Radiofrequency ablation of atypical cartilaginous tumors in long bones: a retrospective study

Purpose: To determine the size of the ablation zone after radiofrequency ablation (RFA) of atypical cartilaginous bone tumors (ACT) using temperature-controlled 20 and 30 mm RFA straight non-cooled electrodes. Materials and methods: Sixteen patients with ACT in their long bones, who had undergone a...

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Main Authors: Ricardo Rivas, Jelle Overbosch, Thomas Kwee, Joep Kraeima, Rudi A. J. O. Dierckx, Paul C. Jutte, Peter M. van Ooijen
Format: Article
Language:English
Published: Taylor & Francis Group 2019-01-01
Series:International Journal of Hyperthermia
Subjects:
Online Access:http://dx.doi.org/10.1080/02656736.2019.1687943
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author Ricardo Rivas
Jelle Overbosch
Thomas Kwee
Joep Kraeima
Rudi A. J. O. Dierckx
Paul C. Jutte
Peter M. van Ooijen
author_facet Ricardo Rivas
Jelle Overbosch
Thomas Kwee
Joep Kraeima
Rudi A. J. O. Dierckx
Paul C. Jutte
Peter M. van Ooijen
author_sort Ricardo Rivas
collection DOAJ
description Purpose: To determine the size of the ablation zone after radiofrequency ablation (RFA) of atypical cartilaginous bone tumors (ACT) using temperature-controlled 20 and 30 mm RFA straight non-cooled electrodes. Materials and methods: Sixteen patients with ACT in their long bones, who had undergone a single-session single-application CT-guided temperature-controlled RFA, were included retrospectively in the study. Tumors with a diameter of 10–25 mm were treated with 20 mm electrodes (n = 10), and tumors of 25–35 mm, with 30 mm electrodes (n = 6). The ablated zone was measured after three months on MRI images. Results: All the tumors were within the ablated zone on the 3-month follow-up MRI scan. The mean ablation time with the electrode, at a target temperature of 90 °C, was 7.6 minutes (range 6–10). The median of the largest ablation diameters, on applying the 20 and 30 mm electrodes, were 42 mm (IQR 8.5, range 30–51 mm) and 44.5 mm (IQR 4.5, range 42–63 mm), respectively. Conclusions: All the retrospectively viewed tumors in the long bones of ACT patients treated with RFA were completely ablated. The ablation zone diameters in the bones were larger than expected, when compared to other tissues, such as the liver.
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spelling doaj.art-2218cec7697f49e0b6e37d5a7aa92d212022-12-22T01:13:22ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572019-01-013611189119510.1080/02656736.2019.16879431687943Radiofrequency ablation of atypical cartilaginous tumors in long bones: a retrospective studyRicardo Rivas0Jelle Overbosch1Thomas Kwee2Joep Kraeima3Rudi A. J. O. Dierckx4Paul C. Jutte5Peter M. van Ooijen6University of GroningenUniversity of GroningenUniversity of GroningenUniversity of GroningenUniversity of GroningenUniversity of GroningenUniversity of GroningenPurpose: To determine the size of the ablation zone after radiofrequency ablation (RFA) of atypical cartilaginous bone tumors (ACT) using temperature-controlled 20 and 30 mm RFA straight non-cooled electrodes. Materials and methods: Sixteen patients with ACT in their long bones, who had undergone a single-session single-application CT-guided temperature-controlled RFA, were included retrospectively in the study. Tumors with a diameter of 10–25 mm were treated with 20 mm electrodes (n = 10), and tumors of 25–35 mm, with 30 mm electrodes (n = 6). The ablated zone was measured after three months on MRI images. Results: All the tumors were within the ablated zone on the 3-month follow-up MRI scan. The mean ablation time with the electrode, at a target temperature of 90 °C, was 7.6 minutes (range 6–10). The median of the largest ablation diameters, on applying the 20 and 30 mm electrodes, were 42 mm (IQR 8.5, range 30–51 mm) and 44.5 mm (IQR 4.5, range 42–63 mm), respectively. Conclusions: All the retrospectively viewed tumors in the long bones of ACT patients treated with RFA were completely ablated. The ablation zone diameters in the bones were larger than expected, when compared to other tissues, such as the liver.http://dx.doi.org/10.1080/02656736.2019.1687943radiofrequency ablationbone tumorsatypical cartilaginous tumorschondrosarcomamagnetic resonance imaging
spellingShingle Ricardo Rivas
Jelle Overbosch
Thomas Kwee
Joep Kraeima
Rudi A. J. O. Dierckx
Paul C. Jutte
Peter M. van Ooijen
Radiofrequency ablation of atypical cartilaginous tumors in long bones: a retrospective study
International Journal of Hyperthermia
radiofrequency ablation
bone tumors
atypical cartilaginous tumors
chondrosarcoma
magnetic resonance imaging
title Radiofrequency ablation of atypical cartilaginous tumors in long bones: a retrospective study
title_full Radiofrequency ablation of atypical cartilaginous tumors in long bones: a retrospective study
title_fullStr Radiofrequency ablation of atypical cartilaginous tumors in long bones: a retrospective study
title_full_unstemmed Radiofrequency ablation of atypical cartilaginous tumors in long bones: a retrospective study
title_short Radiofrequency ablation of atypical cartilaginous tumors in long bones: a retrospective study
title_sort radiofrequency ablation of atypical cartilaginous tumors in long bones a retrospective study
topic radiofrequency ablation
bone tumors
atypical cartilaginous tumors
chondrosarcoma
magnetic resonance imaging
url http://dx.doi.org/10.1080/02656736.2019.1687943
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