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56. Musculoskeletal Oncologic Interventions: Proceedings from the Society of Interventional Radiology and Society of Interventional Oncology Research Consensus Panel

Author

Kurup, Anil Nicholas, primary, Jennings, Jack W., additional, Tutton, Sean, additional, Tam, Alda L., additional, Kelekis, Alexis, additional, Wood, Bradford J., additional, Dupuy, Damian E., additional, Napoli, Alessandro, additional, Park, Sean S., additional, Robinson, Steven I., additional, Rose, Peter S., additional, Soulen, Michael C., additional, White, Sarah B., additional, and Callstrom, Matthew R., additional

Published
2021
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57. Musculoskeletal Oncologic Interventions: Proceedings from the Society of Interventional Radiology and Society of Interventional Oncology Research Consensus Panel

Author

Kurup, Anil Nicholas Jennings, Jack W. Tutton, Sean Tam, Alda L. Kelekis, Alexis Wood, Bradford J. Dupuy, Damian E. and Napoli, Alessandro Park, Sean S. Robinson, I, Steven and Rose, Peter S. Soulen, Michael C. White, Sarah B. Callstrom, Matthew R.

Abstract

Musculoskeletal interventions are increasingly used with palliative and curative intent in the multidisciplinary treatment of oncology patients with bone and soft-tissue tumors. There is an unmet need for high-quality evidence to guide broader application and adoption of minimally invasive interventional technologies to treat these patients. Therefore, the Society of Interventional Radiology Foundation and the Society of Interventional Oncology collaborated to convene a research consensus panel to prioritize a research agenda addressing the gaps in the current evidence. This article summarizes the panel's proceedings and recommendations for future basic science and clinical investigation to chart the course for interventional oncology within the musculoskeletal system. Key questions that emerged addressed the effectiveness of ablation within specific patient populations, the effect of combination of ablation with radiotherapy and/or immunotherapy, and the potential of standardization of techniques, including modeling and monitoring, to improve the consistency and predictability of treatment outcomes.

Published
2021

61. Cryoablation for Palliation of Painful Bone Metastases: The MOTION Multicenter Study

Author

Jennings, Jack W., primary, Prologo, J. David, additional, Garnon, Julien, additional, Gangi, Afshin, additional, Buy, Xavier, additional, Palussière, Jean, additional, Kurup, A. Nicholas, additional, Callstrom, Matthew, additional, Genshaft, Scott, additional, Abtin, Fereidoun, additional, Huang, Ambrose J., additional, Iannuccilli, Jason, additional, Pilleul, Frank, additional, Mastier, Charles, additional, Littrup, Peter J., additional, de Baère, Thierry, additional, and Deschamps, Frédéric, additional

Published
2021
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71. Evaluation of the Metastatic Spine Disease Multidisciplinary Working Group Algorithms as Part of a Multidisciplinary Spine Tumor Conference

Author

Rudra, Soumon, primary, Lauman, Mary K., additional, Stowe, Hayley, additional, Henke, Lauren E., additional, Wallace, Adam N., additional, Roach, Michael C., additional, Huang, Jiayi, additional, Tsien, Christina I., additional, Bradley, Jeffrey D., additional, Santiago, Paul, additional, Buchowski, Jacob M., additional, Jennings, Jack W., additional, and Robinson, Clifford G., additional

Published
2019
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73. How Effective Are Noninvasive Tests for Diagnosing Malignant Peripheral Nerve Sheath Tumors in Patients with Neurofibromatosis Type 1? Diagnosing MPNST in NF1 Patients

Author

Schwabe, Maria, primary, Spiridonov, Stanislav, additional, Yanik, Elizabeth L., additional, Jennings, Jack W., additional, Hillen, Travis, additional, Ponisio, Maria, additional, McDonald, Douglas J., additional, Dehdashti, Farrokh, additional, and Cipriano, Cara A., additional

Published
2019
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75. The Metastatic Spine Disease Multidisciplinary Working Group Algorithms

Author

Wallace, Adam N., primary, Robinson, Clifford G., additional, Meyer, Jeffrey, additional, Tran, Nam D., additional, Gangi, Afshin, additional, Callstrom, Matthew R., additional, Chao, Samuel T., additional, Van Tine, Brian A., additional, Morris, Jonathan M., additional, Bruel, Brian M., additional, Long, Jeremiah, additional, Timmerman, Robert D., additional, Buchowski, Jacob M., additional, and Jennings, Jack W., additional

Published
2019
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87. Preoperative Fiducial Marker Placement in the Thoracic Spine

Author

Madaelil, Thomas P., primary, Long, Jeremiah R., additional, Wallace, Adam N., additional, Baker, Jonathan C., additional, Ray, Wilson Z., additional, Santiago, Paul, additional, Buchowski, Jacob, additional, Zebala, Lukas P., additional, and Jennings, Jack W., additional

Published
2017
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89. ACR Appropriateness Criteria® Management of Vertebral Compression Fractures.

Author

Expert Panels on Neurological Imaging, Interventional Radiology, and Musculoskeletal Imaging:, Shah, Lubdha M, Jennings, Jack W, Kirsch, Claudia F E, Hohenwalter, Eric J, Beaman, Francesca D, Cassidy, R Carter, Johnson, Michele M, Kendi, A Tuba, Lo, Simon Shek-Man, Reitman, Charles, Sahgal, Arjun, Scheidt, Matthew J, Schramm, Kristofer, Wessell, Daniel E, Kransdorf, Mark J, Lorenz, Jonathan M, and Bykowski, Julie

Abstract

Vertebral compression fractures (VCFs) have various causes, including osteoporosis, neoplasms, and acute trauma. As painful VCFs may contribute to general physical deconditioning, management of painful VCFs has the potential for improving quality of life and preventing superimposed medical complications. Various imaging modalities can be used to evaluate a VCF to help determine the etiology and guide intervention. The first-line treatment of painful VCFs has been nonoperative or conservative management as most VCFs show gradual improvement in pain over 2 to 12 weeks, with variable return of function. There is evidence that vertebral augmentation (VA) is associated with better pain relief and improved functional outcomes compared to conservative therapy for osteoporotic VCFs. A multidisciplinary approach is necessary for the management of painful pathologic VCFs, with management strategies including medications to affect bone turnover, radiation therapy, and interventions such as VA and percutaneous thermal ablation to alleviate symptoms. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. [ABSTRACT FROM AUTHOR]

Published
2018
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90. Systematic review and meta-analysis of effectiveness of preoperative embolization in surgery for metastatic spine disease.

Author

Luksanapruksa, Panya, Buchowski, Jacob M., Tongsai, Sasima, Singhatanadgige, Weerasak, and Jennings, Jack W.

Subjects
CONFIDENCE intervals, MEDICAL information storage & retrieval systems, MEDLINE, META-analysis, METASTASIS, SCIENTIFIC observation, ONLINE information services, PREOPERATIVE care, SPINAL cord tumors, THERAPEUTIC embolization, SYSTEMATIC reviews, QUALITATIVE research, RANDOMIZED controlled trials, TREATMENT effectiveness, SURGICAL blood loss
Abstract

Background Preoperative embolization (PE) may decrease intraoperative blood loss (IBL) in decompressive surgery of hypervascular spinal metastases. However, no consensus has been found in other metastases and no meta-analysis which reviewed the benefit of Pe in spinal metastases has been conducted. Objective To assess IBL in spinal metastases surgery in a randomized controlled trial (RCT) and cohort studies comparing Pe and a control group of non-embolized patients. Methods A systematic search of relevant publications in PubMed and EMBASE was undertaken. inclusion criteria were RCTs and observational studies in patients with spinal metastases who underwent spine surgery and reported IBL. Meta-analysis was performed using standardized mean difference (SMD) and mean difference (MD) of IBL. Heterogeneity was assessed using the I² statistic. Results A total of 265 abstracts (126 from PubMed and 139 from Embase) were identified through database searching. The reviewers selected six studies for qualitative synthesis and meta-analysis. The pooled SMD of the included studies was 0.58 (95% CI -0.10 to 1.25, p=0.09). sensitivity analysis revealed that, if the study by rehak et al was omitted, the pooled SMD was significantly changed to 0.88 (95% Ci 0.39 to 1.36, p<0.001) and Pe reduced the IBL significantly. The pooled MD was 708.3 mL (95% CI -224.4 to 1640.9 mL, p=0.14). If the results of the rehak et al study were omitted, the pooled MD was significantly changed to 1226.9 mL (95% CI 345.8 to 2108.1 mL, p=0.006). Conclusions Pe can be effective in reducing IBL in spinal metastases surgery in both renal cell carcinoma and mixed primary tumor groups. [ABSTRACT FROM AUTHOR]

Published
2018
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98. The Metastatic Spine Disease Multidisciplinary Working Group Algorithms

Author

Wallace, Adam N., primary, Robinson, Clifford G., additional, Meyer, Jeffrey, additional, Tran, Nam D., additional, Gangi, Afshin, additional, Callstrom, Matthew R., additional, Chao, Samuel T., additional, Van Tine, Brian A., additional, Morris, Jonathan M., additional, Bruel, Brian M., additional, Long, Jeremiah, additional, Timmerman, Robert D., additional, Buchowski, Jacob M., additional, and Jennings, Jack W., additional

Published
2015
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