Percutaneous laser photocoagulation of osteoid osteomas under CT guidance |
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Authors: | DeFriend D E Smith S P Hughes P M |
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Affiliation: | Department of Radiology, Derriford Hospital, Imaging Directorate, Plymouth, UK. diane.defriend@phnt.swest.nhs.uk |
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Abstract: | AIM: The aim was to evaluate laser photocoagulation and the use of the Bonopty needle system in the treatment of osteoid osteoma. MATERIALS AND METHODS: Five patients with osteoid osteomas were treated with computed tomography (CT)-guided, percutaneous laser photocoagulation using the Bonopty biopsy system. RESULTS: Complete pain relief was obtained in four patients. In one patient, pain persisted until the 6 weeks follow-up but resolved within 24 h of repeating the procedure. There were no complications, and patients remained symptom free at follow-up of 4-23 months (mean, 14 months). CONCLUSION: CT-guided laser photocoagulation of osteoid osteoma is a minimally invasive technique that represents a cost-effective alternative to surgical excision. The Bonopty needle system allows successful penetration of the sclerotic bone surrounding the nidus with manual pressure alone. |
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Keywords: | osteoid osteoma laser photocoagulation computed tomography |
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