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Volume 12
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10.3390/diagnostics12112812
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Article

CT-Guided Radiofrequency Thermal Ablation for the Treatment of Atypical, Early-Onset Osteoid Osteoma in Children Younger than 4 Years Old: Single-Institution Experience and Literature Review

by
Nicolas Papalexis
1,
Giuliano Peta
1,
Federico Ponti
1,
Gianmarco Tuzzato
2,
Marco Colangeli
2,
Giancarlo Facchini
1 and
Paolo Spinnato
1,*
1
Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
2
Department of Orthopaedic Oncology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
*
Author to whom correspondence should be addressed.
Diagnostics 2022, 12(11), 2812; https://doi.org/10.3390/diagnostics12112812
Submission received: 28 September 2022 / Revised: 10 November 2022 / Accepted: 13 November 2022 / Published: 16 November 2022
(This article belongs to the Special Issue Recent Advances in Bone and Joint Imaging)
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Abstract

The aim of our study is to report our experience on CT-guided radiofrequency ablation (RFA) for osteoid osteoma (OO) in children under 4 years of age and to review the literature regarding this atypical, early onset of the disease. We retrospectively reviewed the clinical and radiological records of the patients treated with CT-guided RFA for OO at our institution (2006–2021), including those under 4 years of age. Data regarding technical success, clinical success, and biopsy diagnostic yield were collected. Moreover, we performed a literature review including previous articles on early-onset OO. We found only 12 patients that were under 4 years of age (12/842–1.4%) at the time of RFA treatment: 4 F and 8 M, mean age at the time of the treatment 35.3 months (range 22–46 months). The mean follow-up was 22.8 months (range 6–96 months). Technical success was achieved in all cases (12/12). In all patients (12/12), a complete remission of the pain symptoms was achieved at clinical follow-up controls. No recurrence of pain or complications were documented. The histopathological diagnosis was confirmed in 4 patients (4/12–33.3%). Moreover, we found another 9 articles in the literature with a main focus on early-onset OO (<4 years old), with a total of 12 patients included; 6 of those patients (6/12–50%) were treated with CT-guided RFA, with success reported 5 cases (5/6–83.3%). Our series of cases treated at a single institution, together with the existing data from the literature, confirms that CT-guided RFA is effective and safe for the treatment of osteoid osteoma, even in atypical, early onset in children under 4 years of age.
Keywords: bone neoplasms; ablation techniques; interventional radiology; osteoid osteoma; pediatrics; image-guided biopsy bone neoplasms; ablation techniques; interventional radiology; osteoid osteoma; pediatrics; image-guided biopsy

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MDPI and ACS Style

Papalexis, N.; Peta, G.; Ponti, F.; Tuzzato, G.; Colangeli, M.; Facchini, G.; Spinnato, P. CT-Guided Radiofrequency Thermal Ablation for the Treatment of Atypical, Early-Onset Osteoid Osteoma in Children Younger than 4 Years Old: Single-Institution Experience and Literature Review. Diagnostics 2022, 12, 2812. https://doi.org/10.3390/diagnostics12112812

AMA Style

Papalexis N, Peta G, Ponti F, Tuzzato G, Colangeli M, Facchini G, Spinnato P. CT-Guided Radiofrequency Thermal Ablation for the Treatment of Atypical, Early-Onset Osteoid Osteoma in Children Younger than 4 Years Old: Single-Institution Experience and Literature Review. Diagnostics. 2022; 12(11):2812. https://doi.org/10.3390/diagnostics12112812

Chicago/Turabian Style

Papalexis, Nicolas, Giuliano Peta, Federico Ponti, Gianmarco Tuzzato, Marco Colangeli, Giancarlo Facchini, and Paolo Spinnato. 2022. "CT-Guided Radiofrequency Thermal Ablation for the Treatment of Atypical, Early-Onset Osteoid Osteoma in Children Younger than 4 Years Old: Single-Institution Experience and Literature Review" Diagnostics 12, no. 11: 2812. https://doi.org/10.3390/diagnostics12112812

APA Style

Papalexis, N., Peta, G., Ponti, F., Tuzzato, G., Colangeli, M., Facchini, G., & Spinnato, P. (2022). CT-Guided Radiofrequency Thermal Ablation for the Treatment of Atypical, Early-Onset Osteoid Osteoma in Children Younger than 4 Years Old: Single-Institution Experience and Literature Review. Diagnostics, 12(11), 2812. https://doi.org/10.3390/diagnostics12112812

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