Pediatric Radiology

, Volume 16, Issue 4, pp 313–316 | Cite as

Osteoid osteoma: localization by intraoperative magnification scintigraphy

  • G. A. Taylor
  • N. Shea
  • T. O'Brien
  • J. E. Hall
  • S. T. Treves


Surgical localization of osteoid osteomas is a major problem in the diagnosis and therapy of this lesion. Visual, tactile, and radiographic localization is often equivocal and as a consequence incomplete excision of the tumor, or excessive removal of bone may result. We performed magnification intraoperative bone scintigraphy using a portable gamma camera and a radioactive pointer in six patients with osteoid osteoma. Accurate localization and complete removal of the tumor was achieved in all six with only minimal delays in the surgical procedure. The advantages of this technique and recommendations for its use are discussed.


Public Health Complete Removal Bone Scintigraphy Gamma Camera Osteoid Osteoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Colton CL, Orth E, Hardy JG (1983) Evaluation of sterilizable radiation probe as an aid to the surgical treatment of osteoid osteoma. J Bone Joint Surg 65: 1019PubMedGoogle Scholar
  2. 2.
    Ghelman B, Thompson FM, Arnold WD (1981) Intraoperative radioactive localization of an osteoid osteoma. J Bone Joint Surg 63A: 826Google Scholar
  3. 3.
    Rinski LA, Goris M, Bleck E, Halpern A, Hirshman PA (1980) Intraoperative skeletal scintigraphy for localization of osteoid osteoma of the spine. J Bone Joint Surg 62A: 143Google Scholar
  4. 4.
    Sty J, Simons G (1982) Intraoperative 99m technetium bone imaging in the treatment of benign osteoblastic tumors. Clin Orthop 165: 223PubMedGoogle Scholar
  5. 5.
    Simons GW, Sty J (1983) Intraoperative bone imaging in the treatment of osteoid osteoma of the femoral neck. J Pediatr Orthop 3: 399PubMedGoogle Scholar
  6. 6.
    Harcke HT, Conway JJ, Tachdjian MO, Dias LS, Noble HB, MacEwen GD, Weiss S (1985) Scintigraphic localization of bone lesions during surgery. Skeletal Radiol 13: 211CrossRefPubMedGoogle Scholar
  7. 7.
    Meire E, Hoogmartens M, DeRoo M, Mortelmans L, Nicolai D (1983) The preoperative use of the mobile gamma camera for the localization of spinal osteoma. Acta Orthop Belg 49: 384PubMedGoogle Scholar
  8. 8.
    Ghelman B, Vigorita V (1983) Postoperative radionuclide evaluation of osteoid osteomas. Radiology 146: 509PubMedGoogle Scholar
  9. 9.
    Vigorita V, Ghelman B (1983) Localization of osteoid osteomas — use of radionuclide scanning and auto imaging in identifying the nidus. Am J Clin Pathol 79: 223PubMedGoogle Scholar
  10. 10.
    Israeli A, Zwas ST, Horoszowski H, Farine I (1983) Use of radionuclide method in preoperative and intraoperative diagnosis of osteoid osteoma of the spine. Clin Orthop 175: 194PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • G. A. Taylor
    • 1
  • N. Shea
    • 1
  • T. O'Brien
    • 2
  • J. E. Hall
    • 2
  • S. T. Treves
    • 1
    • 3
  1. 1.Department of RadiologyThe Children's Hospital and Harvard Medical SchoolBostonUSA
  2. 2.Department of OrthopedicsThe Children's Hospital and Harvard Medical SchoolBostonUSA
  3. 3.Division of Nuclear MedicineThe Children's HospitalBostonUSA

Personalised recommendations