Cementoplasty to cryoablation: review and current status.

BJR open Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI:10.1093/bjro/tzae007
Jin Rong Tan, Yet Yen Yan, Adnan Sheikh, Hugue Ouellette, Paul Mallinson, Peter L Munk
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Abstract

Recent advances in percutaneous image-guided techniques have empowered interventional radiologists with diverse treatment options for the management of musculoskeletal lesions. Of note, there is growing utility for cementoplasty procedures, with indications ranging from stabilization of bone metastases to treatment of painful vertebral compression fractures. Likewise, cryoablation has emerged as a viable adjunct in the treatment of both primary and secondary bone and soft tissue neoplasms. These treatment options have been progressively incorporated into the multidisciplinary approach to holistic care of patients, alongside conventional radiotherapy, systemic therapy, surgery, and analgesia. This review article serves to outline the indications, technical considerations, latest developments, and evidence for the burgeoning role of cementoplasty and cryoablation in the musculoskeletal system, with an emphasis on pain palliation and tumour control.

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从水泥成形术到冷冻消融术:回顾与现状。
经皮图像引导技术的最新进展为介入放射科医生治疗肌肉骨骼病变提供了多种治疗方案。值得注意的是,骨水泥成形术的应用日益广泛,适应症从稳定骨转移瘤到治疗疼痛性脊椎压缩骨折。同样,低温消融术已成为治疗原发性和继发性骨与软组织肿瘤的一种可行的辅助手段。除了传统的放射治疗、全身治疗、手术和镇痛外,这些治疗方案已逐步被纳入多学科综合治疗方案。这篇综述文章概述了骨水泥成形术和冷冻消融术在肌肉骨骼系统中的适应症、技术注意事项、最新进展和证据,重点是疼痛缓解和肿瘤控制。
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