Computed tomography guided navigation assisted percutaneous ablation of osteoid osteoma in a 7-year-old patient: the low dose approach

Osteoid osteoma (OO) is a benign tumour that can cause severe pain and functional limitation to children and young adults; the treatment of choice is image-guided ablation. Due to the very small size of the lesion, detection and accurate needle placement may be challenging. Computed tomography (CT)...

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Bibliographic Details
Published in:Skeletal radiology 2017-07, Vol.46 (7), p.989-993
Main Authors: Krokidis, Miltiadis, Tappero, Carlo, Bogdanovic, Daniel, Ziebarth, Kai, Stamm, Anna-Christina
Format: Article
Language:English
Subjects:
Ablation
Adults
Benign
Biocompatibility
Case Report
Catheter Ablation - methods
Child
Children
Computation
Computed tomography
CT imaging
Electronics in navigation
Exposure
Femoral Neoplasms - diagnostic imaging
Femoral Neoplasms - surgery
Humans
Image-Guided Biopsy
Imaging
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Nuclear Medicine
Orthopedics
Osteoid
Osteoid osteoma
Osteoma
Osteoma, Osteoid - diagnostic imaging
Osteoma, Osteoid - surgery
Pain
Pathology
Radiation Dosage
Radiation effects
Radio Waves
Radiography, Interventional - methods
Radiology
Tomography, X-Ray Computed
Tumors
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Description
Summary:Osteoid osteoma (OO) is a benign tumour that can cause severe pain and functional limitation to children and young adults; the treatment of choice is image-guided ablation. Due to the very small size of the lesion, detection and accurate needle placement may be challenging. Computed tomography (CT) offers very detailed imaging of the skeleton and is the modality of choice for the detection of small OO and for ablation guidance. Nevertheless, CT-guided positioning of the ablation applicator is linked to significant radiation exposure, particularly for the paediatric population. This case describes the successful use of a novel CT-based navigation system that offers the possibility of accurate ablation with only minimal radiation exposure in a paediatric patient.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-017-2620-y