Evidence map›Paper›PMID 26427837›Full record

ArticleAJNR. American journal of neuroradiology2016

Spine Cryoablation: Pain Palliation and Local Tumor Control for Vertebral Metastases.

A Tomasian, A Wallace, B Northrup, T J Hillen, J W Jennings

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02838758 (A 3-arm Randomized Controlled Study Comparing Ultrasound-guided Cryoablation, Ultrasound-guided Perineural Lidocaine and Ultrasound-guided Perineural Saline to Treat Intermetatarsal Neuroma), which is not on this map. Cited by 60 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 8 pooled it
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02838758 phase1completednot on this map

A 3-arm Randomized Controlled Study Comparing Ultrasound-guided Cryoablation, Ultrasound-guided Perineural Lidocaine and Ultrasound-guided Perineural Saline to Treat Intermetatarsal Neuroma

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2016 to 2018Enrolled10ConditionsIntermetatarsal NeuromaArmsCryoablation, Lidocaine, Saline
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 8 syntheses or guidelines pooled it, 149 citations in OpenAlex.

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  10. Clinical efficacy and safety of robot-assisted targeted co-ablation combined with vertebroplasty under local anesthesia for spinal metastases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

A TomasianFrom the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri. tomasian.andy@gmail.com.ORCID http://orcid.org/0000-0002-1369-908X
A WallaceFrom the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.ORCID http://orcid.org/0000-0002-0450-8464
B NorthrupFrom the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.ORCID http://orcid.org/0000-0003-0454-8789
T J HillenFrom the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.ORCID http://orcid.org/0000-0002-2259-2057
J W JenningsFrom the Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.ORCID http://orcid.org/0000-0001-5069-6139
Mallinckrodt (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePercutaneous cryoablation has emerged as a minimally invasive technique for the management of osseous metastases. The purpose of this study was to assess the safety and effectiveness of percutaneous imaging-guided spine cryoablation for pain palliation and local tumor control for vertebral metastases. MATERIALS AND

methodsImaging-guided spine cryoablation was performed in 14 patients (31 tumors) with vertebral metastases refractory to conventional chemoradiation therapy or analgesics, to achieve pain palliation and local tumor control in this retrospective study. Spinal nerve and soft-tissue thermal protection techniques were implemented in all ablations. Patient response was evaluated by a pain numeric rating scale administered before the procedure and 1 week, 1 month, and 3 months after the procedure. Pre- and postprocedural analgesic requirements (expressed as morphine-equivalent dosages) were also analyzed at the same time points. Pre- and postprocedural cross-sectional imaging was evaluated in all patients to assess local control (no radiographic evidence of disease at the treated sites). Complications were monitored. Analysis of the primary end points was undertaken via paired-comparison procedures by using the Wilcoxon signed rank test.

resultsThirty-one tumors were ablated in 14 patients (9 women and 5 men; 20-73 years of age; mean age, 53 years). The most common tumor location was in the lumbar spine (n = 14, 45%), followed by the thoracic spine (n = 8, 26%), sacrum (n = 6, 19%), coccyx (n = 2, 6%), and cervical spine (n = 1, 3%). There were statistically significant decreases in the median numeric rating scale score and analgesic usage at 1-week, 1-month, and 3-month time points (P < .001 for all). Local tumor control was achieved in 96.7% (30/31) of tumors (median follow-up, 10 months). Two patients had transient postprocedural unilateral lower extremity radiculopathy and weakness.

conclusionsPercutaneous imaging-guided spine cryoablation is a safe and effective treatment for pain palliation and local tumor control for vertebral metastases.

Indexed as

AdultAgedCryosurgeryFemaleHumansIntractable PainMagnetic Resonance ImagingMaleMiddle AgedMinimally Invasive Surgical ProceduresMultimodal ImagingPain MeasurementPalliative CarePositron-Emission TomographyRetrospective StudiesSpinal Neoplasms

Identifiers

PMID26427837
PMCPMC7960222
OpenAlexW2216375226

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.