Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review

Metastases are the main type of malignancy involving bone, which is the third most frequent site of metastatic carcinoma, after lung and liver. Skeletal-related events such as intractable pain, spinal cord compression, and pathologic fractures pose a serious burden on patients’ quality of life. For...

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Main Authors: Nicolas Papalexis, Anna Parmeggiani, Giuliano Peta, Paolo Spinnato, Marco Miceli, Giancarlo Facchini
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/29/6/332
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author Nicolas Papalexis
Anna Parmeggiani
Giuliano Peta
Paolo Spinnato
Marco Miceli
Giancarlo Facchini
author_facet Nicolas Papalexis
Anna Parmeggiani
Giuliano Peta
Paolo Spinnato
Marco Miceli
Giancarlo Facchini
author_sort Nicolas Papalexis
collection DOAJ
description Metastases are the main type of malignancy involving bone, which is the third most frequent site of metastatic carcinoma, after lung and liver. Skeletal-related events such as intractable pain, spinal cord compression, and pathologic fractures pose a serious burden on patients’ quality of life. For this reason, mini-invasive treatments for the management of bone metastases were developed with the goal of pain relief and functional status improvement. These techniques include embolization, thermal ablation, electrochemotherapy, cementoplasty, and MRI-guided high-intensity focused ultrasound. In order to achieve durable pain palliation and disease control, mini-invasive procedures are combined with chemotherapy, radiation therapy, surgery, or analgesics. The purpose of this review is to summarize the recently published literature regarding interventional radiology procedures in the treatment of cancer patients with bone metastases, focusing on the efficacy, complications, local disease control and recurrence rate.
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spelling doaj.art-8092178312074a7e9fcd0f26b52269432023-11-23T16:14:06ZengMDPI AGCurrent Oncology1198-00521718-77292022-06-012964155417710.3390/curroncol29060332Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive ReviewNicolas Papalexis0Anna Parmeggiani1Giuliano Peta2Paolo Spinnato3Marco Miceli4Giancarlo Facchini5Diagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, ItalyDiagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, ItalyDiagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, ItalyDiagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, ItalyDiagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, ItalyDiagnostic and Interventional Radiology Unit, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, ItalyMetastases are the main type of malignancy involving bone, which is the third most frequent site of metastatic carcinoma, after lung and liver. Skeletal-related events such as intractable pain, spinal cord compression, and pathologic fractures pose a serious burden on patients’ quality of life. For this reason, mini-invasive treatments for the management of bone metastases were developed with the goal of pain relief and functional status improvement. These techniques include embolization, thermal ablation, electrochemotherapy, cementoplasty, and MRI-guided high-intensity focused ultrasound. In order to achieve durable pain palliation and disease control, mini-invasive procedures are combined with chemotherapy, radiation therapy, surgery, or analgesics. The purpose of this review is to summarize the recently published literature regarding interventional radiology procedures in the treatment of cancer patients with bone metastases, focusing on the efficacy, complications, local disease control and recurrence rate.https://www.mdpi.com/1718-7729/29/6/332bone metastasesimaginginterventional radiologyablation techniquesembolizationhigh-intensity focused ultrasound ablation
spellingShingle Nicolas Papalexis
Anna Parmeggiani
Giuliano Peta
Paolo Spinnato
Marco Miceli
Giancarlo Facchini
Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review
Current Oncology
bone metastases
imaging
interventional radiology
ablation techniques
embolization
high-intensity focused ultrasound ablation
title Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review
title_full Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review
title_fullStr Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review
title_full_unstemmed Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review
title_short Minimally Invasive Interventional Procedures for Metastatic Bone Disease: A Comprehensive Review
title_sort minimally invasive interventional procedures for metastatic bone disease a comprehensive review
topic bone metastases
imaging
interventional radiology
ablation techniques
embolization
high-intensity focused ultrasound ablation
url https://www.mdpi.com/1718-7729/29/6/332
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AT annaparmeggiani minimallyinvasiveinterventionalproceduresformetastaticbonediseaseacomprehensivereview
AT giulianopeta minimallyinvasiveinterventionalproceduresformetastaticbonediseaseacomprehensivereview
AT paolospinnato minimallyinvasiveinterventionalproceduresformetastaticbonediseaseacomprehensivereview
AT marcomiceli minimallyinvasiveinterventionalproceduresformetastaticbonediseaseacomprehensivereview
AT giancarlofacchini minimallyinvasiveinterventionalproceduresformetastaticbonediseaseacomprehensivereview