La radiologia medica

, Volume 124, Issue 1, pp 34–49 | Cite as

Percutaneous management of bone metastases: state of the art, interventional strategies and joint position statement of the Italian College of MSK Radiology (ICoMSKR) and the Italian College of Interventional Radiology (ICIR)

  • Roberto Luigi CazzatoEmail author
  • Francesco Arrigoni
  • Emanuele Boatta
  • Federico Bruno
  • Jean Betsy Chiang
  • Julien Garnon
  • Luigi Zugaro
  • Aldo Victor Giordano
  • Sergio Carducci
  • Marco Varrassi
  • Bruno Beomonte Zobel
  • Alberto Bazzocchi
  • Alberto Aliprandi
  • Antonio Basile
  • Stefano Marcia
  • Salvatore Masala
  • Rosario Francesco Grasso
  • Silvia Squarza
  • Chiara Floridi
  • Anna Maria Ierardi
  • Nicola Burdi
  • Roberto Cioni
  • Alessandro Napoli
  • Raffaella Niola
  • Giuseppe Rossi
  • Umberto Geremia Rossi
  • Massimo Venturini
  • Francesco De Cobelli
  • Marina Carotti
  • Giovanni Luca Gravina
  • Mario Di Staso
  • Carmine Zoccali
  • Roberto Biagini
  • Giuseppe Tonini
  • Daniele Santini
  • Gianpaolo Carrafiello
  • Maurizio Cariati
  • Enzo Silvestri
  • Luca Maria Sconfienza
  • Andrea Giovagnoni
  • Carlo Masciocchi
  • Afshin Gangi
  • Antonio Barile


Interventional radiology provides local management of bone metastases (BM) with a palliative intent in most cases, or with a curative intent in selected patients. Its role has rapidly expanded in the last decade, offering new treatment solutions often in combination with surgery, radiation therapy and medical treatments. The aim of the present paper is to increase awareness, acceptance and adoption of interventional radiology procedures for the treatment of BM; and to present the joint position of the Italian College of Musculoskeletal Radiology and the Italian College of Interventional Radiology.


Bone metastasis Skeletal-related events Interventional radiology 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Not applicable.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.


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Copyright information

© Italian Society of Medical Radiology 2018

Authors and Affiliations

  • Roberto Luigi Cazzato
    • 1
    Email author
  • Francesco Arrigoni
    • 2
  • Emanuele Boatta
    • 1
  • Federico Bruno
    • 2
  • Jean Betsy Chiang
    • 3
  • Julien Garnon
    • 1
  • Luigi Zugaro
    • 2
  • Aldo Victor Giordano
    • 2
  • Sergio Carducci
    • 2
  • Marco Varrassi
    • 2
  • Bruno Beomonte Zobel
    • 4
  • Alberto Bazzocchi
    • 5
  • Alberto Aliprandi
    • 6
  • Antonio Basile
    • 7
  • Stefano Marcia
    • 8
  • Salvatore Masala
    • 9
  • Rosario Francesco Grasso
    • 4
  • Silvia Squarza
    • 10
  • Chiara Floridi
    • 11
  • Anna Maria Ierardi
    • 12
  • Nicola Burdi
    • 13
  • Roberto Cioni
    • 14
  • Alessandro Napoli
    • 15
  • Raffaella Niola
    • 16
  • Giuseppe Rossi
    • 17
  • Umberto Geremia Rossi
    • 18
  • Massimo Venturini
    • 19
  • Francesco De Cobelli
    • 19
  • Marina Carotti
    • 20
  • Giovanni Luca Gravina
    • 21
  • Mario Di Staso
    • 22
  • Carmine Zoccali
    • 23
  • Roberto Biagini
    • 23
  • Giuseppe Tonini
    • 24
  • Daniele Santini
    • 24
  • Gianpaolo Carrafiello
    • 12
  • Maurizio Cariati
    • 10
  • Enzo Silvestri
    • 25
  • Luca Maria Sconfienza
    • 26
    • 27
  • Andrea Giovagnoni
    • 20
  • Carlo Masciocchi
    • 2
  • Afshin Gangi
    • 1
  • Antonio Barile
    • 2
  1. 1.Department of Interventional RadiologyNouvel Hôpital Civil, Hôpitaux Universitaires de StrasbourgStrasbourgFrance
  2. 2.Department of Biotechnology and Applied Clinical Sciences, S. Salvatore HospitalUniversity of L’AquilaL’AquilaItaly
  3. 3.Department of RadiologyQueen Marie HospitalHong KongHong Kong
  4. 4.Department of Diagnostic and Interventional RadiologyUniversità “Campus Bio-Medico di Roma”RomeItaly
  5. 5.Department of Diagnostic and Interventional RadiologyIstituto Ortopedico RizzoliBolognaItaly
  6. 6.Department of RadiologyIstituti Clinici ZucchiMonzaItaly
  7. 7.Radiodiagnostic and Radiotherapy UnitUniversity Hospital “Policlinico-Vittorio Emanuele”CataniaItaly
  8. 8.Department of RadiologySS. Trinità Hospital ASLCagliariItaly
  9. 9.Department of Radiology, University of Rome Tor VergataSan Giovanni Battista HospitalRomeItaly
  10. 10.Department of Radiology, ASST Santi Paolo e CarloSan Carlo Borromeo HospitalMilanItaly
  11. 11.Department of RadiologyFatebenefratelli HospitalMilanItaly
  12. 12.Department of Health Sciences, Diagnostic and Interventional Radiology, San Paolo HospitalUniversity of MilanMilanItaly
  13. 13.Department of Radiology-NeuroradiologyOspedale SS Annunziata ASL TarantoTarantoItaly
  14. 14.Diagnostic and Interventional Radiology, Department of Translational Research and New Technologies in MedicineUniversity of PisaPisaItaly
  15. 15.Department of Radiological Sciences, School of MedicineSapienza University of RomeRomeItaly
  16. 16.Interventional Radiology DepartmentAORN Cardarelli di NapoliNaplesItaly
  17. 17.Department of Interventional Angiographic RadiologyIstituto Ortopedico RizzoliBolognaItaly
  18. 18.Department of Diagnostic Imaging—Radiology and Interventional Radiology UnitsE.O. Galliera HospitalGenoaItaly
  19. 19.Department of RadiologySan Raffaele Scientific InstituteMilanItaly
  20. 20.Department of Radiology, Ospedali RiunitiUniversità Politecnica delle MarcheAnconaItaly
  21. 21.Department of Biotechnological and Applied Clinical Sciences, Division of Radiology OncologyUniversity of L’AquilaL’AquilaItaly
  22. 22.Radiotherapy, S. Salvatore Hospital, Oncology Network ASL1 AbruzzoUniversity of L’AquilaL’AquilaItaly
  23. 23.Orthopedic Oncology Unit, Department of Experimental Clinical Oncology“Regina Elena” National Cancer InstituteRomeItaly
  24. 24.Università “Campus Bio-Medico di Roma”RomeItaly
  25. 25.Department of RadiologyOspedale Evangelico InternazionaleGenoaItaly
  26. 26.Unit of Diagnostic and Interventional RadiologyIRCCS Orthopedic Institute GaleazziMilanoItaly
  27. 27.Department of Biomedical Sciences for HealthUniversity of MilanMilanItaly

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