Image guidance in osteoplasty and fixation.

Area of Science:

• Interventional Radiology
• Oncology
• Skeletal Metastases

Background:

• Cancer survivorship is increasing due to improved detection and treatment.
• This leads to a rise in osseous metastases and skeletal-related events, affecting nearly 100,000 new patients annually.
• Pathologic fractures, altered mechanics, and bone pain cause significant morbidity and mortality in these patients.

Purpose of the Study:

• To address the challenges in managing skeletal metastases in oncology patients.
• To highlight the role of interventional radiology in treating bone metastases.
• To detail technical aspects of minimally invasive osteoplasty and fixation procedures for skeletal metastases.

Main Methods:

• Utilizing modern angiography suites with cone-beam computed tomography (CBCT).
• Employing advanced imaging applications like needle guidance, 3D fusion, tumor segmentation, and angio-CT.
• Focusing on patient preparation, positioning, imaging capabilities, guidance strategies, and potential pitfalls.

Main Results:

• Novel minimally invasive techniques are facilitated by advanced imaging.
• Interventional radiologists can offer effective and safe treatments for skeletal metastases.
• These techniques address pain palliation and stabilization challenges.

Conclusions:

• Interventional radiology, leveraging advanced imaging, provides crucial minimally invasive options for skeletal metastases.
• These methods offer effective pain palliation and stabilization for oncology patients.
• Technical proficiency in these advanced procedures is key for successful patient outcomes.