Related Experiment Video
Updated: Feb 2, 2026

Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
Published on: July 31, 2016
Percutaneous Cement Injection for the Palliative Treatment of Osseous Metastases: A Technical Review
Steven Yevich1, Lambros Tselikas2, Guillaume Gravel2
1Division of Diagnostic Imaging, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Abstract:
The technical art to percutaneous injection of polymethyl methacrylate (PMMA) cement for the palliative treatment of osseous metastases is not without pitfalls. Pathologic fracture, cortical bone erosion, large lytic tumor, aggressive tumor biology, and tumor vascularity may increase the risk of cement leakage or limit complete consolidation. A calculated and determined approach is often necessary to achieve satisfactory patient-tailored results. This article reviews the challenges and potential complications during the consolidation of osseous metastases. Case examples are presented to facilitate early detection of impending cement leakage, minimize procedural risks, and provide management suggestions for complications. Technical pearls are provided to refine consolidative techniques and improve the comprehensive treatment of painful osseous metastases.
Related Concept Videos
Hydration of Cement
Soundness of Cement
Review and Preview
Percentiles are a type of fractile that partition data into...
Review and Preview
Portland Cement
Fineness of Cement
Direct...

