Evidence map›Paper›PMID 38703308›Full record

ArticleDermatology and therapy2024

High Intensity Focused Ultrasound (20 MHz) and Cryotherapy as Therapeutic Options for Granuloma Annulare and Other Inflammatory Skin Conditions.

Jacek Calik, Tomasz Zawada, Natalia Sauer, Torsten Bove

Abstract read
In one paragraph

Article in Dermatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. High-Intensity Focused Ultrasound (HIFU) Treatment of Vulvar Lichen Sclerosus.Clinical, cosmetic and investigational dermatology · 2025
    Article
  4. Article
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

4 authors.

Jacek CalikOld Town Clinic, Wszystkich Świętych 2a, 50-127, Wrocław, Poland.ORCID http://orcid.org/0000-0002-4492-8551
Tomasz ZawadaTOOsonix A/S, Agern Allé 1, 2970, Hoersholm, Denmark. tomasz.zawada@toosonix.com.ORCID http://orcid.org/0000-0002-7954-1429
Natalia SauerOld Town Clinic, Wszystkich Świętych 2a, 50-127, Wrocław, Poland.ORCID http://orcid.org/0000-0002-1898-3952
Torsten BoveTOOsonix A/S, Agern Allé 1, 2970, Hoersholm, Denmark.ORCID http://orcid.org/0000-0002-3918-1182

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn dermatology, inflammatory skin conditions impose a substantial burden worldwide, with existing therapies showing limited efficacy and side effects. This report aims to compare a novel immunological activation induced by hyperthermic 20 MHz high intensity focused ultrasound (HIFU) with conventional cryotherapy. The bioeffects from the two methods are initially investigated by numerical models, and subsequently compared to clinical observations after treatment of a patient with the inflammatory disease granuloma annulare (GA).

methodsClinical responses to moderate energy HIFU and cryotherapy were analysed using numerical models. HIFU-induced pressure and heat transfer were calculated, and a three-layer finite element model simulated temperature distribution and necrotic volume in the skin. Model output was compared to 22 lesions treated with HIFU and 10 with cryotherapy in a patient with GA.

resultsCryotherapy produced a necrotic volume of 138.5 mm

conclusionHyperthermic immunological activation of 20 MHz HIFU shows promise for treating inflammatory skin conditions as exemplified by GA. Numerical models demonstrate minimal skin necrosis compared to cryotherapy. Suggested optimal HIFU parameters are 1.3 mm focal depth, 0.4-0.5 J/exposure, 1 mm spacing, and 1 mm margin. Further studies on GA and other inflammatory diseases are recommended.

Indexed as

CryotherapyDermatologyFinite element modellingGranuloma annulareHIFUHigh intensity focused ultrasound

Identifiers

PMID38703308
PMCPMC11116313

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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.