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CardioVascular and Interventional Radiology

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Open Access 01-02-2011 | Technical Note

Percutaneous Radiofrequency Ablation of Osteoid Osteomas with Use of Real-Time Needle Guidance for Accurate Needle Placement: A Pilot Study

Authors: Wendy M. H. Busser, Yvonne L. Hoogeveen, Rene P. H. Veth, H. W. Bart Schreuder, Angelique Balguid, W. KlaasJan Renema, Leo J. SchultzeKool

Published in: CardioVascular and Interventional Radiology | Issue 1/2011

Abstract

Purpose

To evaluate the accuracy and technical success of positioning a radiofrequency ablation (RFA) electrode in osteoid osteomas by use of a new real-time needle guidance technology combining cone-beam computed tomography (CT) and fluoroscopy.

Materials and Methods

Percutaneous RFA of osteoid osteomas was performed in five patients (median age 18 years), under general anesthesia, with the use of cone-beam CT and fluoroscopic guidance for electrode positioning. The outcome parameters were technical success, meaning correct needle placement in the nidus; accuracy defined as the deviation (in mm) from the center of the nidus; and clinical outcome at follow-up.

Results

In all five cases, positioning was possible within 3 mm of the determined target location (median nidus size 6.8 mm; range 5–10.2 mm). All procedures were technically successful. All patients were free of pain at clinical follow-up. No complications were observed.

Conclusion

Real-time fluoroscopy needle guidance based on cone-beam CT is a useful tool to accurately position radiofrequency needles for minimally invasive treatment of osteoid osteomas.

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Title: Percutaneous Radiofrequency Ablation of Osteoid Osteomas with Use of Real-Time Needle Guidance for Accurate Needle Placement: A Pilot Study
Authors: Wendy M. H. Busser
Yvonne L. Hoogeveen
Rene P. H. Veth
H. W. Bart Schreuder
Angelique Balguid
W. KlaasJan Renema
Leo J. SchultzeKool
Publication date: 01-02-2011
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 1/2011
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-010-9950-7

At a glance: The STEP trials

Springer Medicine

Percutaneous Radiofrequency Ablation of Osteoid Osteomas with Use of Real-Time Needle Guidance for Accurate Needle Placement: A Pilot Study

Abstract

Purpose

Materials and Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

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