Pediatric Percutaneous Osteoid Osteoma Ablation: Cone-Beam CT with Fluoroscopic Overlay Versus Conventional CT Guidance

Cardiovascular and Interventional Radiology
Brandon C PerryGiridhar Shivaram

Abstract

To compare technical success, clinical success, complications, radiation dose, and total room utilization time for osteoid osteoma thermal (radiofrequency or microwave) ablation using cone-beam computed tomography (CBCT) with two-axis fluoroscopic navigational overlay versus conventional computed tomography (CT) guidance. A retrospective review was performed to identify all osteoid osteoma ablations performed over a 5.5-year period at a single tertiary care pediatric hospital. Twenty-five ablations (15 radiofrequency and 10 microwave) in 23 patients undergoing fluoroscopic CBCT-guided osteoid osteoma ablation were compared to 35 ablations (35 radiofrequency) in 32 patients undergoing ablation via conventional CT guidance. Dose area product and dose length product were recorded for CBCT and conventional CT, respectively, and converted to effective doses. Technical success, clinical success (cessation of pain and medication use 1 month after ablation), complications, radiation dose, and total room utilization time were compared. All procedures were technically successful. Twenty-two of 25 (88.0%) CBCT and 31 of 35 (88.6%) conventional CT-guided ablations achieved immediate clinical success. There were two minor complications in e...Continue Reading

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Citations

Oct 7, 2017·Pediatric Radiology·Michael AcordAnne Marie Cahill
Jan 9, 2019·Pediatric Radiology·Elliot S RinzlerKevin S H Koo
Aug 11, 2020·Orthopaedic Surgery·Kai ZhengBingyao Chen
Nov 10, 2018·Pediatric Radiology·Giridhar M ShivaramC Matthew Hawkins
Oct 5, 2019·Case Reports in Orthopedics·Nikolaos LaliotisLizeta Papadopoulou
Jun 22, 2020·Skeletal Radiology·Joseph ReisAshwani K Sharma
Apr 12, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Anna ParmeggianiGiancarlo Facchini

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