Evidence map›Paper›PMID 42909541›Full record

ArticleSkeletal radiology2026

Percutaneous cryoablation of musculoskeletal tumours: the largest reported single-centre case series - outcomes, complications and subgroup analysis.

Ben Thompson, Jonathan Gibson, Vivek Kiyawat, Jonathan Stevenson, Rajesh Botchu

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Article in Skeletal radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ben ThompsonCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Jonathan GibsonCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK. jxg329@student.bham.ac.uk.ORCID http://orcid.org/0009-0000-6612-9657
Vivek KiyawatDepartment of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.
Jonathan StevensonDepartment of Orthopaedic Surgery, Royal Orthopaedic Hospital, Birmingham, UK.
Rajesh BotchuDepartment of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCryoablation is an image-guided, minimally invasive treatment technique that uses extreme cold to induce tumour destruction. Its role in musculoskeletal oncology has expanded in recent years, although large clinical series remain limited. This study reports a large single-centre experience of percutaneous cryoablation for musculoskeletal tumours, including metastatic lesions, benign and cartilaginous tumours, and primary bone tumours. MATERIALS AND

methodsThis was a single-centre retrospective cohort study conducted at a tertiary musculoskeletal oncology centre. All procedures were performed by a single specialist musculoskeletal interventional radiologist with over 20 years of experience. The study included patients who underwent percutaneous cryoablation for musculoskeletal tumours between June 2021 and December 2025. Clinical response, radiological response, recurrence, and complications were assessed over a median follow-up of 3 months (mean 8.7 months; range 0-48 months). Radiological response was assessed using pre-treatment and post-treatment Hounsfield Unit (HU) measurements on CT; this is not a validated radiological scoring system and is reported as a complementary, exploratory marker alongside standard clinical response assessment. Complications were graded using the CIRSE classification system.

resultsA total of 48 patients underwent percutaneous cryoablation during the study period. The cohort included 26 males and 22 females, with a median age of 40 years. A good or complete response was achieved in 28 patients, representing 58% of the total cohort. A partial response was achieved in seven patients, representing 15% of the total cohort. HU reduction was observed in 45 of 48 patients, representing 94% of the cohort. The overall complication rate was 6.3%, with three complications recorded among 48 procedures. No major complications or procedure-related deaths were observed.

conclusionsCryoablation appears to be a safe and effective minimally invasive treatment for selected musculoskeletal tumours. Most patients achieved a good, complete, or partial response, with a low complication rate. Hounsfield Unit reduction after treatment may provide a useful, though as yet non-validated, marker of radiological response. Further prospective studies with longer follow-up, standardised response criteria and validated complication grading are needed to confirm these findings.

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Artificial intelligenceCryotherapyInterventional radiologyMusculoskeletalOncology

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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.