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Semin intervent Radiol 2019; 36(03): 221-228
DOI: 10.1055/s-0039-1693117
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Interventional Techniques for the Ablation and Augmentation of Extraspinal Lytic Bone Metastases

Authors

  • Osman Ahmed

    1   Section of Interventional Radiology, Department of Radiology, University of Chicago Medicine, Chicago, Illinois

  • Nicholas Feinberg

    1   Section of Interventional Radiology, Department of Radiology, University of Chicago Medicine, Chicago, Illinois

  • William B. Lea

    2   Section of Interventional Radiology, Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin
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Publikationsdatum:
19. August 2019 (online)

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Abstract

In addition to being a major source of cancer-related pain, metastatic osseous lesions are frequently at risk for pathologic fracture and its accompanying morbidity. While bony metastases are commonly thought of as occurring within the vertebral column, over 80% are found outside the spine. Percutaneous interventional treatment options for nonspinal metastases offer a broad array of minimally invasive, image-guided procedures that are rapidly effective, reduce the need for opioids, and often work in complementary fashion with adjunct treatments in radiation oncology, orthopaedic surgery, and/or medical oncology. This article presents an approach to assess extraspinal metastases, reviews available interventional techniques in use today, and offers example cases as an introductory primer to the thought process used for selecting the appropriate interventional treatment.

Keywords

interventional radiology - bone metastasis - osseous - malignancy - cementoplasty - ablation