Tan Jin Rong, Yan Yet Yen, Sheikh Adnan, Ouellette Hugue, Mallinson Paul, Munk Peter L
Department of Diagnostic Radiology, Singapore General Hospital, Singapore Health Service (SingHealth), Singapore 169608, Singapore.
Department of Radiology, Changi General Hospital, Singapore Health Service (SingHealth), Singapore 529889, Singapore.
BJR Open. 2024 Feb 29;6(1):tzae007. doi: 10.1093/bjro/tzae007. eCollection 2024 Jan.
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. These treatment options have been progressively incorporated into the multidisciplinary approach to holistic care of patients, alongside conventional radiotherapy, systemic therapy, surgery, and analgesia. This review article 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.
经皮图像引导技术的最新进展为介入放射科医生提供了多种治疗肌肉骨骼病变的选择。值得注意的是,骨水泥成形术的应用越来越广泛,其适应症从骨转移瘤的稳定到疼痛性椎体压缩骨折的治疗。同样,冷冻消融已成为治疗原发性和继发性骨与软组织肿瘤的一种可行辅助手段。这些治疗选择已逐渐纳入患者整体护理的多学科方法中,与传统放疗、全身治疗、手术和镇痛一起。这篇综述文章旨在概述骨水泥成形术和冷冻消融在肌肉骨骼系统中新兴作用的适应症、技术考量、最新进展及证据,重点是缓解疼痛和控制肿瘤。