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Radiofrequency Ablation of Osteoid Osteoma with Cooled Probes and Impedance-Control Energy Delivery

Colin P. Cantwell1, John O'Byrne1,2 and Stephen Eustace1,2

1 Department of Radiology, Mater Misericordiae University Hospital, Eccles St., Dublin 7, Ireland.
2 Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland.


Figure 1
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  		Fig. 1 —Axial CT scan of tibia, with nidus of osteoid osteoma visualized anteriorly.

 

Figure 2
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  		Fig. 2 —Axial CT scan of tibia after Jamshidi (Cardinal Health) placement adjacent to nidus.

 

Figure 3
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  		Fig. 3 —Axial CT scan of femur, with cannula of Jamshidi (Cardinal Health) withdrawn and 1-cm probe in position at nidus of osteoid osteoma.

 

Figure 4
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  		Fig. 4 —Radiofrequency equipment: from left to right, laptop computer with telemetry equipment, radiofrequency generator, and pump.

 

Figure 5
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  		Fig. 5 —Coronal STIR MR image of femur 4 weeks after radiofrequency therapy, with high-signal-intensity marrow at edge of treatment zone adjacent to osteoid osteoma.

 

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