Efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation for synovial hyperplasia<subtitle>An animal experimental study</subtitle>

Purpose This study aimed to investigate the efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation (RFA) for the treatment of synovial hyperplasia in the knee joints of antigen-induced arthritis (AIA) model rabbits.Methods Forty Japanese large-eared white rabbits were divided...

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Main Authors: Qi Xu, Xiao-hui Xu, Ze-zheng Liu, Jian-bi Zhu, Huan-huan Ding, Chun-chun Jin, Zhi-han Yan
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Hyperthermia
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Online Access:https://www.tandfonline.com/doi/10.1080/02656736.2024.2328113
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author Qi Xu
Xiao-hui Xu
Ze-zheng Liu
Jian-bi Zhu
Huan-huan Ding
Chun-chun Jin
Zhi-han Yan
author_facet Qi Xu
Xiao-hui Xu
Ze-zheng Liu
Jian-bi Zhu
Huan-huan Ding
Chun-chun Jin
Zhi-han Yan
author_sort Qi Xu
collection DOAJ
description Purpose This study aimed to investigate the efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation (RFA) for the treatment of synovial hyperplasia in the knee joints of antigen-induced arthritis (AIA) model rabbits.Methods Forty Japanese large-eared white rabbits were divided into AIA and control groups. After successful induction of the AIA model, the knee joints were randomly assigned to RFA and non-RFA groups. The RFA group underwent ultrasound-guided RFA to treat synovial hyperplasia in the knee joint. Dynamic observation of various detection indices was conducted to evaluate the safety and effectiveness of the RFA procedure.Results Successful synovial ablation was achieved in the RFA group, with no intraoperative or perioperative mortality. Postoperative the circumference of the knee joint reached a peak before decreasing in the third week after surgery. The incidence and diameter of postoperative skin ulcers were not significantly different compared to the non-RFA group (p > .05). Anatomical examination revealed an intact intermuscular fascia around the ablated area in the RFA group. The ablated synovial tissue initially presented as a white mass, which subsequently liquefied into a milky white viscous fluid. Gross articular cartilage was observed, along with liquefied necrosis of the synovium on pathological histology and infiltration of inflammatory cells in the surrounding soft tissue.Conclusion The experimental results demonstrated that ultrasound-guided RFA of the knee in the treatment of synovial hyperplasia in AIA model animals was both effective and safe.
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institution Kabale University
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publishDate 2024-12-01
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spelling doaj-art-c7b5bada56234b2c85ee935d29e8d9be2025-01-03T09:30:27ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572024-12-0141110.1080/02656736.2024.2328113Efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation for synovial hyperplasia<subtitle>An animal experimental study</subtitle>Qi Xu0Xiao-hui Xu1Ze-zheng Liu2Jian-bi Zhu3Huan-huan Ding4Chun-chun Jin5Zhi-han Yan6Department of Ultrasound, Third Affiliated Hospital of Shanghai University, Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, ChinaDepartment of Medical and Health Care Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Ultrasound, Third Affiliated Hospital of Shanghai University, Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, ChinaDepartment of Ultrasound, Third Affiliated Hospital of Shanghai University, Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, ChinaDepartment of Ultrasound, Third Affiliated Hospital of Shanghai University, Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, ChinaDepartment of Ultrasound, Third Affiliated Hospital of Shanghai University, Wenzhou Third Clinical Institute Affiliated to Wenzhou Medical University, Wenzhou People’s Hospital, Wenzhou, ChinaDepartment of Radiology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou Key Laboratory of Structural and Functional Imaging, Wenzhou, ChinaPurpose This study aimed to investigate the efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation (RFA) for the treatment of synovial hyperplasia in the knee joints of antigen-induced arthritis (AIA) model rabbits.Methods Forty Japanese large-eared white rabbits were divided into AIA and control groups. After successful induction of the AIA model, the knee joints were randomly assigned to RFA and non-RFA groups. The RFA group underwent ultrasound-guided RFA to treat synovial hyperplasia in the knee joint. Dynamic observation of various detection indices was conducted to evaluate the safety and effectiveness of the RFA procedure.Results Successful synovial ablation was achieved in the RFA group, with no intraoperative or perioperative mortality. Postoperative the circumference of the knee joint reached a peak before decreasing in the third week after surgery. The incidence and diameter of postoperative skin ulcers were not significantly different compared to the non-RFA group (p > .05). Anatomical examination revealed an intact intermuscular fascia around the ablated area in the RFA group. The ablated synovial tissue initially presented as a white mass, which subsequently liquefied into a milky white viscous fluid. Gross articular cartilage was observed, along with liquefied necrosis of the synovium on pathological histology and infiltration of inflammatory cells in the surrounding soft tissue.Conclusion The experimental results demonstrated that ultrasound-guided RFA of the knee in the treatment of synovial hyperplasia in AIA model animals was both effective and safe.https://www.tandfonline.com/doi/10.1080/02656736.2024.2328113Percutaneous radiofrequency ablationsynovial hyperplasiaanimal experiment researchultrasonographyarthritis treatment
spellingShingle Qi Xu
Xiao-hui Xu
Ze-zheng Liu
Jian-bi Zhu
Huan-huan Ding
Chun-chun Jin
Zhi-han Yan
Efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation for synovial hyperplasia<subtitle>An animal experimental study</subtitle>
International Journal of Hyperthermia
Percutaneous radiofrequency ablation
synovial hyperplasia
animal experiment research
ultrasonography
arthritis treatment
title Efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation for synovial hyperplasia<subtitle>An animal experimental study</subtitle>
title_full Efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation for synovial hyperplasia<subtitle>An animal experimental study</subtitle>
title_fullStr Efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation for synovial hyperplasia<subtitle>An animal experimental study</subtitle>
title_full_unstemmed Efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation for synovial hyperplasia<subtitle>An animal experimental study</subtitle>
title_short Efficacy and safety of ultrasound-guided percutaneous radiofrequency ablation for synovial hyperplasia<subtitle>An animal experimental study</subtitle>
title_sort efficacy and safety of ultrasound guided percutaneous radiofrequency ablation for synovial hyperplasia subtitle an animal experimental study subtitle
topic Percutaneous radiofrequency ablation
synovial hyperplasia
animal experiment research
ultrasonography
arthritis treatment
url https://www.tandfonline.com/doi/10.1080/02656736.2024.2328113
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