Transoral percutaneous radiofrequency ablation with a steerable needle and cementoplasty under CBCT and infrared augmented reality navigation system guidance for the treatment of a C1 solitary plasmacytoma: A case report

Eliodoro Faiella, MD; Matteo Pileri, MD; Domiziana Santucci, PhD; Claudio Pusceddu, MD; Davide Fior, MD; Federica Riva, MD; Chiara Tagliaferri, MD; Lorenzo Paolo Moramarco, MD; Bruno Beomonte Zobel, MD; Rosario Francesco Grasso, MD

Radiology Case Reports (Mar 2024)

Transoral percutaneous radiofrequency ablation with a steerable needle and cementoplasty under CBCT and infrared augmented reality navigation system guidance for the treatment of a C1 solitary plasmacytoma: A case report

Eliodoro Faiella, MD,
Matteo Pileri, MD,
Domiziana Santucci, PhD,
Claudio Pusceddu, MD,
Davide Fior, MD,
Federica Riva, MD,
Chiara Tagliaferri, MD,
Lorenzo Paolo Moramarco, MD,
Bruno Beomonte Zobel, MD,
Rosario Francesco Grasso, MD

Affiliations

Eliodoro Faiella, MD: Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, Rome, Italy; Research Unit of Radiology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, Rome, Italy; Corresponding author.
Matteo Pileri, MD: Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, Rome, Italy; Research Unit of Radiology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, Rome, Italy
Domiziana Santucci, PhD: Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, Rome, Italy; Research Unit of Radiology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, Rome, Italy
Claudio Pusceddu, MD: Department of Oncological and Interventional Radiology, Businco Hospital, Cagliari, Italy
Davide Fior, MD: Department of Radiology, Sant'Anna Hospital, San Fermo della Battaglia, Como, Italy
Federica Riva, MD: Department of Radiology, Sant'Anna Hospital, San Fermo della Battaglia, Como, Italy
Chiara Tagliaferri, MD: Department of Radiology, Sant'Anna Hospital, San Fermo della Battaglia, Como, Italy
Lorenzo Paolo Moramarco, MD: Department of Radiology, Sant'Anna Hospital, San Fermo della Battaglia, Como, Italy
Bruno Beomonte Zobel, MD: Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, Rome, Italy; Research Unit of Radiology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, Rome, Italy
Rosario Francesco Grasso, MD: Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, Rome, Italy; Research Unit of Radiology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, Rome, Italy

Journal volume & issue: Vol. 19, no. 3
pp. 890 – 894

Abstract

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We report a case of a 40-year-old female with a solitary plasmacytoma of the right transverse apophysis of C1 who underwent combined transoral ablation using a curved steerable needle and cementoplasty under CBCT and infra-red augmented reality navigation system. An imaging work-up revealed an osteolytic lesion determining partial collapse of the right lateral mass of C1 and involving the vertebral foramen. After a biopsy, that revealed a solid tissue consistent with plasmacytoma, it was decided to proceed with radiation therapy. Subsequent PET-CT restaging scans showed residual tumors treated with a transoral percutaneous approach, combining ablation and cementoplasty. This report evaluates the benefits of this combined procedure and the transoral approach, focusing on the advantages of steerable devices and navigation systems.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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