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Published in: Acta Neurochirurgica 10/2017

01-10-2017 | How I Do it - Neurosurgical Techniques

How I do it—optimizing radiofrequency ablation in spinal metastases using iCT and navigation

Authors: Pujan Kavakebi, C. F. Freyschlag, C. Thomé

Published in: Acta Neurochirurgica | Issue 10/2017

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Abstract

Background

Exact positioning of the radiofrequency ablation (RFA) probe for tumor treatment under fluoroscopic guidance can be difficult because of potentially small inaccessible lesions and the radiation dose to the medical staff in RFA. In addition, vertebroplasty (VP) can be significantly high.

Method

Description and workflow of RFA in spinal metastasis using iCT (intraoperative computed tomography) and 3D-navigation-based probe placement followed by VP.

Conclusion

RFA and VP can be successfully combined with iCT-based navigation, which leads to a reduction of radiation to the staff and optimal probe positioning due to 3D navigation.
Appendix
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Literature
1.
go back to reference Anchala PR, Irving WD, Hillen TJ, Friedman MV, Georgy BA, Coldwell DM et al (2014) Treatment of metastatic spinal lesions with a navigational bipolar radiofrequency ablation device: a multicenter retrospective study. Pain Physician 17(4):317–327PubMed Anchala PR, Irving WD, Hillen TJ, Friedman MV, Georgy BA, Coldwell DM et al (2014) Treatment of metastatic spinal lesions with a navigational bipolar radiofrequency ablation device: a multicenter retrospective study. Pain Physician 17(4):317–327PubMed
2.
go back to reference Callstrom MR, Charboneau JW, Goetz MP, Rubin J, Wong GY, Sloan JA et al (2002) Painful metastases involving bone: feasibility of percutaneous CT- and US-guided radio-frequency ablation. Radiology 224(1):87–97CrossRefPubMed Callstrom MR, Charboneau JW, Goetz MP, Rubin J, Wong GY, Sloan JA et al (2002) Painful metastases involving bone: feasibility of percutaneous CT- and US-guided radio-frequency ablation. Radiology 224(1):87–97CrossRefPubMed
3.
go back to reference Eicker SO (2016) Circulating tumour cell dissemination after cement augmentation of vertebral metastases-presented at the DWG2015. Eur Spine J 25(8):2679CrossRef Eicker SO (2016) Circulating tumour cell dissemination after cement augmentation of vertebral metastases-presented at the DWG2015. Eur Spine J 25(8):2679CrossRef
4.
go back to reference Harel R, Angelov L (2010) Spine metastases: current treatments and future directions. Eur J Cancer 46(15):2696–2707CrossRefPubMed Harel R, Angelov L (2010) Spine metastases: current treatments and future directions. Eur J Cancer 46(15):2696–2707CrossRefPubMed
5.
go back to reference Kruger R, Faciszewski T (2003) Radiation dose reduction to medical staff during vertebroplasty: a review of techniques and methods to mitigate occupational dose. Spine (Phila Pa 1976) 28(14):1608–1613 Kruger R, Faciszewski T (2003) Radiation dose reduction to medical staff during vertebroplasty: a review of techniques and methods to mitigate occupational dose. Spine (Phila Pa 1976) 28(14):1608–1613
6.
go back to reference Kurup AN, Callstrom MR (2010) Image-guided percutaneous ablation of bone and soft tissue tumors. Semin Interv Radiol 27(3):276–284CrossRef Kurup AN, Callstrom MR (2010) Image-guided percutaneous ablation of bone and soft tissue tumors. Semin Interv Radiol 27(3):276–284CrossRef
7.
go back to reference Scheufler KM, Franke J, Eckardt A, Dohmen H (2011) Accuracy of image-guided pedicle screw placement using intraoperative computed tomography-based navigation with automated referencing. Part II: thoracolumbar spine. Neurosurgery 69(6):1307–1316CrossRefPubMed Scheufler KM, Franke J, Eckardt A, Dohmen H (2011) Accuracy of image-guided pedicle screw placement using intraoperative computed tomography-based navigation with automated referencing. Part II: thoracolumbar spine. Neurosurgery 69(6):1307–1316CrossRefPubMed
8.
go back to reference Tokuhashi Y, Matsuzaki H, Oda H, Oshima M, Ryu J (2005) A revised scoring system for preoperative evaluation of metastatic spine tumor prognosis. Spine (Phila Pa 1976) 30(19):2186–2191CrossRef Tokuhashi Y, Matsuzaki H, Oda H, Oshima M, Ryu J (2005) A revised scoring system for preoperative evaluation of metastatic spine tumor prognosis. Spine (Phila Pa 1976) 30(19):2186–2191CrossRef
9.
go back to reference Tomita K, Kawahara N, Kobayashi T, Yoshida A, Murakami H, Akamaru T (2001) Surgical strategy for spinal metastases. Spine (Phila Pa 1976) 26(3):298–306CrossRef Tomita K, Kawahara N, Kobayashi T, Yoshida A, Murakami H, Akamaru T (2001) Surgical strategy for spinal metastases. Spine (Phila Pa 1976) 26(3):298–306CrossRef
10.
go back to reference Li YY, Huang TJ, Cheng CC, Wu MH, Lee CY (2013) Comparing radiation exposure during percutaneous vertebroplasty using one- vs. two-fluoroscopic technique. BMC Musculoskelet Disord 14:38. doi:10.1186/1471-2474-14-38 Li YY, Huang TJ, Cheng CC, Wu MH, Lee CY (2013) Comparing radiation exposure during percutaneous vertebroplasty using one- vs. two-fluoroscopic technique. BMC Musculoskelet Disord 14:38. doi:10.​1186/​1471-2474-14-38
Metadata
Title
How I do it—optimizing radiofrequency ablation in spinal metastases using iCT and navigation
Authors
Pujan Kavakebi
C. F. Freyschlag
C. Thomé
Publication date
01-10-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 10/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3267-0

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