关键词: Ablation Magnetic resonance-guided focused ultrasound Osteoid osteoma

Mesh : Adolescent Bone Neoplasms / diagnostic imaging surgery Female High-Intensity Focused Ultrasound Ablation / methods Humans Magnetic Resonance Imaging / methods Male Osteoma, Osteoid / diagnostic imaging surgery Surgery, Computer-Assisted / methods Treatment Outcome

来  源:   DOI:10.1016/j.ultrasmedbio.2015.11.003   PDF(Sci-hub)

Abstract:
Osteoid osteoma is painful benign tumor. The aim of this study was to report our initial experience using magnetic resonance-guided focused ultrasound to treat osteoid osteomas. This retrospective single-center study included four patients treated with magnetic resonance-guided focused ultrasound. They presented with severe pain with reduced quality of life and a poor response to clinical treatment. The pre- and post-treatment evaluation comprised computed tomography and magnetic resonance imaging and focused on quality of life and the impact of pain on daily activities. After treatment, three patients had complete pain resolution with no recurrence. One patient had a recurrence of symptoms after 2 wk and underwent a new successful treatment with increased energy levels. On average, 13 sonications were administered (8-18 sonications/treatment) with an average energy of 2,003 J (range: 1,063-3,522 J). Magnetic resonance-guided focused ultrasound appears to be a feasible, tolerable and effective treatment in selected patients with osteoid osteomas.
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