Evidence map›Paper›PMID 41845108›Full record

Observational studyCardiovascular and interventional radiology2026

Percutaneous Cryoablation of Clinical T1b Renal Tumors: A Tertiary Cancer Center Experience.

Mohamed E Abdelsalam, Ahmed Awad, Francis Kang, Zhongya Wang, David Irwin, Peiman Habibollahi, Bruno C Odisio, Thomas Lu, Zeyad A Metwalli, Stephen R Lee and 3 more

Abstract readObservational Study
In one paragraph

Observational study in Cardiovascular and interventional radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Mohamed E AbdelsalamUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA. meabdelsalam@mdanderson.org.ORCID http://orcid.org/0000-0003-1066-2641
Ahmed AwadUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.
Francis KangUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.
Zhongya WangDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
David IrwinUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.
Peiman HabibollahiUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.
Bruno C OdisioUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.
Thomas LuUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.
Zeyad A MetwalliUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.
Stephen R LeeUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.
Jose A KaramDepartment of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Surena F MatinDepartment of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Kamran AhrarUnit 1471, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the oncologic and survival outcomes of patients who underwent cryoablation (CA) for T1b renal masses. MATERIALS AND

methodsThis retrospective observational cohort study was conducted in accordance with the STROBE guidelines. All patients with renal tumors from 4.1 cm to 7 cm in our renal ablation registry who underwent CA between January 2008, and June 2024 were included in our study. We excluded patients with renal tumors < 4 cm and patients who underwent microwave or Radiofrequency ablation, for T1b lesions. We compiled data on age, sex, tumor location and size, histopathology, procedure-related variables, and outcomes. The Kaplan-Meier methodology was used to estimate survival probabilities.

resultsFifty-one patients underwent 52 CA for 51 renal tumors. Overall, 39% of patients had a concomitant non-renal malignancy. The median tumor diameter was 4.5 cm. The median RENAL nephrometry score was 5. Most tumors (82%) were proven to be RCC by biopsy. Twenty-three patients underwent only cryoablation and 28 underwent a combination of embolization and cryoablation. Two patients (4%) experienced recurrence at the ablation site (30 months and 41.5 months after the ablation). Among the 27 patients with de novo histologically proven renal cell carcinoma included in the survival analysis, the median overall survival duration was 6.1 years, and the 5-year Local recurrence, disease and metastatic free survival rates were 87%, 83%, and 96%, respectively.

conclusionCA (with and without embolization) is safe and effective in patients with clinical T1b RCC who are not candidates for surgery. Cryoablation offers durable local oncologic control and favorable long-term survival outcomes in appropriately selected patients.

Indexed as

Carcinoma, Renal CellCryosurgeryKidney NeoplasmsAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesSurvival RateTertiary Care CentersTreatment OutcomeAblationOutcomesSurvival rates

Identifiers

PMID41845108
PMCPMC13597649

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.