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Interventional Radiology, Thermoablation and Cryoablation

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Management of Bone Metastases

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Abstract

It is estimated that each year around 5% of all cancer patients develop metastases to the spine. In these patients, pain is the most cardinal symptom. The treatment of bone metastases is determined by a multidisciplinary team where the interventional radiologist is increasingly taking on a crucial role. Open surgery is not frequently used for treatment of bone metastases, owing to its morbidity and the often short life span of the patients. Surgical indications include a fracture with associated a neurologic compromise or high risk of developing pathologic fracture, which could result in neurological damage. Percutaneous cryoablation and thermoablation procedures are the therapeutic choices with a good efficacy in the treatment of painful metastatic lesions refractory to traditional therapies. These ablative methods can also be performed in combination with percutaneous cementoplasty to support and stabilisation for metastases in weight-bearing bones at risk for pathologic fracture.

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Author information

Authors and Affiliations

  1. Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, University of Rome “Tor Vergata”, Rome, Italy

    Mario Raguso, Salvatore Marsico, Christine Ojango & Salvatore Masala

Authors
  1. Mario Raguso
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  2. Salvatore Marsico
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  3. Christine Ojango
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  4. Salvatore Masala
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Corresponding author

Correspondence to Salvatore Masala .

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Editors and Affiliations

  1. Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy

    Vincenzo Denaro

  2. Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy

    Alberto Di Martino

  3. General Direction of Health Program, National Ministry of Health of Italy, Rome, Italy

    Andrea Piccioli

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Raguso, M., Marsico, S., Ojango, C., Masala, S. (2019). Interventional Radiology, Thermoablation and Cryoablation. In: Denaro, V., Di Martino, A., Piccioli, A. (eds) Management of Bone Metastases. Springer, Cham. https://doi.org/10.1007/978-3-319-73485-9_23

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  • DOI: https://doi.org/10.1007/978-3-319-73485-9_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-73484-2

  • Online ISBN: 978-3-319-73485-9

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