diagnostic imaging ; Bone Neoplasms - surgery ; Catheter Ablation - methods ; Child ; Contrast Media ; Diagnostic imaging ; Female ; Humans ; Imaging ; Male ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Microwaves - therapeutic use ; Nuclear Medicine ; Orthopedics ; Osteoma, Osteoid - diagnostic imaging ; Osteoma, Osteoid - surgery ; Pain Measurement ; Pathology ; Pilot Projects ; Prospective Studies ; Radiography, Interventional ; Radiology ; Scientific Article ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Skeletal radiology, 2017-03, Vol.46 (3), p.315-323</ispartof><rights>ISS 2016</rights><rights>COPYRIGHT 2017 Springer</rights><rights>Skeletal Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-3dcca182944c8a821c0fa07b654b7e2f370f85fd580deeae62af39c93ba203863</citedby><cites>FETCH-LOGICAL-c406t-3dcca182944c8a821c0fa07b654b7e2f370f85fd580deeae62af39c93ba203863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-016-2558-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-016-2558-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28028574$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Prud’homme, Clara</creatorcontrib><creatorcontrib>Nueffer, Jean-Philippe</creatorcontrib><creatorcontrib>Runge, Michel</creatorcontrib><creatorcontrib>Dubut, Jonathan</creatorcontrib><creatorcontrib>Kastler, Bruno</creatorcontrib><creatorcontrib>Aubry, Sébastien</creatorcontrib><title>Prospective pilot study of CT-guided microwave ablation in the treatment of osteoid osteomas</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description>Purpose
The aims of this work were to assess the feasibility and efficacy of CT-guided microwave ablation (MWA) in the treatment of osteoid osteomas (OOs).
Materials and methods
Thirteen consecutive patients (range 11–31 years old) presenting with OO were prospectively included and treated by CT-guided MWA. Power and duration of MWA were both recorded. The patient’s pain was assessed using a numeric pain rating scale (NRS), and side effects were recorded during procedures, after 1 day, 7 days and 1 month. The nidus vascularization and the volume of necrosis induced by MWA were assessed using contrast-enhanced MRI. Success was defined as the complete relief of the patient’s pain 1 month after the first procedure, associated with necrosis of the nidus on follow-up MRI.
Results
The success rate was up to 92.3% (12/13). At 1 day, 7 days and 1 month, the median NRSs were respectively 5 [interquartile range (IQR) 2–5], 0 (IQR 0–1) and 0 (IQR 0–0). Side effects observed were one partial and self-resolving lesion of a sensory branch of the radial nerve and two skin burns. The median power of the MWA used was 60 W (IQR 50–60) with a 1.5-min duration (IQR 1–2), leading to MWA-induced necrosis measuring on average 23 × 15 × 16 mm.
Conclusion
CT-guided MWA of OO has a success rate that appears to be almost similar to that of laser or radiofrequency ablation, but care must be taken to prevent nerve or skin lesions.</description><subject>Ablation (Surgery)</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Bone Neoplasms - diagnostic imaging</subject><subject>Bone Neoplasms - surgery</subject><subject>Catheter Ablation - methods</subject><subject>Child</subject><subject>Contrast Media</subject><subject>Diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Microwaves - therapeutic use</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Osteoma, Osteoid - diagnostic imaging</subject><subject>Osteoma, Osteoid - surgery</subject><subject>Pain Measurement</subject><subject>Pathology</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><subject>Radiography, Interventional</subject><subject>Radiology</subject><subject>Scientific Article</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUtr3DAURkVpaSZJf0A3xdC10yvJengZhj4CgWaR7gJClq-mCmNrKskt-ffV4PQFDVpckM53Jd1DyGsKFxRAvcsATMgWqGyZELoVz8iGdpy1jEr6nGyAy65lvNMn5DTnewCqlJAvyQnTwLRQ3Ybc3aSYD-hK-I7NIexjaXJZxocm-mZ72-6WMOLYTMGl-MNWxA57W0KcmzA35Ss2JaEtE87lGIi5YAzjWiebz8kLb_cZXz3WM_Llw_vb7af2-vPHq-3ldes6kKXlo3OWatZ3ndNWM-rAW1CDFN2gkHmuwGvhR6FhRLQomfW8dz0fLAOuJT8jb9e-hxS_LZiLuY9LmuuVhmopmGCyV3-ond2jCbOPJVk3hezMpeIUuFA9VOriP1RdI9YpxBl9qPv_BOgaqCPKOaE3hxQmmx4MBXPUZFZNpmoyR01G1Mybxwcvw4Tj78QvLxVgK5Dr0bzD9NePnuz6E_iWnDk</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Prud’homme, Clara</creator><creator>Nueffer, Jean-Philippe</creator><creator>Runge, Michel</creator><creator>Dubut, Jonathan</creator><creator>Kastler, Bruno</creator><creator>Aubry, Sébastien</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20170301</creationdate><title>Prospective pilot study of CT-guided microwave ablation in the treatment of osteoid osteomas</title><author>Prud’homme, Clara ; Nueffer, Jean-Philippe ; Runge, Michel ; Dubut, Jonathan ; Kastler, Bruno ; Aubry, Sébastien</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-3dcca182944c8a821c0fa07b654b7e2f370f85fd580deeae62af39c93ba203863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Ablation (Surgery)</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Bone Neoplasms - diagnostic imaging</topic><topic>Bone Neoplasms - surgery</topic><topic>Catheter Ablation - methods</topic><topic>Child</topic><topic>Contrast Media</topic><topic>Diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Microwaves - therapeutic use</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Osteoma, Osteoid - diagnostic imaging</topic><topic>Osteoma, Osteoid - surgery</topic><topic>Pain Measurement</topic><topic>Pathology</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><topic>Radiography, Interventional</topic><topic>Radiology</topic><topic>Scientific Article</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Prud’homme, Clara</creatorcontrib><creatorcontrib>Nueffer, Jean-Philippe</creatorcontrib><creatorcontrib>Runge, Michel</creatorcontrib><creatorcontrib>Dubut, Jonathan</creatorcontrib><creatorcontrib>Kastler, Bruno</creatorcontrib><creatorcontrib>Aubry, Sébastien</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection (ProQuest)</collection><collection>Natural Science Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Prud’homme, Clara</au><au>Nueffer, Jean-Philippe</au><au>Runge, Michel</au><au>Dubut, Jonathan</au><au>Kastler, Bruno</au><au>Aubry, Sébastien</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective pilot study of CT-guided microwave ablation in the treatment of osteoid osteomas</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>46</volume><issue>3</issue><spage>315</spage><epage>323</epage><pages>315-323</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><abstract>Purpose
The aims of this work were to assess the feasibility and efficacy of CT-guided microwave ablation (MWA) in the treatment of osteoid osteomas (OOs).
Materials and methods
Thirteen consecutive patients (range 11–31 years old) presenting with OO were prospectively included and treated by CT-guided MWA. Power and duration of MWA were both recorded. The patient’s pain was assessed using a numeric pain rating scale (NRS), and side effects were recorded during procedures, after 1 day, 7 days and 1 month. The nidus vascularization and the volume of necrosis induced by MWA were assessed using contrast-enhanced MRI. Success was defined as the complete relief of the patient’s pain 1 month after the first procedure, associated with necrosis of the nidus on follow-up MRI.
Results
The success rate was up to 92.3% (12/13). At 1 day, 7 days and 1 month, the median NRSs were respectively 5 [interquartile range (IQR) 2–5], 0 (IQR 0–1) and 0 (IQR 0–0). Side effects observed were one partial and self-resolving lesion of a sensory branch of the radial nerve and two skin burns. The median power of the MWA used was 60 W (IQR 50–60) with a 1.5-min duration (IQR 1–2), leading to MWA-induced necrosis measuring on average 23 × 15 × 16 mm.
Conclusion
CT-guided MWA of OO has a success rate that appears to be almost similar to that of laser or radiofrequency ablation, but care must be taken to prevent nerve or skin lesions.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28028574</pmid><doi>10.1007/s00256-016-2558-5</doi><tpages>9</tpages></addata></record> |
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| subjects | Ablation (Surgery) Adolescent Adult Bone Neoplasms - diagnostic imaging Bone Neoplasms - surgery Catheter Ablation - methods Child Contrast Media Diagnostic imaging Female Humans Imaging Male Medical research Medicine Medicine & Public Health Medicine, Experimental Microwaves - therapeutic use Nuclear Medicine Orthopedics Osteoma, Osteoid - diagnostic imaging Osteoma, Osteoid - surgery Pain Measurement Pathology Pilot Projects Prospective Studies Radiography, Interventional Radiology Scientific Article Tomography, X-Ray Computed Treatment Outcome |
| title | Prospective pilot study of CT-guided microwave ablation in the treatment of osteoid osteomas |
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