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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 9/2016

01-09-2016 | Review

Image-Guided Spinal Ablation: A Review

Authors: Georgia Tsoumakidou, Guillaume Koch, Jean Caudrelier, Julien Garnon, Roberto Luigi Cazzato, Faramarz Edalat, Afshin Gangi

Published in: CardioVascular and Interventional Radiology | Issue 9/2016

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Abstract

The image-guided thermal ablation procedures can be used to treat a variety of benign and malignant spinal tumours. Small size osteoid osteoma can be treated with laser or radiofrequency. Larger tumours (osteoblastoma, aneurysmal bone cyst and metastasis) can be addressed with radiofrequency or cryoablation. Results on the literature of spinal microwave ablation are scarce, and thus it should be used with caution. A distinct advantage of cryoablation is the ability to monitor the ice-ball by intermittent CT or MRI. The different thermal insulation, temperature and electrophysiological monitoring techniques should be applied. Cautious pre-procedural planning and intermittent intra-procedural monitoring of the ablation zone can help reduce neural complications. Tumour histology, patient clinical-functional status and life-expectancy should define the most efficient and least disabling treatment option.
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Metadata
Title
Image-Guided Spinal Ablation: A Review
Authors
Georgia Tsoumakidou
Guillaume Koch
Jean Caudrelier
Julien Garnon
Roberto Luigi Cazzato
Faramarz Edalat
Afshin Gangi
Publication date
01-09-2016
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 9/2016
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-016-1402-6

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