John Libbey Eurotext

Bulletin du Cancer

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Interventional radiology procedures in the treatment of bone metastasis Volume 96, issue 11, novembre 2009

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Authors
Départements d’imagerie, centre régional de lutte contre le cancer, institut Bergonié, 229, cours de l’Argonne, 33076 Bordeaux cedex, France, Service d’anesthésie-réanimation et algologie, Centre régional de lutte contre le cancer, Institut Bergonié, 229, cours de l’Argonne, 33076 Bordeaux cedex, France, Département de radiologie, CHU de Strasbourg, 1, place de l’Hôpital, 67091 Strasbourg, France, Service d’oncologie médicale, centre régional de lutte contre le cancer, Institut Bergonié, 229, cours de l’Argonne, 33076 Bordeaux cedex, France, Unité de pathologie rachidienne, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France

Over the last ten years, there has been much development in the treatment of bone metastases using percutaneous image-guided interventional radiology procedures. They are helpful in the managment of patients resulting in stabilization of bone lysis in order to achieve additional biomechanical stability and in significant symptomatic relief. Vertebroplasty consisting in an injection of an acrylic cement into a structurally weakened or destructed bone plays a major role in the management of specific bone weakening. Advances have been made also with the application of thermoablation procedures to bone tumors (radiofrequency ablation, cryotherapy). Since conservative treatment with analgesics is often insufficient and the analgesiceffect of radiation therapy is delayed and sometimes ineffective, these image-guided procedures play a beneficial role in the management of bone metastases and need more evaluation.