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MRI-Guided Cryoablation of Epidural Malignancies in the Spinal Canal Resulting in Neural Decompression and Regrowth of Bone

Institution:
1Division of Neuroradiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
2Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Publication Date:
Jan-2019
Journal:
AJR Am J Roentgenol
Volume Number:
212
Issue Number:
1
Pages:
205-8
Citation:
AJR Am J Roentgenol. 2019 Jan;212(1):205-8.
PubMed ID:
30247981
PMCID:
PMC6677247
Keywords:
cryosurgery, epidural neoplasms, interventional MRI, spinal cord compression, surgical decompression
Appears in Collections:
SPL
Sponsors:
P41 EB015898/EB/NIBIB NIH HHS/United States
Generated Citation:
Lee T.C., Guenette J.P., Moses Z.B., Chi J.H. MRI-Guided Cryoablation of Epidural Malignancies in the Spinal Canal Resulting in Neural Decompression and Regrowth of Bone. AJR Am J Roentgenol. 2019 Jan;212(1):205-8. PMID: 30247981. PMCID: PMC6677247.
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OBJECTIVE: The purpose of this article is to describe the use of MRI to safely monitor cryoablation for the treatment of spinal epidural malignancies. CONCLUSION: Use of MRI guidance to monitor percutaneous cryoablation allows ablation margins more distinct than those allowed by heat-based ablation modalities. MRI-guided cryoablation is a feasible option for treating epidural tumors involving the spinal canal, resulting in successful decompression of the tumor away from the spinal cord with regrowth of previously eroded bone around the spinal canal.