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Retrospective Clinical Evaluation of Painful Bone Metastases Treated with Radiofrequency Ablation Alone or Combined with Cement Injection

Abstract:
Bone metastases are a common cause of severe cancer-related pain, significantly impacting the quality of life of patients. This retrospective study evaluates the effectiveness of radiofrequency ablation (RFA) with or without cement injection for pain relief in 44 patients with symptomatic bone metastases. Patients were treated under CT guidance between January 2019 and December 2021. Pain severity was measured using the Numerical Rating Scale (NRS), and quality of life was assessed with the Oswestry Disability Index (ODI) and the EORTC QLQ-C30 questionnaire. Results showed that RFA significantly reduced pain, with the average NRS score dropping from 8.0 to 2.4 at six months post-treatment. Additionally, patients experienced improved mobility and quality of life, with a notable decrease in ODI scores and enhanced EORTC quality of life measures. RFA, combined with cement injection in some cases, proved to be a safe and effective minimally invasive treatment option for managing cancer pain due to bone metastases