TY - JOUR
TI - Computed tomography guided radiofrequency ablation of osteoid osteoma in
children: a single center's experience
AU - Filippiadis, Dimitrios
AU - Stefanou, Danai
AU - Mazioti, Argyro
AU - Foti,
AU - Louiza
AU - Tsochatzis, Athanasios
AU - Kelekis, Nikolaos
AU - Kelekis,
AU - Alexis
JO - Skeletal Radiology
PY - 2022
VL - 51
TODO - 4
SP - 855-861
PB - Springer-Verlag
SN - 0364-2348, 1432-2161
TODO - 10.1007/s00256-021-03904-7
TODO - Osteoma; osteoid; Bone neoplasms; Child; Radiofrequency ablation; pain;
Biopsy; Tomography; X-ray computed
TODO - Objective To report a single center's experience evaluating the efficacy
and safety of computed tomography-guided radiofrequency ablation for the
treatment of osteoid osteoma in children. Materials and methods
Institutional database research identified 33 symptomatic patients (<=
18 years of age; male/female ratio: 21/12, mean age 13.09 +/- 3.66) with
osteoid osteoma who were treated by CT-guided RFA. Technical and
clinical success as well as complication rates were recorded. The
duration of the procedure, the number of computed tomography scans and
the results of the biopsy were assessed. Pain, prior, the following
morning and 1 week, 1/6/12 months after the procedure were compared by
means of a numeric visual scale (NVS) questionnaire. Results Mean lesion
size was 8.28 +/- 4.24 mm. Mean follow-up was 23.33 +/- 17.61 months
(range 12-62). Mean pain score prior to radiofrequency ablation was 9.06
+/- 0.80 NVS units. On week 1 and 1/6/12 months, all patients were
pain-free reporting 0 NVS units (p < 0.05). The mean procedure time was
54 min (range 51-59) and a mean of 7 CT scans were performed during the
ablation session. RF electrode was successfully placed in the center of
the nidus in all cases. In our study, none of our patient experienced
recurrence of the pain, nor complications. Conclusion The present study
demonstrates that percutaneous CT-guided radiofrequency ablation
constitutes a safe and effective technique for osteoid osteoma treatment
in children.
ER -