Evaluation of accuracy and precision of CT-guidance in Radiofrequency Ablation for osteoid osteoma in 86 patients

Autor: Paul C Jutte, H. Nijland, Sjoerd K. Bulstra, J. G. Gerbers, Jelle Overbosch, Martin Stevens
Přispěvatelé: Public Health Research (PHR), Restoring Organ Function by Means of Regenerative Medicine (REGENERATE), Man, Biomaterials and Microbes (MBM), ​Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE)
Rok vydání: 2017
Předmět:
Male
Cardiovascular Procedures
Radiofrequency ablation
medicine.medical_treatment
Cancer Treatment
lcsh:Medicine
030218 nuclear medicine & medical imaging
law.invention
0302 clinical medicine
law
Medicine and Health Sciences
Medicine
Femur
lcsh:Science
Musculoskeletal System
education.field_of_study
Multidisciplinary
Ablation
Surgical Oncology
Oncology
Catheter Ablation
Female
Radiology
Anatomy
Research Article
Clinical Oncology
Adult
Osteoid osteoma
medicine.medical_specialty
Accuracy and precision
Adolescent
Osteoma
Osteoid
Population
Surgical and Invasive Medical Procedures
Catheter ablation
Minimally Invasive Surgery
Young Adult
03 medical and health sciences
Journal Article
Humans
Tibia
Benign Tumors
education
Skeleton
Radiofrequency Ablation
business.industry
lcsh:R
Biology and Life Sciences
Cancers and Neoplasms
Reproducibility of Results
medicine.disease
Surgery
Fibula
lcsh:Q
Clinical Medicine
Tomography
X-Ray Computed
business
030217 neurology & neurosurgery
Zdroj: PLoS ONE, 12(4):e0169171. PUBLIC LIBRARY SCIENCE
PLoS ONE
PLoS ONE, Vol 12, Iss 4, p e0169171 (2017)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0169171
Popis: BACKGROUND AND PURPOSE: Osteoid osteoma is a benign skeletal tumour that accounts for 2-3% of all bone tumours. The male-to-female ratio is around 4:1 and it predominates in children and young adults. The most common symptom is pain, frequently at night-time. Historically the main form of treatment has been surgical excision. With the development of Radiofrequency Ablation (RFA) there is a percutaneus alternative. Success rates of RFA are lower but the main advantage is the minimal invasive character of the therapy and the low complication rate. As a result of the minimal invasiveness the hospitalization- and rehabilitation periods are relatively short. However, in current literature no values for accuracy and precision are known for the CT-guided positioning.METHODS: Accuracy and precision of the needle position are determined for 86 procedures. Furthermore the population is divided into groups based on tumour diameter, location and procedure outcome.RESULTS: The clinical success rate was 81.4%. In 79% of procedures complete ablation was achieved. Accuracy was 2.84 mm on average, precision was 2.94 mm. Accuracy was significantly lower in more profound lesions. Accuracy in tibia and fibula was significantly higher compared to the femur. No significant difference was found between different tumour diameters.INTERPRETATION: The accuracy and precision found are considered good. Needle position is of major importance for procedure outcomes. The question however rises how the results of this therapy will turn out in treatment of larger tumours.
Databáze: OpenAIRE
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