Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2017; 27(01): 88-91
DOI: 10.4103/0971-3026.202955
Interventional Radiology

Radiofrequency ablation of osteoid osteoma in common and technically challenging locations in pediatric population

Shaileshkumar Garge
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Shyamkumar N Keshava
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Vinu Moses
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
George K Chiramel
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Munawwar Ahmed
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Suraj Mammen
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Vrisha Madhuri
Department of Paediatric Orthopedics, Christian Medical College, Vellore, Tamil Nadu, India
› Author Affiliations Financial support and sponsorship Nil.
› Further Information
  PDF Download Permissions and Reprints

Abstract

Context: Percutaneous radiofrequency ablation (RFA) of osteoid osteoma has a high technical and clinical success rate. However, there is limited data on its use in the pediatric population, especially in technically challenging locations. Objective: To assess the safety and efficacy of computed tomography (CT)-guided percutaneous RFA of osteoid osteoma in pediatric population. Patients and Methods: From June 2009 to May 2014, 30 patients with osteoid osteoma were treated with CT-guided RFA in common (25 cases) and technically challenging (five cases: four near articular surface and one in sacrum) locations. Therapy was performed under general anesthesia with a three-array expandable RF probe for 6 min at 90°C and power of 60–100 W. The patients were discharged next day under instruction. The treatment success was evaluated in terms of pain relief before and after (1 day, 1 month, and 6 months) treatment. Results: Technical success was achieved in all patients (100%). Primary clinical success was 96.66% (29 of total 30 patients), despite the pediatric population and atypical location. One patient had persistent pain after 1 month and was treated successfully with a second procedure (secondary success rate was 100%). One patient had immediate complication of weakness of right hand and fingers extension. No delayed complications were observed. Conclusions: CT-guided RFA is relatively safe and highly effective for treatment of osteoid osteoma in pediatric population, even in technically difficult locations.

Keywords

Computed tomography guided - osteoid osteoma - pediatric population - radiofrequency ablation


Publication History

Article published online:
27 July 2021

© 2017. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Kransdorf MJ, Stull MA, Gilkey FW, Moser RP Jr. Osteoid osteoma. Radiographics 1991;11:671-96.
  • 2 Sans N, Galy-Fourcade D, Assoun J, Jarlaud T, Chiavassa H, Bonnevialle P, et al. Osteoid osteoma: CT-guided percutaneous resection and follow-up in 38 patients. Radiology 1999;212:687-92.
  • 3 Voto SJ, Cook AJ, Weiner DS, Ewing JW, Arrington LE. Treatment of osteoid osteoma by computed tomography-guided excision in the pediatric patient. J Pediatr Orthop 1990;10:510-3.
  • 4 Torriani M, Rosenthal D. Percutaneous radiofrequency treatment of osteoid osteoma. Pediatr Radiol 2002;32:615-8.
  • 5 Gangi A, Dietemann JL, Gasser B, Mortazavi R, Brunner P, Mourou MY, et al. Interstitial laser photocoagulation of osteoid osteomas with use of CT guidance. Radiology 1997;203:843-8.
  • 6 Woertler K, Vestring T, Boettner F, Winkelmann W, Heindel W, Lindner N. Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Interv Radiol 2001;12:717-22.
  • 7 Towbin R, Kaye R, Meza MP, Pollock AN, Yaw K, Moreland M. Osteoid osteoma: Percutaneous excision using a CT-guided coaxial technique. AJR 1995;164:945-9.
  • 8 Assoun J, Railhac J, Bonnevialle P, Poey C, Salles de Gauzy J, Baunin C, et al. Osteoid osteoma: Percutaneous resection with CT-guidance. Radiology 1993;188:541-7.
  • 9 Rosenthal D, Alexander A, Rosenberg AE, Springfield D. Ablation of osteoid osteomas with a percutaneously placed electrode: A new procedure. Radiology 1992;183:29-33.
  • 10 Rosenthal DI, Hornicek FJ, Torriani M, Gebhardt MC, Mankin HJ. Osteoid osteoma: Percutaneous treatment with radiofrequency energy. Radiology 2003;229:171-5.
  • 11 Rimondi E, Bianchi G, Malaguti MC, Ciminari R, Del Baldo A, Mercuri M, et al. Radiofrequency thermoablation of primary non-spinal osteoid osteoma: Optimization of the procedure. Eur Radiol 2005;15:1393-9.
  • 12 Vanderschueren GM, Taminiau AH, Obermann WR, Bloem JL. Osteoid osteoma: Clinical results with thermocoagulation. Radiology 2002;224:82-6.
  • 13 Lindner NJ, Ozaki T, Roedl R, Gosheger G, Winkelmann W, Wörtler K. Percutaneous radiofrequency ablation in osteoid osteoma. J Bone Joint Surg Br 2001;83:391-6.
  • 14 Gebauer B, Tunn PU, Gaffke G, Melcher I, Felix R, Stroszczynski C. Osteoid osteoma: Experience with laser- and radiofrequency-induced ablation. Cardiovasc Intervent Radiol 2006;29:210-5.
  • 15 Kjar RA, Powell GJ, Schilcht SM, Smith PJ, Slavin J, Choong PF. Percutaneous radiofrequency ablation for osteoid osteoma: Experience with a new treatment. Med J Aust 2006;184:563-5.
  • 16 Martel J, Bueno A, Ortiz E. Percutaneous radiofrequency treatment of osteoid osteoma using cool-tip electrodes. Eur J Radiol 2005;56:403-8.
  • 17 Mastrantuono D, Martorano D, Verna V, Mancini A, Faletti C. Osteoid osteoma: Our experience using radio-frequency (RF) treatment. Radiol Med 2005;109:220-8.
  • 18 Ismat G. The management of osteoid osteoma: Updates and controversies. Curr Opin Pediatr 2006;18:36-41.
  • 19 Donkol RH, Al-Nammi A, Moghazi K. Efficacy of percutaneous radiofrequency ablation of osteoid osteoma in children. Pediatr Radiol 2008;38:180-5.
  • 20 Vanderschueren GM, Taminiau AH, Obermann WR. Osteoid osteoma: Factors for increased risk of unsuccessful thermal coagulation. Radiology 2004;233:757-62.
  • 21 Bosschaert PP, Deprez FC. Acetabular osteoid osteoma treated by percutaneous radiofrequency ablation: Delayed articular cartilage damage. JBR-BTR Organe Société R Belge Radiol SRBR Orgaan Van K Belg Ver Voor Radiol KBVR. 2010;93:204-6.
  • 22 Papagelopoulos PJ, Mavrogenis AF, Kyriakopoulos CK, Benetos IS, Kelekis NL, Andreou J, et al. Radiofrequency ablation of intra-articular osteoid osteoma of the hip. J Int Med Res. 2006;34:537-44.
  • 23 Fenichel I, Garniack A, Morag B, Palti R, Salai M. Percutaneous CT-guided curettage of osteoid osteoma with histological confirmation: A retrospective study and review of the literature. Int Orthop 2006;30:139-42.