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Semin Musculoskelet Radiol 2016; 20(05): 472-485
DOI: 10.1055/s-0036-1594281
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Percutaneous Ablation in Painful Bone Tumors

Anderanik Tomasian
1   Department of Radiology, Musculoskeletal Division, University of Southern California, Los Angeles, California
,
Adam N. Wallace
2   Mallinckrodt Institute of Radiology, Neuroradiology Section, Washington University School of Medicine, Saint Louis, Missouri
,
Travis J. Hillen
3   Mallinckrodt Institute of Radiology, Musculoskeletal Section, Washington University School of Medicine, Saint Louis, Missouri
,
Jack W. Jennings
3   Mallinckrodt Institute of Radiology, Musculoskeletal Section, Washington University School of Medicine, Saint Louis, Missouri
› Author Affiliations
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Publication History

Publication Date:
21 December 2016 (online)

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Abstract

Percutaneous image-guided ablation has been shown to be safe and effective for the treatment of benign osseous lesions and has evolved into the treatment of metastatic lesions for both pain palliation and local tumor control. Ablation is increasingly becoming part of the treatment algorithm of painful bone lesions, requiring multidisciplinary input from radiation, surgical, and medical oncologists. Substantial pain reduction is often possible in those who have failed to benefit from conventional therapies such as systemic and radiation therapy. This review details the basics of bone ablation including indications, treatment algorithms, ablation modalities, role of imaging, thermo-protective techniques, and the emerging use for local tumor control in patients with oligometastatic disease.

Keywords

ablation - metastasis - radiofrequency ablation - cryoablation - microwave ablation - laser photocoagulation - magnetic resonance imaging-guided high-intensity focused ultrasound ablation
 

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