Percutaneous magnetic resonance imaging-guided bone tumor management and magnetic resonance imaging-guided bone therapy

Roberto Blanco Sequeiros, Jan Fritz, Risto Ojala, John A. Carrino

Research output: Contribution to journalArticle

Abstract

Magnetic resonance imaging (MRI) is promising tool for image-guided therapy. In musculoskeletal setting, image-guided therapy is used to direct diagnostic and therapeutic procedures and to steer patient management. Studies have demonstrated that MRI-guided interventions involving bone, soft tissue, joints, and intervertebral disks are safe and in selected indications can be the preferred action to manage clinical situation. Often, these procedures are technically similar to those performed in other modalities (computed tomography, fluoroscopy) for bone and soft tissue lesions. However, the procedural perception to the operator can be very different to other modalities because of the vastly increased data. Magnetic resonance imaging guidance is particularly advantageous should the lesion not be visible by other modalities, for selective lesion targeting, intra-articular locations, cyst aspiration, and locations adjacent to surgical hardware. Palliative tumor-related pain management such as ablation therapy forms a subset of procedures that are frequently performed under MRI. Another suitable entity for MRI guidance are the therapeutic percutaneous osseous or joint-related benign or reactive conditions such as osteoid osteoma, epiphyseal bone bridging, osteochondritis dissecans, bone cysts, localized bone necrosis, and posttraumatic lesions. In this article, we will describe in detail the technical aspects of performing MRI-guided therapeutic musculoskeletal procedures as well as the clinical indications.

Original languageEnglish (US)
Pages (from-to)171-177
Number of pages7
JournalTopics in Magnetic Resonance Imaging
Volume22
Issue number4
DOIs
StatePublished - Aug 1 2011

Keywords

  • Ablation
  • Bone
  • Bone cyst
  • Bone necrosis
  • Drilling
  • MRI guided
  • Metastasis
  • Osteochondritis dissecans
  • Osteoid osteoma
  • Reactive
  • Therapy
  • Tumor

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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