{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T10:06:38Z","timestamp":1789380398187,"version":"build-2803163510"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012352","name":"Universit\u00e0 degli Studi di Milano","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012352","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Skeletal Radiol"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Elastofibroma dorsi is a benign slow-growing fibroelastic pseudotumoral lesion that typically arises in the infrascapular region of elderly individuals and is usually managed conservatively or by surgical excision when symptomatic. Percutaneous cryoablation has only recently been described for this entity, and experience remains very limited. We report the case of a symptomatic left elastofibroma dorsi treated by percutaneous cryoablation using a CO\n                      <jats:sub>2<\/jats:sub>\n                      -based system.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      A 66-year-old man with non-painful but mechanically symptomatic left elastofibroma dorsi, unwilling to undergo surgery, came to our attention to be treated with minimally invasive approach. Pre-treatment MRI demonstrated a lesion measuring 48\u2009\u00d7\u200918\u2009\u00d7\u200970\u00a0mm (31.6\u00a0mL) in the typical subscapular location. The lesion was treated by US-CT-guided percutaneous cryoablation using a CO\n                      <jats:sub>2<\/jats:sub>\n                      -based system (Metrum Cryoflex, Lomianki, Poland) equipped with a 4.5\u00a0cm of exposed tip cryoapplicator.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The procedure was technically successful and well tolerated, with no immediate or delayed complications and free from immediate and post-treatment pain. At 3-month follow-up, contrast-enhanced MRI showed size reduction to 38\u2009\u00d7\u200912\u2009\u00d7\u200959\u00a0mm (14.1\u00a0mL,\u2009\u2212\u200955.3% volume reduction), with internal non-enhancing necrotic change consistent with post-ablation effect. Clinically, the patient reported complete resolution of mechanical symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      This case suggests that percutaneous CO\n                      <jats:sub>2<\/jats:sub>\n                      cryoablation may represent a feasible minimally invasive treatment option for selected patients with symptomatic elastofibroma dorsi. The use of a CO\n                      <jats:sub>2<\/jats:sub>\n                      -based cryoablation platform may offer practical and economic advantages, although its lower freezing capacity compared with conventional argon-and nitrogen-based systems requires careful procedural planning.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00256-026-05302-3","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:23:24Z","timestamp":1784096604000},"page":"2967-2971","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Elastofibroma dorsi: imaging-guided minimally invasive treatment using percutaneous CO2 cryoablation"],"prefix":"10.1007","volume":"55","author":[{"given":"Giovanni","family":"Mauri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Glielmo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Cammarata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico","family":"Albano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0759-8431","authenticated-orcid":false,"given":"Luca Maria","family":"Sconfienza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"issue":"2","key":"5302_CR1","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1055\/s-2001-15661","volume":"5","author":"S Kudo","year":"2001","unstructured":"Kudo S. Elastofibroma dorsi: CT and MR imaging findings. Semin Musculoskelet Radiol. 2001;5(2):103\u20135. https:\/\/doi.org\/10.1055\/s-2001-15661.","journal-title":"Semin Musculoskelet Radiol"},{"issue":"6","key":"5302_CR2","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1148\/rg.266055184","volume":"26","author":"JE Ochsner","year":"2006","unstructured":"Ochsner JE, Sewall SA, Brooks GN, Agni R. Best cases from the AFIP: elastofibroma dorsi. Radiographics. 2006;26(6):1873\u20136. https:\/\/doi.org\/10.1148\/rg.266055184.","journal-title":"Radiographics"},{"issue":"5","key":"5302_CR3","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1016\/j.jse.2006.12.010","volume":"16","author":"K Muramatsu","year":"2007","unstructured":"Muramatsu K, Ihara K, Hashimoto T, Seto S, Taguchi T. Elastofibroma dorsi: diagnosis and treatment. 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