MR-Guided Laser Ablation of Osteoid Osteoma in an Open High-Field System (1.0 T)

Computed tomography is the standard imaging modality to minimize the extent of surgical or ablative treatment in osteoid osteomas. In the last 15 years, since a description of thermal ablation of osteoid osteomas was first published, this technique has become a treatment of choice for this tumor. We...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2009-03, Vol.32 (2), p.320-325
Main Authors: Streitparth, F., Gebauer, B., Melcher, I., Schaser, K., Philipp, C., Rump, J., Hamm, B., Teichgräber, U.
Format: Article
Language:English
Subjects:
ABLATION
Adult
BODY
Bone Neoplasms - pathology
Bone Neoplasms - surgery
Cardiology
COMPUTERIZED TOMOGRAPHY
DIAGNOSTIC TECHNIQUES
DISEASES
Fibula - pathology
Fibula - surgery
Humans
Imaging
Laser Therapy - methods
Magnetic Resonance Imaging, Interventional
Male
Medicine
Medicine & Public Health
NEOPLASMS
Nuclear Medicine
ORGANS
Osteoma, Osteoid - pathology
Osteoma, Osteoid - surgery
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
SKELETON
Technical Note
TOMOGRAPHY
Tomography, X-Ray Computed
Treatment Outcome
Ultrasound
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Description
Summary:Computed tomography is the standard imaging modality to minimize the extent of surgical or ablative treatment in osteoid osteomas. In the last 15 years, since a description of thermal ablation of osteoid osteomas was first published, this technique has become a treatment of choice for this tumor. We report the case of a 20-year-old man with an osteoid osteoma treated with laser ablation in an open high-field magnetic resonance imaging scanner (1.0 T). The tumor, located in the right fibula, was safely and effectively ablated under online monitoring. We describe the steps of this interventional procedure and discuss related innovative guidance and monitoring features and potential benefits compared with computed tomographic guidance.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-008-9447-9