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Society for Pediatric Radiology – Poster Archive

Pain Management
Showing 3 Abstracts.

Malavia Mira,  Le Viet,  Rivard Douglas,  Reading Brenton

Final Pr. ID: Poster #: EDU-061

Osteoid osteomas (OO) are benign osteoblastic tumors primarily afflicting individuals aged 5 to 30 years, ranking as the third most prevalent among benign bone tumors at around 10%. Patients typically present with persistent nighttime pain that responds positively to NSAIDs, along with potential complications like progressive discomfort, tenderness, swelling, and limited joint mobility with articular involvement. OO usually forms in the cortex of long bones, measuring less than 2 cm, exhibiting a central radiolucent nidus encased by surrounding sclerosis, best visualized using CT scans. The current standard-of-care entails CT-guided radiofrequency ablation (RFA), while surgery becomes an option for complex locations like the spine, extremities, or craniofacial bones. Moreover, advanced thermoprotective techniques have expanded RFA's applicability to previously unsuitable lesions. Cryoablation is a newly indicated for pediatric OO patients and involves controlled tumor freezing, preserving adjacent healthy tissue. It offers reduced pain, shorter recovery, and minimal scarring, enhancing the quality of life for young patients. This exhibit will discuss 3 cases that underscore the diverse management approaches required for osteoid osteomas in young patients. Case 1 featured initial relief with radiofrequency ablation (RFA) but recurrence, ultimately resolved with cryoablation. In Case 2, a CT-guided cryoablation was performed for an S2 osteoid osteoma, with limited follow-up data. Case 3 highlighted the complexity of treating a C1 osteoid osteoma, initially successful with intra-operative cryoablation, but it was followed by new neck muscular pain post-operation. Cryoablation's accuracy and less invasiveness make it a preferred choice in treating OO patients.

Learning Objectives:
Grasp cryoablation principles for pediatric osteoid osteoma.
Recognize indications and contraindications.
Assess benefits and risks in pediatric cases.
Comprehend the pathophysiology of osteoid osteoma and cryoablation's role in treatment for pediatric patients.
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Authors:  Malavia Mira , Le Viet , Rivard Douglas , Reading Brenton

Keywords:  cancer, pain management, ablation

Reading Brenton,  Cully Brent,  Theut Stephanie,  Robinson Amie,  Anderson John,  Rivard Douglas

Final Pr. ID: Poster #: SCI-051

Minimally invasive procedures are common practice for pain management in pediatrics. The use of image guided therapies for axial skeletal pain management have been proven to not only be safe and effective, but also can be performed routinely in the interventional radiology (IR) department. The goal of this educational exhibit is to illustrate image guided techniques for pain management in pediatric patients. Specifically, techniques involving image-guided injections for treatment of headache, back pain, and other axial skeletal sources will be highlighted. Read More

Authors:  Reading Brenton , Cully Brent , Theut Stephanie , Robinson Amie , Anderson John , Rivard Douglas

Keywords:  Pain Management, Steroid Injection, Nerve Block

Kohli Mandy,  Vali Reza,  Amirabadi Afsaneh,  Frankfurter Caroline Frankfurter,  Shammas Amer

Final Pr. ID: Poster #: SCI-065

In paediatric nuclear medicine the majority of the scans require intravenous (IV) access to deliver the radiotracers. Children and parents often cite procedural pain as the most distressing part of their child’s hospitalization. In our department, various pain management strategies including physical and psychological distraction methods and pharmacological intervention have been implemented for the reduction of procedural pain. The purpose of this study was to evaluate and compare different pain reduction strategies used in the paediatric Nuclear Medicine department.
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Authors:  Kohli Mandy , Vali Reza , Amirabadi Afsaneh , Frankfurter Caroline Frankfurter , Shammas Amer

Keywords:  Pain management, Paediatric, Distraction method