Tumor often called "nidus" to distinguish it from surrounding reactive zone due to host response
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Ono T et al: Osteoid osteoma can occur at the pars interarticularis of the lumbar spine, leading to misdiagnosis of lumbar spondylolysis. Am J Case Rep. 19:207-13, 2018
Tomasian A et al: Spinal osteoid osteoma: percutaneous radiofrequency ablation using a navigational bipolar electrode system. AJR Am J Roentgenol. 211(4):856-60, 2018
Tomasian A et al: Benign spine lesions: advances in techniques for minimally invasive percutaneous treatment. AJNR Am J Neuroradiol. 38(5):852-61, 2017
Earhart J et al: Radiofrequency ablation in the treatment of osteoid osteoma: results and complications. Pediatr Radiol. 43(7):814-9, 2013
Liu PT et al: The vascular groove sign: a new CT finding associated with osteoid osteomas. AJR Am J Roentgenol. 196(1):168-73, 2011
Chai JW et al: Radiologic diagnosis of osteoid osteoma: from simple to challenging findings. Radiographics. 2010 May;30(3):737-49. Erratum in: Radiographics. 30(4):1156, 2010
Hoffmann RT et al: Radiofrequency ablation in the treatment of osteoid osteoma-5-year experience. Eur J Radiol. 73(2):374-9, 2010
Kan P et al: Osteoid osteoma and osteoblastoma of the spine. Neurosurg Clin N Am. 19(1):65-70, 2008
Liu PT et al: Imaging of osteoid osteoma with dynamic gadolinium-enhanced MR imaging. Radiology. 227(3):691-700, 2003
Davies M et al: The diagnostic accuracy of MR imaging in osteoid osteoma. Skeletal Radiol. 31(10):559-69, 2002
Scuotto A et al: Unusual manifestation of vertebral osteoid osteoma: case report. Eur Radiol. 12(1):109-12, 2002
Lefton DR et al: Vertebral osteoid osteoma masquerading as a malignant bone or soft-tissue tumor on MRI. Pediatr Radiol. 31(2):72-5, 2001
Cove JA et al: Osteoid osteoma of the spine treated with percutaneous computed tomography-guided thermocoagulation. Spine. 25(10):1283-6, 2000
Gangi A et al: Percutaneous laser photocoagulation of spinal osteoid osteomas under CT guidance. AJNR Am J Neuroradiol. 19(10):1955-8, 1998
Radcliffe SN et al: Osteoid osteoma: the difficult diagnosis. Eur J Radiol. 28(1):67-79, 1998
Assoun J et al: Osteoid osteoma: MR imaging versus CT. Radiology. 191(1):217-23, 1994
Zambelli PY et al: Osteoid osteoma or osteoblastoma of the cervical spine in relation to the vertebral artery. J Pediatr Orthop. 14(6):788-92, 1994
Greenspan A: Benign bone-forming lesions: osteoma, osteoid osteoma, and osteoblastoma. Clinical, imaging, pathologic, and differential considerations. Skeletal Radiol. 22(7):485-500, 1993
Woods ER et al: Reactive soft-tissue mass associated with osteoid osteoma: correlation of MR imaging features with pathologic findings. Radiology. 186(1):221-5, 1993
Klein MH et al: Osteoid osteoma: radiologic and pathologic correlation. Skeletal Radiol. 21(1):23-31, 1992
Raskas DS et al: Osteoid osteoma and osteoblastoma of the spine. J Spinal Disord. 5(2): 204-11, 1992
Afshani E et al: Common causes of low back pain in children. Radiographics. 11(2): 269-91, 1991
Kransdorf MJ et al: Osteoid osteoma. Radiographics. 11(4):671-96, 1991
Crim JR et al: Widespread inflammatory response to osteoblastoma: the flare phenomenon. Radiology. 177(3):835-6, 1990
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Osteoid osteoma (OO)
Definitions
Benign osteoid-producing tumor < 1.5 cm in size
Tumor often called "nidus" to distinguish it from surrounding reactive zone due to host response
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Ono T et al: Osteoid osteoma can occur at the pars interarticularis of the lumbar spine, leading to misdiagnosis of lumbar spondylolysis. Am J Case Rep. 19:207-13, 2018
Tomasian A et al: Spinal osteoid osteoma: percutaneous radiofrequency ablation using a navigational bipolar electrode system. AJR Am J Roentgenol. 211(4):856-60, 2018
Tomasian A et al: Benign spine lesions: advances in techniques for minimally invasive percutaneous treatment. AJNR Am J Neuroradiol. 38(5):852-61, 2017
Earhart J et al: Radiofrequency ablation in the treatment of osteoid osteoma: results and complications. Pediatr Radiol. 43(7):814-9, 2013
Liu PT et al: The vascular groove sign: a new CT finding associated with osteoid osteomas. AJR Am J Roentgenol. 196(1):168-73, 2011
Chai JW et al: Radiologic diagnosis of osteoid osteoma: from simple to challenging findings. Radiographics. 2010 May;30(3):737-49. Erratum in: Radiographics. 30(4):1156, 2010
Hoffmann RT et al: Radiofrequency ablation in the treatment of osteoid osteoma-5-year experience. Eur J Radiol. 73(2):374-9, 2010
Kan P et al: Osteoid osteoma and osteoblastoma of the spine. Neurosurg Clin N Am. 19(1):65-70, 2008
Liu PT et al: Imaging of osteoid osteoma with dynamic gadolinium-enhanced MR imaging. Radiology. 227(3):691-700, 2003
Davies M et al: The diagnostic accuracy of MR imaging in osteoid osteoma. Skeletal Radiol. 31(10):559-69, 2002
Scuotto A et al: Unusual manifestation of vertebral osteoid osteoma: case report. Eur Radiol. 12(1):109-12, 2002
Lefton DR et al: Vertebral osteoid osteoma masquerading as a malignant bone or soft-tissue tumor on MRI. Pediatr Radiol. 31(2):72-5, 2001
Cove JA et al: Osteoid osteoma of the spine treated with percutaneous computed tomography-guided thermocoagulation. Spine. 25(10):1283-6, 2000
Gangi A et al: Percutaneous laser photocoagulation of spinal osteoid osteomas under CT guidance. AJNR Am J Neuroradiol. 19(10):1955-8, 1998
Radcliffe SN et al: Osteoid osteoma: the difficult diagnosis. Eur J Radiol. 28(1):67-79, 1998
Assoun J et al: Osteoid osteoma: MR imaging versus CT. Radiology. 191(1):217-23, 1994
Zambelli PY et al: Osteoid osteoma or osteoblastoma of the cervical spine in relation to the vertebral artery. J Pediatr Orthop. 14(6):788-92, 1994
Greenspan A: Benign bone-forming lesions: osteoma, osteoid osteoma, and osteoblastoma. Clinical, imaging, pathologic, and differential considerations. Skeletal Radiol. 22(7):485-500, 1993
Woods ER et al: Reactive soft-tissue mass associated with osteoid osteoma: correlation of MR imaging features with pathologic findings. Radiology. 186(1):221-5, 1993
Klein MH et al: Osteoid osteoma: radiologic and pathologic correlation. Skeletal Radiol. 21(1):23-31, 1992
Raskas DS et al: Osteoid osteoma and osteoblastoma of the spine. J Spinal Disord. 5(2): 204-11, 1992
Afshani E et al: Common causes of low back pain in children. Radiographics. 11(2): 269-91, 1991
Kransdorf MJ et al: Osteoid osteoma. Radiographics. 11(4):671-96, 1991
Crim JR et al: Widespread inflammatory response to osteoblastoma: the flare phenomenon. Radiology. 177(3):835-6, 1990
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