Image guidance in osteoplasty and fixation. Tech Vasc Interv Radiol 2022 Mar;25(1):100798
Date
03/07/2022Pubmed ID
35248325DOI
10.1016/j.tvir.2022.100798Scopus ID
2-s2.0-85124025388 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
Oncology patients, particularly those with breast, colorectal, prostate, renal and pancreatic cancers, are living longer due to advances in detection, and treatment. Unfortunately, this has come with a commensurate increase in the prevalence of osseous metastases and skeletal related events approaching 100,000 new patients each year. Patients are now experiencing serious morbidity and mortality due to pathologic fractures, altered structural mechanics, and cancer related bone pain. This patient population poses challenges for conventional open surgical and/or medical management often due to disease extent, location, and, in general, poor surgical candidacy. Percutaneous techniques may also be challenging under image guidance due to limited ability to use traditional orthopedic corridors, loss of cortical landmarks with destructive lesions, and need for live image guidance. Modern angiography suites with cone beam computed tomography (CBCT) and advanced imaging applications including needle guidance, 3D fusion, tumor segmentation, and angio-CT have facilitated the development of novel minimally invasive techniques for pain palliation and stabilization. The interventional radiologist is uniquely positioned to harness these advanced imaging applications and offer effective, safe, minimally invasive treatment options to patients with neoplastic disease within the axial, and appendicular skeletons. The focus of this article is to address the technical aspects of patient preparation, positioning, advanced imaging system capabilities, guidance strategies, and pitfalls during osteoplasty and fixation procedures.
Author List
Key BM, Scheidt MJ, Wooldridge AN, Sag AA, Tutton SMAuthor
Matthew J. Scheidt MD Associate Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Bone NeoplasmsCone-Beam Computed Tomography
Humans
Neoplasms
Pain Management
Treatment Outcome
