If you, or your child, have been diagnosed with aneurysmal bone cyst and want to pursue minimally invasive treatment, call our Interventional Coordinator at (614) 722-2375 to set up a consultation with an Interventional Radiologist. You may also request an appointment using our online form.
Dr. Shiels dedicated his life to advancing the field of radiology in order to provide the best care to children in our community, across the country and around the world. As we remember and celebrate his work, we will remain ever-grateful for his passionate mentorship of our radiology team and staff – some of whom have worked side by side with Dr. Shiels for more than a decade. Everything Dr. Shiels learned over his career, he taught to and instilled in his staff including his revolutionary advancements in interventional radiology and ultrasound; treating lymphatic malformations; bone tumor ablation, aneurysmal bone cyst and salivary gland ablation. His passion inspires the entire team to continue delivering the best possible care to children everywhere and his legacy will live in the advancements we continue to make here at Nationwide Children’s.
Most often the symptom that causes patients to realize that they have an aneurysmal bone cyst is pain in the bone with the cyst. In other patients, the bone is so thin the patients discover it when the bone breaks (fractures) through the cyst, even with little or no trauma.
Most often, an aneurysmal bone cyst is diagnosed with an X-ray or MRI examination of the damaged bone. Diagnostic imaging has traditionally relied on a combination of plain X-ray studies, CT scan, nuclear medicine bone scan and MRI. Of all these procedures, MRI is the imaging choice for a complete assessment of the aneurysmal bone cyst, especially in the spine, to determine the extent of spinal cord and nerve compression. MRI routinely detects the multiple blood-filled spaces and walls (septae) separating the spaces. Research investigations confirmed with pathologic proof that the septae (seen on ultrasound and MRI) separating the blood filled spaces indeed represent the "solid" elements of the destructive tumor requiring treatment. After the cyst is identified on the X-ray or MRI examination, a biopsy (procedure to take a small sample of tissue) will be performed either by an interventional radiologist or by a surgeon.
Personally trained by Dr. Shiels, James Murakami, MD, MS, will be carrying on the care of Dr. Shiels' patients. A faculty member at Nationwide Children's for more than 15 years, Dr. Murakami has interventional radiology interests focusing on sclerotherapy of vascular malformations and benign cysts of the head and neck, orbits, and bones.