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DOI:10.2214/AJR.09.2568
AJR 2010; 194:W84-W90
© American Roentgen Ray Society

Clinical Observations

Percutaneous Radionuclide Ablation of Axial Aneurysmal Bone Cysts

Charles H. Bush1, Zachary Adler2, Walter E. Drane1, Robert Tamurian2, Mark T. Scarborough2 and Charles P. Gibbs2

1 Department of Radiology, University of Florida College of Medicine, 1600 SW Archer Rd., PO Box 100374, Gainesville, FL 32610.
2 Department of Orthopaedics and Rehabilitation, University of Florida College of Medicine, UF & Shands Orthopaedics and Sports Medicine Institute, Gainesville, FL.

OBJECTIVE. The purpose of our study was to retrospectively examine the efficacy of intralesional injection of 32P chromic phosphate, a β-emitting colloidal radiopharmaceutical, in the treatment of aneurysmal bone cysts of the axial skeleton. Five patients with large aneurysmal bone cysts were managed with injection of 32P chromic phosphate into their tumors under CT guidance. With only a single minor complication, all lesions were observed to ossify on follow-up CT, with an average follow up of 2 years.

CONCLUSION. CT-guided injection of axial aneurysmal bone cysts with 32P chromic phosphate leads to excellent local lesion control. In addition, the morbidity associated with this procedure is lower than that associated with surgical or other nonsurgical treatments.

Keywords: ablation procedures • aneurysmal bone cyst • benign bone tumors • CT • pelvis • spine • therapeutic radionuclides


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