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Current role and future applications of image-guided interventional procedures in musculoskeletal oncology - A narrative review

Published Date: 12th September 2023

Publication Authors: Iyengar KP

Background
Musculoskeletal (MSK) image-guided interventional procedures have been increasingly used in and remain crucial in the diagnosis and treatment of musculoskeletal tumours.

Aims
In this article, we aim to describe commonly performed interventional procedures in the subspeciality of MSK oncology drawing experience from our tertiary referral centre. Recent advances, emerging techniques and future applications of image-guided interventional procedures in the field of MSK oncology are highlighted.

Material and methods
A retrospective search using the keyword ‘musculoskeletal system’, ‘neoplasms’, ‘biopsy’, and ‘interventional radiology’ was performed at our tertiary care oncology orthopaedic referral centre radiology database. The radiology images were collected from our Picture Archiving and Communication System (PACS) and Radiology Information System (RIS). Electronic Patient Records, histopathology laboratory records and patient characteristics were collaborated to generate this narrative experience at our centre.

Results
Image-guided interventional procedures have been utilised in a spectrum of primary and secondary MSK tumours. Current applications include diagnosis of bone and soft tissue MSK neoplastic lesions with biopsies, thermal, cryotherapy and Radiofrequency ablations and augmentation procedures.

Conclusion
Musculoskeletal (MSK) image-guided interventions have increasing applications in the diagnosis, management, treatment and monitoring of patients with MSK tumours. The emergence of newer imaging technologies with enhanced skills of interventional radiologists will allow a range of therapeutic MSK interventions in both effective control of primary lesions and palliative care of metastatic lesions.

Hegde, G.; Iyengar, KP. et al. (2023). Current role and future applications of image-guided interventional procedures in musculoskeletal oncology - A narrative review. Journal of orthopaedics. 44(-), pp.99-106. [Online]. Available at: https://doi.org/10.1016/j.jor.2023.08.011 [Accessed 27 February 2024].

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