Role of Interventional Radiology in the Management of Bone Tumors and Tumor like Lesions

Motawie, Mostafa Ali; Elguoshy, Aly Mohamed; Abdelbaki, Mohamed Salah Eldin; Oweda, Khaled Ahmad Ibrahim

doi:10.21608/aimj.2025.446441

Role of Interventional Radiology in the Management of Bone Tumors and Tumor like Lesions

Document Type : Original Article

Authors

¹ Radiodiagnosis, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

² Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

³ Radiodiagnosis, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446441

Abstract

Background: By providing novel minimally invasive options to radiation and surgery, interventional radiology has changed the game for local tumor care in the bone. In recent years, its use in treating both benign and malignant cancers has grown substantially.
Aim and objective: To examine the various interventional radiology approaches for the treatment of bone tumors and tumor-like lesions, including their clinical feasibility, efficacy, short-term outcomes, and risks.
Patients and methods: From March 2022 through September 2024, twenty patients with bone tumors or tumor-like lesions were admitted to the interventional radiology unit of the radiology department at Al-Azhar University hospitals for management. The study was a prospective cohort study.
Results: The osteoid osteoma ablation had good outcomes, with high technical success, short procedures, and mild post-operative symptoms. This suggests that ablation techniques may be preferable for small lesions such as osteoid osteoma. However, endovascular embolization may have a role in the management of larger, hypervascular and more complex bone lesions.
Conclusion: Osteoid osteomas can be effectively and safely treated with ablation. Larger, hypervascular, and more complicated bone lesions may be manageable with endovascular embolization.

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