Computed tomography guided radiofrequency ablation of osteoid osteoma in children: a single center’s experience

Objective To report a single center’s experience evaluating the efficacy and safety of computed tomography–guided radiofrequency ablation for the treatment of osteoid osteoma in children. Materials and methods Institutional database research identified 33 symptomatic patients (≤ 18 years of age; mal...

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Bibliographic Details
Published in:Skeletal radiology 2022-04, Vol.51 (4), p.855-861
Main Authors: Filippiadis, Dimitrios, Stefanou, Danai, Mazioti, Argyro, Foti, Louiza, Tsochatzis, Athanasios, Kelekis, Nikolaos, Kelekis, Alexis
Format: Article
Language:English
Subjects:
Ablation
Ablation (Surgery)
Adolescent
Biomedical materials
Biopsy
Bone cancer
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - pathology
Bone Neoplasms - surgery
Catheter Ablation - methods
Child
Children
Computed tomography
CT imaging
Female
Humans
Imaging
Male
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Nuclear Medicine
Orthopedics
Osteoid
Osteoid osteoma
Osteoma
Osteoma, Osteoid - diagnostic imaging
Osteoma, Osteoid - pathology
Osteoma, Osteoid - surgery
Pain
Pathology
Patients
Radio frequency
Radiofrequency Ablation
Radiology
Scientific Article
Tomography
Tomography, X-Ray Computed - methods
Treatment Outcome
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Summary:Objective To report a single center’s experience evaluating the efficacy and safety of computed tomography–guided radiofrequency ablation for the treatment of osteoid osteoma in children. Materials and methods Institutional database research identified 33 symptomatic patients (≤ 18 years of age; male/female ratio: 21/12, mean age 13.09 ± 3.66) with osteoid osteoma who were treated by CT-guided RFA. Technical and clinical success as well as complication rates were recorded. The duration of the procedure, the number of computed tomography scans and the results of the biopsy were assessed. Pain, prior, the following morning and 1 week, 1/6/12 months after the procedure were compared by means of a numeric visual scale (NVS) questionnaire. Results Mean lesion size was 8.28 ± 4.24 mm. Mean follow-up was 23.33 ± 17.61 months (range 12–62). Mean pain score prior to radiofrequency ablation was 9.06 ± 0.80 NVS units. On week 1 and 1/6/12 months, all patients were pain-free reporting 0 NVS units ( p  
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-021-03904-7