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Moreover, a recommendation detailing optimal electrodes insertion is proposed with the intent of improving treatment planning. Clinical studies published between 2015 and 2023 were included since this time window is consistent with recent developments in the field of ECT of spinal metastases. In the whole, 3 articles were included. Results showed that percutaneous image-guided ECT provides effective pain relief with limited procedure-related morbidity, along with local tumour control (complete response 28.5%, 38% partial response, 24% stable disease) at 3-month follow-up in the largest published series so far. In conclusion, ECT should integrate the armamentarium of therapies that are currently being proposed to patients with painful metastatic epidural disease.<\/jats:p>","DOI":"10.1093\/bjr\/tqae219","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T03:01:21Z","timestamp":1738638081000},"page":"828-839","source":"Crossref","is-referenced-by-count":12,"title":["Electrochemotherapy in metastatic epidural spinal cord compression: a review and technical update"],"prefix":"10.1093","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6015-4349","authenticated-orcid":false,"given":"Frederic","family":"Deschamps","sequence":"first","affiliation":[{"name":"Department of Interventional Radiology, Gustave Roussy, Universit\u00e9 Paris-Saclay , 94805 Villejuif,","place":["France"]},{"name":"Universit\u00e9 Paris-Saclay, CNRS, Gustave Roussy, Aspects m\u00e9taboliques et syst\u00e9miques de l'oncog\u00e9n\u00e8se pour de nouvelles approches th\u00e9rapeutiques, 94805 Villejuif,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8878-4916","authenticated-orcid":false,"given":"Lambros","family":"Tselikas","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Gustave Roussy, Universit\u00e9 Paris-Saclay , 94805 Villejuif,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto L","family":"Cazzato","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, University Hospital of Strasbourg, 1 Pl. de l\u2019H\u00f4pital , 67000 Strasbourg,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giancarlo","family":"Facchini","sequence":"additional","affiliation":[{"name":"Department of Radiology, IRCCS Istituto Ortopedico Rizzoli , 40136 Bologna,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenza","family":"Granata","sequence":"additional","affiliation":[{"name":"Division of Radiology, Istituto Nazionale per lo studio e la cura dei Tumori \u201cFondazione G. 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