Brathaban Rajayogeswaran MBBCh, Presenter: Nothing to Disclose

Neal C. Chhaya MBBS, FRCR, Abstract Co-Author: Nothing to Disclose

Paul Ian Mallinson MBChB, Abstract Co-Author: Nothing to Disclose

Peter L. Munk MD, Abstract Co-Author: Nothing to Disclose

To review the patient selection procedure for cryoablation and cementation of pelvic osseous metastasis, principles of cryoablation, planning of intervention, potential complications of cryoablation and cementation, post procedural imaging.

Osteolytic metastases are painful in 70% of patients and cause considerable loss of function and decreased quality of life. Radiotherapy alone is usually unable to control the pain, and increasing opiates usage causes significant morbidity. Cryoablation and cementation is offered as an adjunct in our institute as a minimally invasive palliative procedure providing instant reduction in pain and improving structural integrity. Our pictorial review demonstrates the integration of multiple disciplinary care with techniques of cryoablation and cementation of variety of pelvic lesions. 1) Consideration of cryoablation in palliative care patients with pelvic metastases and pathological fractures. 2) Description of the principles of cryoablation and cementation. 3) Pictorial review of position and probe size selection to create a satisfactory ablation zone. 4) Discussion on techniques to minimise procedural complications. 5) Principles of reviewing post procedural imaging.

http://abstract.rsna.org/uploads/2014/14008958/14008958_2ik8.pdf

Rajayogeswaran, B, Chhaya, N, Mallinson, P, Munk, P, Crying Out for Pain Relief with Cryoablation and Cementation for Pelvic Osseous Metastases.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008958.html