Nouvelles techniques interventionnelles radiologiques dans le traitement des douleurs d’origine cancéreuse: infiltration, alcoolisation, vertébroplastie, cimentoplastie, radiofréquence bipolaire Algoradiologie interventionnelle de la douleur cancéreuse

Laboratoire d’imagerie et d’ingénierie pour la santé, LE2i UMR 515 CNRS, Besançon, France
Douleur et Analgésie (Impact Factor: 0.09). 01/2007; 20(1):27-42. DOI: 10.1007/s11724-007-0032-9


La prise en charge de la douleur cancéreuse souvent révélatrice et toujours présente à un moment donné de la maladie est un
challenge thérapeutique en particulier à un stade évolué. La composante douloureuse ne répond pas toujours aux antalgiques
majeurs, à la chimiothérapie et à la radiothérapie. Quand ces traitements sont dépassés, les infiltrations, neurolyses, alcoolisations,
la vertébroplastie, la cimentoplastie et la radiofréquence par voie percutanée sont des méthodes élégantes et efficaces venant
en complément des traitements classiques. Les auteurs présentent ici leur expertise dans ces nouvelles techniques sous contrôle
tomodensitométrique qu’ils ont contribué à mettre au point.
Bone invasion by metastatic tumours is the most common cause of pain in cancer patients. The management of cancer pain, pain
that often reveals the disease and is always present at advanced stages, is an important and difficult task. High doses of
specific medications, chemotherapy and radiation therapy do not always succeed in effectively controlling pain. When these
treatments do not provide adequate relief, neurolysis, infiltration, alcoholization, percutaneous vertebroplasty, cementoplasty,
and radiofrequency ablation are elegant and efficient complementary alternative pain management methods. The authors helped
to develop these new techniques, which rely on CT guidance, and offer their expertise in how to apply them.

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