CT-guided radiofrequency ablation of osteoid osteoma using a novel battery-powered drill.
Objective: To evaluate the use of a novel battery-powered drill, enabling specimen requirement while drilling, in radiofrequency ablation of osteoid osteoma as an alternative to conventional orthopedic drills.Materials and Methods: Between 2009 and 2013, altogether 33 patients underwent CT-guided ra...
| Publicado en: | Skeletal Radiology Vol. 44; no. 5; pp. 695 - 702 |
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| Autores principales: | , , , , , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Springer Nature
May2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109712066&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109712066 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03642348 O14 jtl: Skeletal Radiology issn: 03642348 maglogo: N pubinfo: dt: May2015 vid: 44 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 109712066 NLM25371086 2012943074 10.1007/s00256-014-2029-9 NLM25371086 109712066 ppf: 695 ppct: 7 formats: fmt: @attributes: type: P tig: atl: CT-guided radiofrequency ablation of osteoid osteoma using a novel battery-powered drill. aug: au: Schnapauff, Dirk Streitparth, Florian Jöhrens, Korinna Wieners, Gero Collettini, Federico Hamm, Bernd Gebauer, Bernhard sug: ab: Objective: To evaluate the use of a novel battery-powered drill, enabling specimen requirement while drilling, in radiofrequency ablation of osteoid osteoma as an alternative to conventional orthopedic drills.Materials and Methods: Between 2009 and 2013, altogether 33 patients underwent CT-guided radiofrequency ablation of an osteoid osteoma at our institution. To access the nidus of the clinically and radiologically suspected osteoid osteoma, a channel was drilled using the OnControl Bone Marrow Biopsy System (OBM, Arrow OnControl, Teleflex, Shavano Park, TX, USA) and a biopsy was taken. Procedure time (i.e., drilling including local anesthesia), amount of scans (i.e., single-shot fluoroscopy), radiation exposure, and the results of biopsy were investigated and compared retrospectively to a classical approach using either a manual bone biopsy system or a conventional orthopedic drill (n = 10) after ethical review board approval.Results: Drilling the tract into the nidus was performed without problems in 22 of the 23 OBM cases. Median procedure time was 7 min compared to 13 min using the classical approach (p < 0.001). Median amount CT scans, performed to control correct positioning of the drill was comparable with 26 compared to 24.5 (p = NS) scans. Histologically, the diagnosis of osteoid osteomas could be determined in all 17 cases where a biopsy was taken. Radiofrequency ablation could be performed without problems in any case.Conclusions: The use of the battery-powered drill was feasible and facilitated the access to the osteoid osteoma's nidus offering the possibility to extract a specimen in the same step. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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