E3250. Cryoablation and Cementoplasty: The New Frontier in Musculoskeletal Tumors
Authors
Shawn Jia Xiang Tan;
Singapore General Hospital
Jinrong Tan;
Singapore General Hospital
Yet Yen Yan;
Changi General Hospital
Background
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. This review 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.
Educational Goals / Teaching Points
Equip readers with the following information of cryoablation and cementoplasty: patient selection criteria, technique and effectiveness, imaging guidance, combined therapy, and complications.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Vertebroplasty, kyphoplasty, vertebral augmentation with implants, osteosynthesis, cryoneurolysis and cryoablation of bone and soft tissue tumors.
Conclusion
There has been substantial advancements and mounting evidence of safety and efficacy in percutaneous image-guided procedures for the musculoskeletal system, including cementoplasty and cryoablation techniques. These enable the interventional radiologist to offer a diverse repertoire of options in a multidisciplinary approach to patient management, especially cancer patients with cancer and bony metastases.
