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- Title
Enhanced Precision and Safety in Thermal Ablation: O-Arm Cone Beam Computed Tomography with Magnetic Resonance Imaging Fusion for Spinal Column Tumor Targeting.
- Authors
Aslan, Siran; Al-Smadi, Mohammad Walid; Kozma, István; Viola, Árpad
- Abstract
Simple Summary: Secondary spinal column tumors are relatively common and can be managed using image-guided percutaneous thermal ablation (IPTA). However, relying on one imaging method can lead to overlooking and underestimating many tumors, resulting in ineffective targeting and treatment. Our study investigates a novel approach for addressing these spinal column tumors, which often cause severe symptoms. We use a combination of CBCT and MRI to precisely guide a minimally invasive thermal ablation procedure. This method ensures that we effectively deliver heat to the tumor, enhancing its accessibility and treatment efficiency. Our promising results show successful tumor coagulation and significant symptom improvement in all four patients. This innovative approach can establish an improved technique for targeting spinal column tumors, ultimately enhancing the treatment outcomes and overall quality of life. Spinal metastatic tumors are common and often cause debilitating symptoms. Image-guided percutaneous thermal ablation (IPTA) has gained significant recognition in managing spinal column tumors due to its exceptional precision and effectiveness. Conventional guidance modalities, including computed tomography, fluoroscopy, and ultrasound, have been important in targeting spinal column tumors while minimizing harm to adjacent critical structures. This study presents a novel approach utilizing a fusion of cone beam computed tomography with magnetic resonance imaging to guide percutaneous thermal ablation for four patients with secondary spinal column tumors. The visual analog scale (VAS) evaluated the procedure effectiveness during an 18-month follow-up. Percutaneous vertebroplasty was performed in two cases, and a thermostat was used during all procedures. Imaging was performed using the Stealth Station navigation system Spine 8 (SSS8) and a 1.5T MRI machine. The fusion of CBCT with MRI allowed for precise tumor localization and guidance for thermal ablation. Initial results indicate successful tumor ablation and symptom reduction, emphasizing the potential of CBCT–MRI fusion in spinal column tumor management. This innovative approach is promising in optimizing therapy for secondary spinal column tumors. Further studies are necessary to validate its efficacy and applicability.
- Subjects
EVALUATION of medical care; PATIENT aftercare; CATHETER ablation; MAGNETIC resonance imaging; VISUAL analog scale; DESCRIPTIVE statistics; COMPUTED tomography; SPINAL tumors; PATIENT safety
- Publication
Cancers, 2023, Vol 15, Issue 24, p5744
- ISSN
2072-6694
- Publication type
Article
- DOI
10.3390/cancers15245744