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Recurrent osteoid osteoma: interstitial laser ablation under magnetic resonance imaging guidance

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Abstract

Thermal ablation has become a therapy of choice in the treatment of osteoid osteomas. To date, computed tomography has been the standard imaging modality for minimally invasive treatment regimes. We report a case of a 46-year-old man with a recurrent osteoid osteoma in the right tibial head after CT-guided drill excision and repeat treatment with laser ablation under open high-field MRI guidance. We describe the steps of the interventional MRI procedure and discuss related innovative guidance and monitoring features, and potential benefits of MRI compared with CT-guided techniques. In conclusion, MR-guided laser ablation was proved to be safe and effective.

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Authors and Affiliations

  1. Department of Radiology, Charité, Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany

    Florian Streitparth, Ulf Teichgräber & Thula Walter

  2. Department of Radiology, Charité, Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany

    Bernhard Gebauer

  3. Center for Musculoskeletal Surgery, Charité, Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany

    Klaus Dieter Schaser

Authors
  1. Florian Streitparth
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  2. Ulf Teichgräber
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  3. Thula Walter
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  4. Klaus Dieter Schaser
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  5. Bernhard Gebauer
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Correspondence to Florian Streitparth.

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Streitparth, F., Teichgräber, U., Walter, T. et al. Recurrent osteoid osteoma: interstitial laser ablation under magnetic resonance imaging guidance. Skeletal Radiol 39, 1131–1137 (2010). https://doi.org/10.1007/s00256-010-0977-2

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  • DOI: https://doi.org/10.1007/s00256-010-0977-2

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