Percutaneous Bone Tumor Management

ABSTRACT

Four existing minimally invasive techniques for the treatment of primary and secondary bone tumors-alcoholization (ethanol ablation), cementoplasty, radio frequency ablation, and laser photocoagulation-are reviewed and discussed. Aspects of each technique, including mechanism of action, equipment, patient selection, treatment technique, and recent patient outcome are presented.

KEYWORDS

Bone tumor - radio frequency ablation - intervention

REFERENCES

• 1 Shepherd S. Radiotherapy and the management of metastatic bone pain.  Clin Radiol . 1988;  39 547-550
• 2 Gilbert H A, Kagam A R, Nussbaum H. Evaluation of radiation therapy for bone metastases: pain relief and quality of life.  AJR Am J Roentgenol . 1977;  129 1095-1096
• 3 Gangi A, Kastler B, Klinkert A, Dietemann J L. Injection of alcohol into bone metastases under CT guidance.  J Comput Assist Tomogr . 1994;  18 932-935
• 4 Gangi A, Dietemann J L, Schultz A. Interventional radiologic procedures with CT guidance in cancer pain management.  Radiographics . 1996;  16 1289-1304
• 5 Gangi A, Kastler B A, Dietemann J L. Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy.  AJNR . 1994;  15 83-86
• 6 Cotten A, Dewatre F, Cortet B. Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up.  Radiology . 1996;  200 525-530
• 7 Cotten A, Demondion X, Boutry N. Therapeutic Percutaneous injections in the treatment of malignant acetabular osteolyses.  Radiographics . 1999;  19 647-653
• 8 Deramond H, Depriester C, Galibert P, Le Gars D. Percutaneous vertebroplasty with polymethacrylate: technique, indications, results.  Radiol Clin N Am . 1998;  3 533-547
• 9 Weill A, Chiras J, Simon J M. Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement.  Radiology . 1996;  199 241-247
• 10 Harrington K D. The management of acetabular insufficiency secondary to metastatic malignant disease.  J Bone Joint Surg Am . 1981;  63 653-664
• 11 Doppman J L, Oldfield E H, Heiss J D. Symptomatic vertebral hemangiomas: treatment by means of direct intralesional injection of ethanol.  Radiology . 2000;  214 341-348
• 12 Ide C, Gangi A, Rimmelin A. Vertebral hemangiomas with spinal cord compression: the place of pre-operative percutaneous vertebroplasty with methyl methacrylate.  Neuroradiology . 1996;  38 585-589
• 13 Deramond H, Darrason R, Galibert P. Percutaneous vertebroplasty with acrylic cement in the treatment of aggressive spinal angiomas.  Rachis . 1989;  2 143-153
• 14 Heiss J D, Doppman J L, Oldfield E H. Brief report: relief of spinal cord compression from vertebral hemangioma by intralesional injection of absolute ethanol.  N Engl J Med . 1994;  331 508-511
• 15 Heiss J D, Doppman J L, Oldfield E H. Treatment of vertebral hemangioma by intralesional injection of absolute ethanol (letter).  N Engl J Med . 1996;  334 1340
• 16 Dodd 3rd D G, Soulen M C, Kane R A. Minimally invasive treatment of malignant hepatic tumors: at the threshold of a major breakthrough.  Radiographics . 2000;  20 9-27
• 17 Rhim H, Goldberg S N, Dodd 3rd D G. Essential techniques for successful radio-frequency thermal ablation of malignant hepatic tumors.  Radiographics . 2001;  21 17S-35S
• 18 Matthewson K, Coleridge-Smith P, O'Sullivan J P, Northfield T C, Bown S G. Biological effects of intrahepatic neodymium: yttyium-aluminum-garnet laser photocoagulation in rats.  Gastroenterology . 1987;  93 550-557
• 19 Fleischer D, Sivak M V. Endoscopic Nd YAG laser therapy as palliative treatment for advanced adenocarcinoma of the gastric cardia.  Gastroenterology . 1984;  87 815-820
• 20 Nolsoe C P, Torp-Pedersen S, Burcharth F. Interstitial hyperthermia of colorectal liver metastases with a US-guided Nd-YAG laser with a diffuser tip: a pilot clinical study.  Radiology . 1993;  187 333-337
• 21 Vogl T J, Müller P K, Hammerstingl R. Malignant liver tumors treated with MR imaging-guided laser-induced thermotherapy: technique and prospective results.  Radiology . 1995;  196 257-265
• 22 Amin Z, Bown S G, Lees W R. Local treatment of colorectal liver metastases: a comparison of interstitial laser photocoagulation (ILP) and percutaneous alcohol injection (PAI).  Clin Radiol . 1993;  48 166-177
• 23 Gangi A, Guth S, Dietemann J L, Roy C. Interventional musculoskeletal procedures.  Radiographics . 2001;  21 520
• 24 Gangi A, Dietemann J L, Gasser B. New trends in interstitial laser photocoagulation of bones.  Semin Intervent Radiol . 1997;  14 331-338
• 25 Gangi A, Dietemann J L, Gasser B. Interstitial laser photocoagulation of osteoid osteomas with use of CT guidance.  Radiology . 1997;  203 843-848
• 26 Gangi A, Dietemann J L, Gasser B. Interventional radiology with laser in bone and joint.  Radiol Clin N Am . 1998;  3 547-559