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Paediatric interventional oncology.

Roebuck DJ - Cancer Imaging (2010)

Bottom Line: As is often the case with developments in interventional radiology (IR), widespread adoption of the newer techniques of interventional oncology has taken longer in paediatric than in adult practice.The three main applications of IR techniques in children with cancer are biopsy, regional therapy and supportive care (including the treatment of complications), and these are considered separately.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Great Ormond Street Hospital, London, UK. roebud@gosh.nhs.uk

ABSTRACT
As is often the case with developments in interventional radiology (IR), widespread adoption of the newer techniques of interventional oncology has taken longer in paediatric than in adult practice. The three main applications of IR techniques in children with cancer are biopsy, regional therapy and supportive care (including the treatment of complications), and these are considered separately.

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Radiofrequency ablation of an osteoid osteoma in an 11-year-old boy. (a) Transverse T2-weighted MR image shows very high signal in the marrow of the distal left tibia, with a nidus (arrow) in the posterior cortex. (b) CT (prone position) confirms the diagnosis of osteoid osteoma. (c) Following access with a Bonopty penetration set (Apriomed AB, Uppsala, Sweden), a radiofrequency ablation probe (Cosman Medical, Burlington, MA, USA) was used to treat the lesion, with complete resolution of symptoms.
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Figure 7: Radiofrequency ablation of an osteoid osteoma in an 11-year-old boy. (a) Transverse T2-weighted MR image shows very high signal in the marrow of the distal left tibia, with a nidus (arrow) in the posterior cortex. (b) CT (prone position) confirms the diagnosis of osteoid osteoma. (c) Following access with a Bonopty penetration set (Apriomed AB, Uppsala, Sweden), a radiofrequency ablation probe (Cosman Medical, Burlington, MA, USA) was used to treat the lesion, with complete resolution of symptoms.

Mentions: Outside the liver, RFA has been used to treat malignant tumours in lung, soft tissue and bone[21]. It may also have a role in the treatment of renal tumours, particularly small Wilms tumours arising in a solitary kidney[24,25]. The best-established use of RFA in childhood, however, is for treatment of osteoid osteoma (Fig. 7)[26].Figure 7


Paediatric interventional oncology.

Roebuck DJ - Cancer Imaging (2010)

Radiofrequency ablation of an osteoid osteoma in an 11-year-old boy. (a) Transverse T2-weighted MR image shows very high signal in the marrow of the distal left tibia, with a nidus (arrow) in the posterior cortex. (b) CT (prone position) confirms the diagnosis of osteoid osteoma. (c) Following access with a Bonopty penetration set (Apriomed AB, Uppsala, Sweden), a radiofrequency ablation probe (Cosman Medical, Burlington, MA, USA) was used to treat the lesion, with complete resolution of symptoms.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2967152&req=5

Figure 7: Radiofrequency ablation of an osteoid osteoma in an 11-year-old boy. (a) Transverse T2-weighted MR image shows very high signal in the marrow of the distal left tibia, with a nidus (arrow) in the posterior cortex. (b) CT (prone position) confirms the diagnosis of osteoid osteoma. (c) Following access with a Bonopty penetration set (Apriomed AB, Uppsala, Sweden), a radiofrequency ablation probe (Cosman Medical, Burlington, MA, USA) was used to treat the lesion, with complete resolution of symptoms.
Mentions: Outside the liver, RFA has been used to treat malignant tumours in lung, soft tissue and bone[21]. It may also have a role in the treatment of renal tumours, particularly small Wilms tumours arising in a solitary kidney[24,25]. The best-established use of RFA in childhood, however, is for treatment of osteoid osteoma (Fig. 7)[26].Figure 7

Bottom Line: As is often the case with developments in interventional radiology (IR), widespread adoption of the newer techniques of interventional oncology has taken longer in paediatric than in adult practice.The three main applications of IR techniques in children with cancer are biopsy, regional therapy and supportive care (including the treatment of complications), and these are considered separately.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Great Ormond Street Hospital, London, UK. roebud@gosh.nhs.uk

ABSTRACT
As is often the case with developments in interventional radiology (IR), widespread adoption of the newer techniques of interventional oncology has taken longer in paediatric than in adult practice. The three main applications of IR techniques in children with cancer are biopsy, regional therapy and supportive care (including the treatment of complications), and these are considered separately.

Show MeSH
Related in: MedlinePlus