Magnetic resonance-guided focused Ultrasound surgery for treatment of osteoid osteoma: How do we do it?

Authors

  • Khariah Mat Nor
  • Marlina Tanty Ramli Hamid
  • Basri Johan Jeet Abdullah
  • Vivek Ajit Singh

DOI:

https://doi.org/10.32896/cvns.v3n1.159-162

Keywords:

Osteoid osteoma, Magnetic Resonance Guided Focused Ultrasound Surgery, salicylates, radiofrequency ablation, cryoablation

Abstract

Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) is an increasingly popular non-invasive technique for treatment of severe pain produced by soft tissue, solid or bone tumours. MRgFUS used targeted thermal ablation technique to control moderate to severe pain.

Osteoid osteoma is a small benign, highly vascular tumour, composed of osteoid and woven bone, most commonly affect the appendicular skeleton. Bony spine involvement can produce painful scoliosis, while intra-articular joint involvement can cause irreversible joint damage. Clinical presentation is local bone pain which typically worsen at night and with increased activity.

Conventional standard treatment of osteoid osteoma is analgesic or surgical intervention. Under conservative medical treatment, the patient needs to be on long term analgesic, e.g. salicylates, where well-known reported complications include renal tubular acidosis and gastric ulcer. The standard surgical treatment is curettage. However, this carry the risk of bleeding, infection and tissue damage. Minimally invasive radiofrequency ablation (RFA) or cryoablation which are the current treatment of choice also carry the risk of tumour rupture and bleeding. We present a case of severe bone pain from benign bone tumor (osteoid osteoma), successfully treated with noninvasive Magnetic MRgFUS.

Author Biographies

Khariah Mat Nor

Radiology Department, Faculty of Medicine, University Teknologi Mara, Sungai Buloh Campus, Sungai Buloh, Selangor, Malaysia

Marlina Tanty Ramli Hamid

Radiology Department, Faculty of Medicine, University Teknologi Mara, Sungai Buloh Campus, Sungai Buloh, Selangor, Malaysia

Basri Johan Jeet Abdullah

Biomedical Imaging Department, Faculty of Medicine, University Malaya, Kuala Lumpur Malaysia.

Vivek Ajit Singh

Orthopedic Department, Faculty of Medicine, University Malaya, Kuala Lumpur. Malaysia

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Published

2021-03-30

How to Cite

Mat Nor, K., Ramli Hamid, M. T. ., Abdullah, B. J. J., & Ajit Singh, V. . (2021). Magnetic resonance-guided focused Ultrasound surgery for treatment of osteoid osteoma: How do we do it?. Journal Of Cardiovascular, Neurovascular &Amp; Stroke, 3(1), 159–162. https://doi.org/10.32896/cvns.v3n1.159-162