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This pilot study will try to demonstrate metabolic changes in spine lesions treated by Augmentation and Ablation, according to existing standards of practice. Our purpose is to show the efficacy of a new radiofrequency ablation (RFA) in combination with augmentation, using a percutaneous ablation device (Osteocool-Medtronic) in the treatment of secondary vertebral bone tumor, avoiding concurrent bias related to other treatments of the disease.
Only patient supposed to undergo percutaneous vertebral augmentation for secondary osteolytic and mixed (lytic and sclerotic) spine tumors with one to three active lesions will be enrolled. Lesions to be treated must be metabolically active on Positronic Emission Computed Tomography (PET-CT), performed during the last month. Patients will be informed and sign and inform consent. Patients will be treated with Augmentation and Ablation (Osteocool-Medtronic). Post treatment patients will be submitted to a new PET-CT in order to verify activity on treated site.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radiofrequency Ablation and Bone Augmentation | Device | Percutaneous Tumor Ablation of Spine Lesions followed by Polymer Augmentation |
|
| Measure | Description | Time Frame |
|---|---|---|
| PET-CT | Positron Emission Tomography (PET) Activity | SUV measurement of PET in 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Greek Brief Pain Index (GBPI) | NUMERIC VISUAL SCORE (NVS) OF PAIN AND MOBLITY | 1 MONTH, 6 MONTHS, 12 MONTHS |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alexis Kelekis, MD PHD, EBIR | Contact | +302105831806 | akelekis@med.uoa.gr | |
| MARIA IOANNIDI, MD | Contact |
| Name | Affiliation | Role |
|---|---|---|
| ALEXIOS KELEKIS, MD, PHD | National and Kapodistrian University of Athens | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 3rd Department of Radiology, NKUOA, General Hospital "LAIKON" | Recruiting | Athens | Athens | 11527 | Greece |
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| ID | Term |
|---|---|
| D000078703 | Radiofrequency Ablation |
| D054854 | Vertebroplasty |
| ID | Term |
|---|---|
| D000078702 | Radiofrequency Therapy |
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |
| D060826 | Cementoplasty |
| D019637 | Orthopedic Procedures |
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