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Treatment of Osteoid Osteomas Using a Navigational Bipolar Radiofrequency Ablation System

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A Correction to this article was published on 05 December 2017

This article has been updated

Abstract

Background

Percutaneous CT-guided radiofrequency ablation is a safe and effective minimally invasive treatment for osteoid osteomas. This technical case series describes the use of a recently introduced ablation system with a probe that can be curved in multiple directions, embedded thermocouples for real-time monitoring of the ablation volume, and a bipolar design that obviates the need for a grounding pad.

Methods

Medical records of all patients who underwent radiofrequency ablation of an osteoid osteoma with the STAR Tumor Ablation System (DFINE; San Jose, CA) were reviewed. The location of each osteoid osteoma, nidus volume, and procedural details were recorded. Treatment efficacy and long-term complications were assessed at clinical follow-up.

Results

During the study period, 18 osteoid osteomas were radiofrequency ablated with the multidirectional bipolar system. Lesion locations included the femur (50 %; 9/18), tibia (22 %; 4/18), cervical spine (11 %; 2/18), calcaneus (5.5 %; 1/18), iliac bone (5.5 %; 1/18), and fibula (5.5 %; 1/18). The median nidus volume of these cases was 0.33 mL (range 0.12–2.0 mL). All tumors were accessed via a single osseous channel. Median cumulative ablation time was 5 min and 0 s (range 1 min and 32 s–8 min and 50 s). All patients with clinical follow-up reported complete symptom resolution. No complications occurred.

Conclusion

Safe and effective CT-guided radiofrequency ablation of osteoid osteomas can be performed in a variety of locations using a multidirectional bipolar system.

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Change history

  • 05 December 2017

    In “Radiofrequency Ablation Procedure” section of the original article, the relationship between the location of the thermocouples and the size of the ablation zones is inaccurate and not consistent with the referenced article in the bibliography (#3. Hillen et al).

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Authors and Affiliations

  1. Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 South Kingshighway Boulevard, Saint Louis, MO, 63110, USA

    Adam N. Wallace, Anderanik Tomasian & Jack W. Jennings

  2. Washington University School of Medicine, 660 South Euclid Avenue, Saint Louis, MO, 63110, USA

    Randy O. Chang

Authors
  1. Adam N. Wallace
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  2. Anderanik Tomasian
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  3. Randy O. Chang
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  4. Jack W. Jennings
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Corresponding author

Correspondence to Adam N. Wallace.

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Conflicts of Interest

Author JWJ—is a speaker panelist for DFINE and consultant for Galil.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

A correction to this article is available online at https://doi.org/10.1007/s00270-017-1838-3.

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Wallace, A.N., Tomasian, A., Chang, R.O. et al. Treatment of Osteoid Osteomas Using a Navigational Bipolar Radiofrequency Ablation System. Cardiovasc Intervent Radiol 39, 768–772 (2016). https://doi.org/10.1007/s00270-015-1243-8

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  • DOI: https://doi.org/10.1007/s00270-015-1243-8

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