Recurrent osteoid osteoma: interstitial laser ablation under magnetic resonance imaging guidance

Abstract

Thermal ablation has become a therapy of choice in the treatment of osteoid osteomas. To date, computed tomography has been the standard imaging modality for minimally invasive treatment regimes. We report a case of a 46-year-old man with a recurrent osteoid osteoma in the right tibial head after CT-guided drill excision and repeat treatment with laser ablation under open high-field MRI guidance. We describe the steps of the interventional MRI procedure and discuss related innovative guidance and monitoring features, and potential benefits of MRI compared with CT-guided techniques. In conclusion, MR-guided laser ablation was proved to be safe and effective.