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Musculoskeletal Ablation and Embolization
Brandt C. Wible, MD; Ashraf Thabet, MD
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KEY FACTS

  • Preprocedure

    • Procedure

      • Outcomes

        TERMINOLOGY

        • Definitions

          • Osteoid osteoma: Benign bone tumor arising from osteoblasts
            • Has central nidus of growing cells
              • Surrounded by hard shell of thickened bone
            • Most common in long bones (e.g., femur, tibia)
            • Most common in patients ages 4-25 years
              • Males affected 3x > females
            • Clinical presentation
              • Nighttime pain relieved by nonsteroidal antiinflammatory drugs

        PREPROCEDURE

        • Indications

          • Contraindications

            • Preprocedure Imaging

              • Getting Started

                PROCEDURE

                • Patient Position/Location

                  • Equipment Preparation

                    • Procedure Steps

                      • Alternative Procedures/Therapies

                        POST PROCEDURE

                        • Things to Do

                          • Things to Avoid

                            • Post Procedure Imaging

                              OUTCOMES

                              • Problems

                                • Complications

                                  • Expected Outcomes

                                    Selected References

                                    1. Nazario J et al: Thermal ablation of painful bone metastases. Tech Vasc Interv Radiol. 14(3):150-9, 2011
                                    2. Dupuy DE et al: Percutaneous radiofrequency ablation of painful osseous metastases: a multicenter American College of Radiology Imaging Network trial. Cancer. 116(4):989-97, 2010
                                    3. Kurup AN et al: Ablation of skeletal metastases: current status. J Vasc Interv Radiol. 21(8 Suppl):S242-50, 2010
                                    4. Motamedi D et al: Thermal ablation of osteoid osteoma: overview and step-by-step guide. Radiographics. 29(7):2127-41, 2009
                                    5. Rosenthal DI: Radiofrequency treatment. Orthop Clin North Am. 37(3):475-84, viii, 2006
                                    6. Rosenthal DI et al: Osteoid osteoma: percutaneous treatment with radiofrequency energy. Radiology. 229(1):171-5, 2003
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Preprocedure

                                      • Procedure

                                        • Outcomes

                                          TERMINOLOGY

                                          • Definitions

                                            • Osteoid osteoma: Benign bone tumor arising from osteoblasts
                                              • Has central nidus of growing cells
                                                • Surrounded by hard shell of thickened bone
                                              • Most common in long bones (e.g., femur, tibia)
                                              • Most common in patients ages 4-25 years
                                                • Males affected 3x > females
                                              • Clinical presentation
                                                • Nighttime pain relieved by nonsteroidal antiinflammatory drugs

                                          PREPROCEDURE

                                          • Indications

                                            • Contraindications

                                              • Preprocedure Imaging

                                                • Getting Started

                                                  PROCEDURE

                                                  • Patient Position/Location

                                                    • Equipment Preparation

                                                      • Procedure Steps

                                                        • Alternative Procedures/Therapies

                                                          POST PROCEDURE

                                                          • Things to Do

                                                            • Things to Avoid

                                                              • Post Procedure Imaging

                                                                OUTCOMES

                                                                • Problems

                                                                  • Complications

                                                                    • Expected Outcomes

                                                                      Selected References

                                                                      1. Nazario J et al: Thermal ablation of painful bone metastases. Tech Vasc Interv Radiol. 14(3):150-9, 2011
                                                                      2. Dupuy DE et al: Percutaneous radiofrequency ablation of painful osseous metastases: a multicenter American College of Radiology Imaging Network trial. Cancer. 116(4):989-97, 2010
                                                                      3. Kurup AN et al: Ablation of skeletal metastases: current status. J Vasc Interv Radiol. 21(8 Suppl):S242-50, 2010
                                                                      4. Motamedi D et al: Thermal ablation of osteoid osteoma: overview and step-by-step guide. Radiographics. 29(7):2127-41, 2009
                                                                      5. Rosenthal DI: Radiofrequency treatment. Orthop Clin North Am. 37(3):475-84, viii, 2006
                                                                      6. Rosenthal DI et al: Osteoid osteoma: percutaneous treatment with radiofrequency energy. Radiology. 229(1):171-5, 2003