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Image-guided ablation therapy of bone tumors
Seminars in Ultrasound, CT, and MRI, 03/13/09
Sabharwal T et al. - In a review of image-guided ablation therapy of bone tumors, the article presents an overview of the current status of percutaneous image-guided ablation therapy of bone and soft-tissue tumors, analyzes the merits and limitations of the various systems available, and discusses possible new applications for the future.
Methods- A wide range of thermal and cryoablation methods is currently available for curative eradication or palliative treatment of a variety of bone and soft-tissue tumors.
- Radiofrequency ablation has been developed as a multipurpose tool for the skeletal system.
- Cryoablation has the added advantages of direct computed tomography or magnetic resonance visualization and monitoring of treatment outcome with less peri- and postoperative pain.
- Use of appropriate thermo-sensors and insulation techniques, like carbon dioxide insufflation, results in enhanced safety and efficacy.
- Ablation of weight-bearing bones has to be supplemented with cement consolidation.
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