Osteoid Osteomanın Tedavisinde Bilgisayarlı Tomografi Eşliğinde Perkütan Radyofrekans Ablasyon Tedavisinin Orta Dönem Sonuçları

Yıl 2022, , 267 - 273, 27.12.2022

Alperen Kayalı , Ayça Seyfettin , İbrahim Barışcan Soydan , Ali Koç , Yunus Doğramacı

https://doi.org/10.29058/mjwbs.1161480

Öz

Özet
Amaç: Çalışmamızda klinik ve radyolojik olarak osteoid osteoma tanısı alan bilgisayarlı tomografi kılavuzluğunda radyofrekans ablasyon (RFA) tedavisi uyguladığımız hastalardaki tedavi başarısını araştırmayı amaçladık.
Gereç Yöntem: Ocak 2018-Şubat 2021 tarihleri arasında RF ablasyon tedavisi uygulanmış olan 13 hasta çalışmaya dahil edildi. Arşiv görüntüler ve klinik notlar retrospektif olarak incelendi. Takiplerde vizuel analog skala (VAS) kullanılarak yapılmış olan ağrı skorlarına göre klinik tedavi başarıları değerlendirildi.
Bulgular: İşlem sonrası VAS skorunda 11 hastada tam, 2 hastada da tama yakın azalma sağlandı. Klinik başarı %100 olarak hesaplandı. Hiçbir hastada komplikasyon izlenmedi.
Sonuç: Osteoid osteomalı hastalarda bilgisayarlı tomografi eşliğinde RF ablasyon minimal invaziv, güvenilir ve etkili bir tedavi yöntemidir.

Anahtar Kelimeler

: Osteoid osteoma, radyofrekans ablasyon, BT

Destekleyen Kurum

Finansal veya Finansal olmayan desetkler alınmadı

Proje Numarası

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Teşekkür

Teşekkür metni bulunmamaktadır

Mid-Term Results of Computed Tomography-Guided Percutaneous Radiofrequency Ablation Therapy in the Treatment of Osteoid Osteoma

Öz

Aim: We aimed to investigate the success of RF therapy in osteoid osteomas diagnosed clinically and radiologically.
Material and Method: 13 patients who underwent RF ablation therapy between January 2018 and February 2021 were included in the study. Archive images and clinical notes were reviewed retrospectively. Clinical treatment success was evaluated according to the pain scores made using the visual analog scale (VAS) during the follow-ups.
Results: After the procedure, a complete decrease in VAS score was achieved in 11 patients and a nearly complete decrease in 2 patients. Clinical success was calculated as 100%. No complications were observed in any of the patients.
Conclusion: Computed tomography-guided RF ablation is a minimally invasive, safe and effective treatment method in patients with osteoid osteoma.

Anahtar Kelimeler

Osteoid osteoma, radiofrequency ablation, CT

Proje Numarası

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Kaynakça

• Refarans1. Carneiro BC et al. Osteoid osteoma: the great mimicker. Insights Imaging. 2021;12(1):32.
• Refarans2. Noordin S et al. Osteoid osteoma: Contemporary management. Orthop Rev (Pavia). 2018;10(3):7496.
• Refarans3. Chai JW et al. Radiologic diagnosis of osteoid osteoma: from simple to challenging findings. Radiographics. 2010;30(3):737-749.
• Refarans4. Springfield DS, Gebhardt MC. Bone and soft tissue tumors. In: Morrissy RT, Weinstein SL, eds. Lovell and Winter's Pediatric Orthopaedics .6th ed. Philadelphia; Lippincott Williams & Wilkins; 2006:493.
• Refarans5. Chaudhry MBH et al. Image-guided Percutaneous Radiofrequency Ablation for Osteoid Osteoma: Experience from a Developing Nation. Cureus. 2019;11(9):e5633.
• Refarans6. Parmeggiani A et al. Osteoid osteoma: which is the best mininvasive treatment option? Eur J Orthop Surg Traumatol. 2021 Dec;31(8):1611-1624.
• Refarans7. De Filippo M et al. Radiofrequency ablation of osteoid osteoma. Acta Biomed. 2018; 89(1-S):175-185.
• Refarans8. Singh DK et al. CT-guided radiofrequency ablation of osteoid osteoma: established concepts and new ideas. Br J Radiol. 2020 Oct 1;93(1114).
• Refarans9. Mungo DV et al. Cox-1 and Cox-2 expression in osteoid osteomas. J Orthop Res. 2002;20(1): 159–62.
• Refarans10. Rania Refaat, Gamal Niazi. 2015. Factors affecting time to pain relief in patients with osteoid osteoma treated by computed tomography (CT)-guided percutaneous radiofrequency ablation (RFA). The Egyptian Journal of Radiology and Nuclear Medicine 46:2, 397-404.
• Refarans11. Göksel F et al. Comparıson Of Radıofrequency Ablatıon And Curettage In Osteoıd Osteoma In Chıldren. Acta Ortop Bras. 2019;27(2):100-103.
• Refarans12. Sluga M et al. Periph-eral osteoid osteoma. Is there still a place for traditional surgery? J Bone Joint Surg Br. 2002;84(2):249-51.
• Refarans13. Sahin C et al. The safety and the efficacy of computed tomography guided percutaneous radiofrequency ablation of osteoid osteoma. Acta Orthop Traumatol Turc. 2019;53(5):360-365.
• Refarans14. Kulkarni SS et al. CT-guided radiofrequency ablation in osteoid osteoma: Result from a tertiary cancer centre in India. Indian J Radiol Imaging. 2017;27(3):318-323.
• Refarans15. Weber MA et al. Clinical long-term outcome, technical success, and cost analysis of radiofrequency ablation for the treatment of osteoblastomas and spinal osteoid osteomas in comparison to open surgical resection. Skeletal Radiol. 2015;44(7):981-93.
• Refarans16. Filippiadis DK et al. Computed tomography-guided radiofrequency ablation of intra-articular osteoid osteoma: a single centre's experience. Int J Hyperthermia. 2017;33(6):670-674.
• Refarans17. Martel J et al. Percutaneous radiofrequency treatment of osteoid osteoma using cool‑tip electrodes. Eur J Radiol. 2005;56:403‑408.
• Refarans18. Vanderschueren GM et al. Radiofrequency ablation of spinal osteoid osteoma: clinical outcome. Spine (Phila Pa 1976). 2009; 20;34(9):901-904.
• Refarans19. Rehnitz C et al. CT guided Radiofrequency ablation of osteoid osteoma: Correlation of clinical outcome and imaging features. Diagn Interv Radiol. 2013;19:330‑339.
• Refarans20. Prud'homme C et al. Prospective pilot study of CT-guided microwave ablation in the treatment of osteoid osteomas. Skeletal Radiol. 2017;46(3):315-323.
• Refarans21. Tsoumakidou G et al. Percutaneous Image-guided Laser Photocoagulation of Spinal Osteoid Osteoma: A Single-Institution Series. Radiology. 2016;278(3):936-943.
• Refarans22. Aschero A et al. Percutaneous treatment of osteoid osteoma by laser thermocoagulation under computed tomography guidance in pediatric patients. Eur Radiol. 2009;19(3):679-86.
• Refarans23. Le Corroller T et al. Osteoid Osteoma: Percutaneous CT-guided Cryoablation Is a Safe, Effective, and Durable Treatment Option in Adults. Radiology. 2022;302(2):392-399.
• Refarans24. Santiago E et al. Percutaneous cryoablation for the treatment of osteoid osteoma in the adult population. Eur Radiol. 2018;28(6):2336-2344.
• Refarans25. Arrigoni F et al. Magnetic-resonance-guided focused ultrasound treatment of non-spinal osteoid osteoma in children: multicentre experience. Pediatr Radiol. 2019;49(9):1209-1216.
• Refarans26. Napoli A et al. Noninvasive Therapy for Osteoid Osteoma: A Prospective Developmental Study with MR Imaging-guided High-Intensity Focused Ultrasound. Radiology. 2017;285(1):186-196.
• Refarans27. Lanza E et al. Osteoid osteoma treated by percutaneous thermal ablation: when do we fail? A systematic review and guidelines for future reporting. Cardiovasc Intervent Radiol. 2014;37(6):1530-1539.
• Refarans28. Lindquester WS et al. Percutaneous thermal ablation for treatment of osteoid osteoma: a systematic review and analysis. Skeletal Radiol. 2020;49(9):1403-1411.
• Refarans29. Sahin C et al. The safety and the efficacy of computed tomography guided percutaneous radiofrequency ablation of osteoid osteoma. Acta Orthop Traumatol Turc. 2019;53(5):360-365. Refarans30. Pinto CH et al. Technical considerations in CT-guided radiofrequency thermal ablation of osteoid osteoma: tricks of the trade. AJR Am J Roentgenol. 2002;179(6):1633-1642.
• Refarans31. Lassalle L et al. Therapeutic outcome of CT-guided radiofrequency ablation in patients with osteoid osteoma. Skeletal Radiol. 2017;46(7):949-956.
• Refarans32. Morassi LG et al. Percutaneous radiofrequency ablation of spinal osteoid osteoma under CT guidance. Br J Radiol. 2014;87(1038):20140003.
• Refarans33. Papagelopoulos PJ et al. Radiofrequency ablation of intra-articular osteoid osteoma of the hip. J Int Med Res. 2006;34(5):537-544.
• Refarans34. Peyser A et al. Osteoid osteoma: CT-guided radiofrequency ablation using a water-cooled probe. Ann Surg Oncol. 2007;14(2):591-596.
• Refarans35. Woertler K et al. Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Interv Radiol. 2001;12(6):717-722.
• Refarans36. Rimondi E et al. Radiofrequency ablation for non-spinal osteoid osteomas in 557 patients. Eur Radiol. 2012;22(1):181-188.
• Refarans37. Seemann RJ et al. Atypically Located Osteoid Osteoma: Characteristics and Therapeutic Success After Image-Guided Thermal Ablation. Rofo. 2020;192(4):335-342.
• Refarans38. Tanrıverdi B et al. Multidisciplinary approach in the treatment of osteoid osteoma with radiofrequency ablation. Jt Dis Relat Surg. 2020;31(2):255-259.
• Refarans39. Çakar M et al. Coşkun Ü. Osteoid osteoma treated with radiofrequency ablation. Adv Orthop. 2015;2015:807274.
• Refarans40. Tordjman M et al. CT-guided radiofrequency ablation for osteoid osteomas: a systematic review. Eur Radiol. 2020;30(11):5952-5963.