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Interventional Techniques for Bone and Musculoskeletal Soft Tissue Tumors: Current Practices and Future Directions -
Danoob Dalili1,2, Amanda Isaac2, Roberto Luigi Cazzato3
1Department of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Seminars in Musculoskeletal Radiology
|December 11, 2020
Summary
Image-guided oncologic interventions for musculoskeletal tumors offer effective treatment options. This review highlights stabilization and ablation techniques, emphasizing multidisciplinary care for personalized patient treatment plans.
Area of Science:
- Interventional oncology
- Musculoskeletal (MSK) oncology
- Image-guided therapies
Background:
- Percutaneous image-guided oncologic interventions have significantly advanced in treating musculoskeletal (MSK) tumors over the past two decades.
- These minimally invasive techniques are utilized as primary or adjunctive therapies with curative or palliative goals.
- Numerous publications support the safety, efficacy, and reproducibility of these percutaneous approaches.
Purpose of the Study:
- To share practical experience in bone and MSK soft tissue interventions, focusing on stabilization and combined ablation-stabilization techniques.
- To propose a treatment pathway and explore future directions in image-guided interventional oncology for skeletal diseases.
- To provide guidance and insights for improving outcomes by reflecting on the advantages and limitations of various techniques.
Main Methods:
- Review of clinical experience in percutaneous image-guided interventions for MSK tumors.
- Focus on stabilization techniques and combined ablation-stabilization strategies.
- Exploration of multidisciplinary team collaboration and patient-specific therapy planning.
Main Results:
- Demonstration of the role of percutaneous therapies in MSK tumor management.
- Emphasis on the benefits of stabilization and combined ablation-stabilization.
- Highlighting the importance of a multidisciplinary approach within dedicated tumor centers.
Conclusions:
- Percutaneous image-guided interventions are a valuable component of MSK tumor treatment.
- Collaborative, patient-specific treatment plans are crucial for optimal outcomes.
- Future directions involve continued innovation in image-guided oncology for skeletal disease.

