Suresh Shruthi, Dalili Danoob, Ilaslan Hakan
Department of Radiology, University of Utah, Salt Lake City, UT 84112, United States.
Consultant Musculoskeletal Radiologist, NHS, London.
Br J Radiol. 2025 Jun 1;98(1170):810-816. doi: 10.1093/bjr/tqaf061.
Patients with bone metastases generally have a poor prognosis and lower survival expectations. Newer systemic therapies and targeted drugs have allowed better management of bone metastases, leading to increased life expectancy for many patients. Minimally invasive ablative techniques can be used for pain palliation and local control, and they can also provide structural stability in patients with metastatic disease. The most frequently utilized ablative techniques include cryoablation, radiofrequency ablation, microwave ablation, and magnetic resonance imaging-guided focused ultrasound. Here, we review the use of these minimally invasive techniques in patients with osseous metastatic disease, as well as the use of cementoplasty for mechanical stabilization.
骨转移患者通常预后较差，生存预期较低。新型全身治疗和靶向药物使骨转移的管理得到了更好的改善，从而提高了许多患者的预期寿命。微创消融技术可用于缓解疼痛和局部控制，还可为转移性疾病患者提供结构稳定性。最常用的消融技术包括冷冻消融、射频消融、微波消融和磁共振成像引导聚焦超声。在此，我们综述这些微创技术在骨转移性疾病患者中的应用，以及骨水泥成形术在机械稳定方面的应用。
