Osteoid osteoma: localization by intraoperative magnification scintigraphy

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.