RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-2004-828943
Pediatric Applications of Radiofrequency Ablation
Publikationsverlauf
Publikationsdatum:
20. Juli 2004 (online)
ABSTRACT
Radiofrequency (RF) ablation is an established practice for the treatment of pediatric osteoid osteoma, and for the ablation of the accessory conduction pathways that cause cardiac arrhythmia in children. The RF tumor ablation literature is mushrooming with studies that apply to adults, but it is non-existent in pediatric oncology. However, a percutaneously placed radiofrequency probe can ablate the primary and metastatic tumors of the liver, lung, bone, soft tissue, kidney, and other structures in children. This is an alternative treatment for the local control of tumors that may not be amenable to surgery, chemotherapy, or radiotherapy. RF ablation has advantages over surgery by potentially causing less tissue loss. This is especially true for lesions that are deeply seated. Chemotherapy is limited by regional vascular access and high interstitial pressures in the tumor, which can make diffusion of the chemotherapy to parts of the mass difficult or impossible. Radiotherapy is impacted by the oxygenation of the tumor; areas of the tumor that are hypoxic do not respond as favorably to radiotherapy. RF ablation and other thermal ablation techniques can overcome the problems of these other local control techniques and potentially can completely ablate the tumor.
KEYWORDS
Radiofrequency (RF) ablation - interventional procedures - osteoid osteoma - neoplasms - therapy
REFERENCES
- 1 Hardaway B W, Hoffer F A, Rao B N. Needle localization of small pediatric tumors for surgical biopsy. Pediatr Radiol . 2000; 30 318-322
- 2 Silverman S G, Tuncali K, Adams D F, Nawfel R D, Zou K H, Judy P F. CT fluoroscopy-guided abdominal interventions: techniques, results, and radiation exposure. Radiology . 1999; 212 673-681
- 3 Cioni D, Lencioni R, Bartolozzi C. Percutaneous ablation of liver malignancies: imaging evaluation of treatment response. Eur J Ultrasound . 2001; 13 73-93
- 4 Huppert P E, Trubenbach J, Schick F, Pereira P, Konig C, Claussen C D. MRI-guided percutaneous radiofrequency ablation of hepatic neoplasms-first technical and clinical experiences. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr . 2000; 172 692-700
- 5 Torriani M, Rosenthal D I. Percutaneous radiofrequency treatment of osteoid osteoma. Pediatr Radiol . 2002; 32 615-618
- 6 Rosenthal D I, Hornicek F J, Wolff M W, Jennings L C, Gebhardt M C, Mankin H J. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg . 1998; 80 815-821
- 7 Roger B, Bellin M F, Wioland M, Grenier P. Osteoid osteoma: CT-guided percutaneous excision confirmed with immediate follow-up scintigraphy in 16 outpatients. Radiology . 1996; 201 239-242
- 8 Towbin R, Hurh P, Kaye R, Cahill A M, Dormans J. CT-guided resection of osteoid osteoma: the technique of choice. Pediatr Radiol . 2003; 33 S28
- 9 Rosenthal D I. Percutaneous radiofrequency treatment of osteoid osteomas. Semin Musculoskelet Radiol . 1997; 1 265-272
- 10 Pinto C H, Taminiau A HM, Vanderschueren G M, Hogendoorn P CW, Bloem J L, Obermann W R. Technical considerations in CT-guided radiofrequency thermal ablation of osteoid osteoma: tricks of the trade. AJR Am J Roentgenol . 2002; 179 1633-1642
- 11 Rosenthal D I, Marota J J, Hornicek F J. Osteoid osteoma: elevation of cardiac and respiratory rates at biopsy needle entry into tumor in 10 patients. Radiology . 2003; 226 125-128
- 12 Dupuy D E, Hong R J, Oliver B, Goldberg S N. Radiofrequency ablation of spinal tumors: temperature distribution within the spinal canal. AJR Am J Roentgenol . 2000; 175 1263-1266
- 13 Livraghi T, Solbiati L, Meloni M F, Gazelle G S, Halpern E F, Goldberg S N. Treatment of focal liver tumors with percutaneous radio-frequency ablation: complications encountered in a multicenter study. Radiology . 2003; 226 441-451
- 14 Dupuy D E, Goldberg S N. Imaging-guided radiofrequency tumor ablation: challenges and opportunities-part II. J Vasc Interv Radiol . 2001; 12 1135-1148
- 15 Gillams A R, Lees W R. Radiofrequency ablation of neuroendocrine metastases. Radiology . 2001; 221(P) 627
- 16 Shankar S, VanSonnenberg E, Silverman S G. et al . Impact of treatment of large and multiple hepatic lesions by percutaneous RF. Radiology . 2001; 221(P) 626
- 17 Rhim H, Choi J, Kim Y, Koh B H, Cho O K, Seo H S. Radiofrequency ablation of hepatic tumors: post-ablation syndrome. J Vasc Interv Radiol . 2000; 11(Suppl) 271-272
- 18 Keltner J R, Donegan E, Hynson J M, Shapiro W A. Acute renal failure after radiofrequency liver ablation of metastatic carcinoid tumor. Anesth Analg . 2001; 93 587-589
- 19 Dupuy D E, Zagoria R J, Akerley W, Mayo-Smith W W, Kavanagh P V, Safran H. Radiofrequency ablation of malignancies in the lung. AJR Am J Roentgenol . 2000; 174 57-59
- 20 Sewell Jr E P, Vance R B, Wang Y D. Assessing radiofrequency ablation of non-small cell lung cancer with positron emission tomography (PET). Radiology . 2000; 217(P) 334
- 21 Lee J M, Jin K, Kim C, Lee Y. Percutaneous radiofrequency ablation for inoperable lung malignancies: a preliminary report. Radiology . 2001; 221(P) 414-315
- 22 Rose S C, Fotoohi M, Levin D L, Harrell J H. Cerebral microembolization during radiofrequency ablation of lung malignancies. J Vasc Interv Radiol . 2002; 13 1051-1054
- 23 Marina N M, Pratt C B, Rao B N, Shema S J, Meyer W H. Improved prognosis of children with osteosarcoma metastatic to the lung(s) at the time of diagnosis. Cancer . 1992; 70 2722-2727
- 24 McCarville M B, Kaste S C, Cain A M, Goloubeva O, Rao B N, Pratt C B. Prognostic factors and imaging patterns of recurrent pulmonary nodules after thoracotomy in children with osteosarcoma. Cancer . 2001; 91 1170-1176
- 25 Dupuy D E, Safran H, Mayo-Smith W W, Goldberg S N. Percutaneous radiofrequency ablation of osseous metastatic disease. Radiology . 1998; 202(suppl) 146
- 26 Schaefer O, Lohrmann C, Herling M, Uhrmeister P, Langer M. Combined radiofrequency thermal ablation and percutaneous cementoplasty treatment of a pathologic fracture. J Vasc Interv Radiol . 2002; 13 1047-1050
- 27 Skapek S X, Hawk B J, Hoffer F A. et al . Combination chemotherapy using vinblastine and methotrexate for the treatment of desmoid tumor in children. J Clin Oncol . 1998; 16 3021-3027
- 28 Oohata Y, Mibu R, Uehara S. et al . Regression of an aggressive abdominal desmoid tumor in a patient with familial adenomatous polyposis by hyperthermoradiotherapy. Am J Gastroenterol . 1997; 92 156-158
- 29 Clark T WI. Percutaneous chemical ablation of desmoid tumors. J Vasc Interv Radiol . 2003; 14 629-633
- 30 Gervais D A, McGovern F J, Wood B J, Goldberg S N, McDougal W S, Mueller P R. Radiofrequency ablation of renal cell carcinoma: early clinical experience. Radiology . 2000; 217 665-672
- 31 Dupuy D E, Mayo-Smith W W, Cronan J J. Imaging-guided biopsy and radiofrequency ablation of renal masses. Semin Interv Radiol . 2000; 17 373-379
- 32 Wood B J, Abraham J, Levy E B, Chang R, Spies J B, Fojo A. Radiofrequency ablation of adrenal tumors and adrenocortical carcinoma metastases: early experience. J Vasc Interv Radiol . 2000; 11(suppl) 224-225