Bone tumor treatment: when do you burn it and when do you freeze it? In this BackTable MSK Brief, Dr. Damian Dupuy joins Host Dr. Kavi Krishnasamy to discuss the technical nuances of radiofrequency ablation (RFA) and cryoablation, patient selection criteria, procedural strategies, and the importance of setting appropriate patient expectations. Dr. Dupuy also shares insights on preventing complications like cryomyositis and myoglobinuria, underscoring the balance between aggressive treatment and patient safety.

Episode Outline

00:00 - Introduction

00:40 - Bone Tumor Interface and Time Under Treatment

05:10 - Patient Selection and Treatment Considerations

07:57 - Approach to Large Bony Lesions

12:37 - Best Treatment Modality: Cryoablation vs. RFA

13:38 - Managing Collateral Damage

15:58 - Navigating Patient Expectations

Resources

Dr. Damian E. Dupuy, MD, FACR

https://www.linkedin.com/in/damian-e-dupuy-md-facr-6b080b1b/ 

Solitary painful osseous metastases: correlation of imaging features with pain palliation after radiofrequency ablation--a multicenter american college of radiology imaging network study

https://pubmed.ncbi.nlm.nih.gov/23657892/