Acetabuloplasty is a valuable palliative adjunct for the treatment of patients with painful metastatic disease to the pelvis in selected cases. We report the case of a 45-year-old woman with morbid obesity and with breast carcinoma who was technically difficult to treat under fluoroscopic guidance due to very poor visualization secondary to her body habitus. It was possible to perform radiofrequency ablation and acetabuloplasty with the use of cone-beam computed tomography for guidance.
CottonA.DemondionX.BoutryN.Therapeutic percutaneous injection in the treatment of malignant acetabular osteolysesRadiographics1999; 19:647–653.
2.
KinghtJ.R.HeranM.MunkP.L.C-arm cone-beam CT: applications for spinal cement augmentation demonstrated by three casesJ Vasc Interv Radiol2008; 19:1118–1122.
3.
HiwatashiA.YoshiuraT.NoguckiT.Usefulness of cone-beam CT before and after percutaneous vertebroplastyAJR Am J Roentgenol2008; 191:1401–1405.
4.
TamA.L.MohamedA.PfisterM.C-arm cone beam computed tomography needle path overlay for fluroscopic guided vertebroplastySpine (Phil Pa 1976)2010; 35:1095–1099.
5.
MunkP.L.RashidF.HeranM.K.Combined cementoplasty and radiofrequency ablation in the treatment of painful neoplastic lesions of boneJ Vasc Interv Radiol2009; 20:903–911.
6.
HoffmanR.T.JakobsT.TrummC.Radiofrequency ablation in combination with osteoplasty in the treatment of painful metastatic bone diseasesJ Vasc Interv Radiol2008; 19:419–425.
7.
ToyotaN.NaitoA.KakizawaH.Radiofrequency ablation therapy combined with cementoplasty for painful bone metastases: initial experienceCadiovasc Interv Radiol2005; 28:578–583.
8.
BasileA.GiulianoG.ScuderiV.Cementoplasty in the management of painful extraspinal bone metastases: our experienceRadiol Med2008; 113:1018–1028.
9.
SapkotaB.H.HirschA.E.YooA.J.Treatment of metastatic carcinoma to the hip with CT-guided percutaneous acetabuloplasty: report of four casesJ Vasc Interv Radiol2009; 20:548–552.
10.
MaccauroG.LiuzzaF.ScaramuzzoL.Percutaneous acetabuloplasty for metastatic acetabular lesionsBMC Musculoskeletal Disord9200866
11.
JanjanN.LutzS.T.BedwinekJ.M.American College of Radiology Therapeutic guidelines for the treatment of bone metastasis: a report from the American College of Radiology Appropriateness Criteria Expert Panel on Radiation OncologyJ Palliat Med2009; 12:417–426.
