Fiche publication
Date publication
septembre 2016
Journal
Cardiovascular and interventional radiology
Auteurs
Membres identifiés du Cancéropôle Est :
Pr GANGI Afshin
,
Dr GARNON Julien
Tous les auteurs :
Tsoumakidou G, Koch G, Caudrelier J, Garnon J, Cazzato RL, Edalat F, Gangi A
Lien Pubmed
Résumé
The image-guided thermal ablation procedures can be used to treat a variety of benign and malignant spinal tumours. Small size osteoid osteoma can be treated with laser or radiofrequency. Larger tumours (osteoblastoma, aneurysmal bone cyst and metastasis) can be addressed with radiofrequency or cryoablation. Results on the literature of spinal microwave ablation are scarce, and thus it should be used with caution. A distinct advantage of cryoablation is the ability to monitor the ice-ball by intermittent CT or MRI. The different thermal insulation, temperature and electrophysiological monitoring techniques should be applied. Cautious pre-procedural planning and intermittent intra-procedural monitoring of the ablation zone can help reduce neural complications. Tumour histology, patient clinical-functional status and life-expectancy should define the most efficient and least disabling treatment option.
Mots clés
Cryoablation, Laser, Osteoid osteoma, Radiofrequency, Spinal tumours
Référence
Cardiovasc Intervent Radiol. 2016 Sep;39(9):1229-38
