دورية أكاديمية
أعرض في EDS

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.

التفاصيل البيبلوغرافية
العنوان: 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.
المؤلفون: Weber MA; Clinic of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany, marcandre.weber@med.uni-heidelberg.de., Sprengel SD, Omlor GW, Lehner B, Wiedenhöfer B, Kauczor HU, Rehnitz C
المصدر: Skeletal radiology [Skeletal Radiol] 2015 Jul; Vol. 44 (7), pp. 981-93. Date of Electronic Publication: 2015 Apr 25.
نوع المنشور: Controlled Clinical Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: Germany NLM ID: 7701953 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2161 (Electronic) Linking ISSN: 03642348 NLM ISO Abbreviation: Skeletal Radiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Berlin : Springer Verlag
Original Publication: Berlin, New York, Springer International.
مواضيع طبية MeSH: Catheter Ablation/*economics , Neoplasms, Bone Tissue/*economics , Neoplasms, Bone Tissue/*surgery , Osteotomy/*economics , Spinal Neoplasms/*economics , Spinal Neoplasms/*surgery, Adolescent ; Adult ; Catheter Ablation/methods ; Child ; Child, Preschool ; Cost-Benefit Analysis/economics ; Female ; Health Care Costs/statistics & numerical data ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Neoplasms, Bone Tissue/diagnostic imaging ; Osteoblastoma/diagnostic imaging ; Osteoblastoma/economics ; Osteoblastoma/surgery ; Osteoma, Osteoid/diagnostic imaging ; Osteoma, Osteoid/economics ; Osteoma, Osteoid/surgery ; Osteotomy/methods ; Radiography ; Spinal Neoplasms/diagnostic imaging ; Treatment Outcome ; Young Adult
مستخلص: Objective: To assess the clinical success and costs of computed tomography (CT)-guided radiofrequency ablation (RFA) of osteoblastoma (OB) and spinal osteoid osteoma (OO).
Materials and Methods: Nineteen patients with OB and eight patients with spinal OO were treated with CT-guided RFA. The OBs were localized in the extremities (n = 10), the vertebral column (n = 2), and (juxta-)articular (n = 7). Dedicated procedural techniques included three-dimensional CT-guided access planning in all cases, overlapping RFA needle positions (median, two positions; range, 1-6 RF-electrode positions) within the OB nidus (multiple ablation technique, n = 15), and thermal protection in case of adjacent neural structure in four spinal OO. The data of eight operated OB and ten operated spinal OO patients were used for comparison. Long-term success was assessed by clinical examination and using a questionnaire sent to all operated and RFA-treated patients including visual analogue scales (VAS) regarding the effect of RFA on severity of pain and limitations of daily activities (0-10, with 0 = no pain/limitation up to 10 = maximum or most imaginable pain/limitation).
Results: All patients had a clear and persistent pain reduction until the end of follow-up. The mean VAS score for all spinal OO patients and all OB patients treated either with RFA or with surgical excision significantly decreased for severity of pain at night, severity of pain during the day, and both for limitations of daily and of sports activities.
Conclusions: RFA is an efficient method for treating OB and spinal OO and should be regarded as the first-line therapy after interdisciplinary individual case discussion.
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تواريخ الأحداث: Date Created: 20150426 Date Completed: 20160325 Latest Revision: 20181113
رمز التحديث: 20221213
DOI: 10.1007/s00256-015-2139-z
PMID: 25910709
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-2161
DOI:10.1007/s00256-015-2139-z