Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas
The family of painful osteocytic tumors includes osteoblastomas and osteoid osteomas—these lesions are considered benign, but they could produce a significant painful symptomatology. Usually, people affected are between 20 s and 30 s. When symptomatic, an effective treatment is mandatory for the man...
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MDPI AG
2022-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/7/1987 |
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| author | Chiara Acanfora Enrico Grassi Giuliana Giacobbe Marilina Ferrante Vincenza Granata Antonio Barile Salvatore Cappabianca |
| author_facet | Chiara Acanfora Enrico Grassi Giuliana Giacobbe Marilina Ferrante Vincenza Granata Antonio Barile Salvatore Cappabianca |
| author_sort | Chiara Acanfora |
| collection | DOAJ |
| description | The family of painful osteocytic tumors includes osteoblastomas and osteoid osteomas—these lesions are considered benign, but they could produce a significant painful symptomatology. Usually, people affected are between 20 s and 30 s. When symptomatic, an effective treatment is mandatory for the management of these lesions to allow for a ful quality of life. The possibilities of treatment range from chirurgical en-block resection (procedure of surgical oncology aiming to remove a tumoral mass in its entirety, completely surrounded by a continuous layer of healthy tissue) to interventional approaches that, nowadays, are considered the most affordable and sustainable in terms of effectiveness, recovery after procedure, and for bone structure sparing. The main techniques used for osteoid osteomas and osteoblastomas are radio frequency ablation (RFA) and magnetic resonance-guided focused ultrasound (MRgFUS): the most important difference between these approaches is the needleless approach of MRgFUS, which further reduces the minimal invasiveness of RFA (and the related consequences) and the absence of exposure to ionizing radiation. Despite their high efficacy, a recurrence of pathology may occur due to a failure in therapy. In light of this, describing the various possibilities of follow up protocols and the imaging aspects of recurrence or incomplete treatment is mandatory. In the scenario given in the literature, many authors have tried to asses an organized follow up protocol of these patients, but many of them did not undergo periodical magnetic resonance (MR) or computerized tomography (CT) because of the lack of symptomatology. However, even if it seems that clinical evolution is central, different papers describe the protocol useful to detect eventual relapse. The aim of our manuscript is to review the various possibilities of follow-up of these patients and to bring together the most salient aspects found during the management of these osteocytic bone lesions. |
| first_indexed | 2024-03-09T11:42:19Z |
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| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T11:42:19Z |
| publishDate | 2022-04-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-3d289d40d1ad4daa97ff8f424f462b8a2023-11-30T23:29:39ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01117198710.3390/jcm11071987Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and OsteoblastomasChiara Acanfora0Enrico Grassi1Giuliana Giacobbe2Marilina Ferrante3Vincenza Granata4Antonio Barile5Salvatore Cappabianca6Diagnostic and Interventional Radiology, Department of Biotechnology and Applied Clinical Science, University of L’Aquila, 67100 L’Aquila, ItalyDivision of Radiology, Department of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, ItalyDivision of Radiology, Department of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, ItalyDivision of Radiology, Department of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, ItalyRadiology Division, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, ItalyDiagnostic and Interventional Radiology, Department of Biotechnology and Applied Clinical Science, University of L’Aquila, 67100 L’Aquila, ItalyDivision of Radiology, Department of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, ItalyThe family of painful osteocytic tumors includes osteoblastomas and osteoid osteomas—these lesions are considered benign, but they could produce a significant painful symptomatology. Usually, people affected are between 20 s and 30 s. When symptomatic, an effective treatment is mandatory for the management of these lesions to allow for a ful quality of life. The possibilities of treatment range from chirurgical en-block resection (procedure of surgical oncology aiming to remove a tumoral mass in its entirety, completely surrounded by a continuous layer of healthy tissue) to interventional approaches that, nowadays, are considered the most affordable and sustainable in terms of effectiveness, recovery after procedure, and for bone structure sparing. The main techniques used for osteoid osteomas and osteoblastomas are radio frequency ablation (RFA) and magnetic resonance-guided focused ultrasound (MRgFUS): the most important difference between these approaches is the needleless approach of MRgFUS, which further reduces the minimal invasiveness of RFA (and the related consequences) and the absence of exposure to ionizing radiation. Despite their high efficacy, a recurrence of pathology may occur due to a failure in therapy. In light of this, describing the various possibilities of follow up protocols and the imaging aspects of recurrence or incomplete treatment is mandatory. In the scenario given in the literature, many authors have tried to asses an organized follow up protocol of these patients, but many of them did not undergo periodical magnetic resonance (MR) or computerized tomography (CT) because of the lack of symptomatology. However, even if it seems that clinical evolution is central, different papers describe the protocol useful to detect eventual relapse. The aim of our manuscript is to review the various possibilities of follow-up of these patients and to bring together the most salient aspects found during the management of these osteocytic bone lesions.https://www.mdpi.com/2077-0383/11/7/1987osteocytic tumorinterventional radiologyMRgFUSradiofrequencyablationosteoid osteoma |
| spellingShingle | Chiara Acanfora Enrico Grassi Giuliana Giacobbe Marilina Ferrante Vincenza Granata Antonio Barile Salvatore Cappabianca Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas Journal of Clinical Medicine osteocytic tumor interventional radiology MRgFUS radiofrequency ablation osteoid osteoma |
| title | Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas |
| title_full | Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas |
| title_fullStr | Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas |
| title_full_unstemmed | Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas |
| title_short | Post-Procedural Follow-Up of the Interventional Radiology’s Management of Osteoid Osteomas and Osteoblastomas |
| title_sort | post procedural follow up of the interventional radiology s management of osteoid osteomas and osteoblastomas |
| topic | osteocytic tumor interventional radiology MRgFUS radiofrequency ablation osteoid osteoma |
| url | https://www.mdpi.com/2077-0383/11/7/1987 |
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