Image-Guided Spinal Ablation: A Review.

Abstract

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.

• Authors: Georgia Tsoumakidou, Guillaume Koch, Jean Caudrelier, Julien Garnon, Roberto Luigi Cazzato, Faramarz Edalat, Afshin Gangi
• Journal: Cardiovascular and interventional radiology (Cardiovasc Intervent Radiol) Vol. 39 Issue 9 Pg. 1229-38 (Sep 2016) ISSN: 1432-086X [Electronic] United States
• PMID: 27329231 (Publication Type: Journal Article, Review)

Topics

• Catheter Ablation (methods)
• Humans
• Magnetic Resonance Imaging, Interventional (methods)
• Male
• Radiography, Interventional (methods)
• Spinal Neoplasms (diagnostic imaging, surgery)
• Tomography, X-Ray Computed (methods)