There is growing interest in the use of image guided ablation procedures to provide palliative treatment for painful bone metastases. The main aim of image-guided treatment for metastatic bone tumours is the palliation of pain to improve the quality of life.
Some patients respond poorly to current treatments for bone metastases, such as radiotherapy or chemotherapy, due to such factors as resistant tumour morphology, tumour location or toxic systemic effects of conventional treatments. Bisphosphonates can be helpful as can NSAIDs, but in addition to opioids response to conventional treatments can be limited.
Vertebroplasty, kyphoplasty and other cement augmentation procedures in other parts of the skeleton can be important. Cryoablation and radiofrequency ablation (RFA) have been successfully used to treat painful bony metastases. The current treatment option of choice where RFA is planned is to combine RFA with vertebroplasty, kyphoplasty or cement augmentation. A recently developed device called Osteocool™ RF ablation system has shown promising results for patients with skeletal metastases.
We will be happy to talk to you about available treatment options for managing pain from bone metastases and to work with you and your oncologist.