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BackTable / MSK / Podcast / Episode #38

The MOTION Study: Cryoablation for Painful Bone Metastases

with Dr. Jack Jennings

In this episode of the BackTable Podcast, host Dr. Jacob Fleming and guest Dr. Jack Jennings discuss advancements in interventional oncology, specifically regarding cryoablation for bone metastases. Dr. Jennings is an interventional musculoskeletal radiologist at Washington University School of Medicine and President of the American Society of Spine Radiology.

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The MOTION Study: Cryoablation for Painful Bone Metastases with Dr. Jack Jennings on the BackTable MSK Podcast)
Ep 38 The MOTION Study: Cryoablation for Painful Bone Metastases with Dr. Jack Jennings
00:00 / 01:04

BackTable, LLC (Producer). (2024, January 5). Ep. 38 – The MOTION Study: Cryoablation for Painful Bone Metastases [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Jack Jennings discusses The MOTION Study: Cryoablation for Painful Bone Metastases on the BackTable 38 Podcast

Dr. Jack Jennings

Dr. Jack Jennings is an inteventional radiologist with Washington University Physicians in St. Louis, Missouri.

Dr. Jacob Fleming discusses The MOTION Study: Cryoablation for Painful Bone Metastases on the BackTable 38 Podcast

Dr. Jacob Fleming

Dr. Jacob Fleming is a diagnostic radiology resident and future MSK interventional radiologist in Dallas, Texas.

Synopsis

They discuss the results of the MOTION Study, the benefits of industry collaboration, and the future of robotic guidance systems in interventional procedures. They also explain techniques like hydrodissection and pneumodissection in detail. With constant advancements in technology such as guidance navigation systems to reduce pain from bone metastases, it is crucial for interventional radiologists to adapt to these changes. At the end of the episode the doctors give a shout out to the upcoming Society of Interventional Oncology (SIO) 2024 meeting and the enriching opportunities that it offers for interventional radiologists.

Timestamps

00:00 - Introduction
02:25 - Overview of the MOTION Study
04:23 - Benefits and Challenges of Cryoablation
09:37 - Results of the MOTION Study
12:13 - Future of Interventional Oncology
19:38 - Role of Imaging Guidance in Cryoablation
23:07 - Future of Robotic Guidance Systems
31:40 - Importance of Industry Partnerships

Resources

Society of Interventional Oncology Annual Meeting, Long Beach, CA January 25th-29th:
https://www.sio-central.org/Events/Annual-Scientific-Meeting/Registration

Interventional Oncology MOTION Multicenter Study:
https://www.bostonscientific.com/en-EU/medical-specialties/interventional-radiology/interventional-oncology-embolisation/clinical-evidence/motion.html

Percutaneous image-guided cryoablation of painful metastases involving bone: multicenter trial:
https://pubmed.ncbi.nlm.nih.gov/23065947/

Cryoablation Needles from Boston Scientific:
https://www.bostonscientific.com/en-US/products/cryoablation/visual-ice/visual-ice-cryoablation-needles.html

Transcript Preview

One of our main goals was to increase broader adoption and knowledge of this and for pain palliation. It was really a simple prospective single-arm trial. It was international. I think we had four European sites, many out of France, looking at people with painful single bone metastasis and treating with cryoablation. We enrolled very similar to the mass trials in the '60s, like '66 or something like that. We took it out for six months. The primary objective was greater than two-point reduction of the pain score.

Then we looked at opioid use, quality of life, and like I said, carried it out for six months. The big impetus was also to just reinvigorate this more global, broader adoption of it because it's a need. You and I have talked about this multiple times. We just need to get more and more people doing this. Equally, to get the NCCN Guidelines and guidelines to promote this. As you've seen, we talked about this last time. We made a lot of leaps and jumps with it, come to NCCN Guidelines and ablation for pain palliation.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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A Procedural Guide to Cryoablation for Painful Bone Metastases

Procedure Guide: Cryoablation for Painful Bone Metastases

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The MOTION Study: Evaluating Cryoablation for Painful Bone Metastases

Topics

Cryoablation Procedure Prep
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