In addition to traditional chemical and physical pipeline cleaning techniques, researchers both domestically and internationally have proposed a novel high-concentration ice slurry cleaning technology. To explore the progress and future development trends of this technology, an overview of the principles, advantages, and disadvantages of traditional pipeline cleaning methods was provided. Then, the characteristics of ice slurry and various measurement methods for different concentrations of ice slurry. Following that, a detailed review of the principles and advantages of high-concentration ice slurry pipeline cleaning technology, related experiments and simulations, as well as cleaning devices was presented. Specific case illustrated the application of this technology in municipal water supply pipeline cleaning. This technology utilized the fluid and solid characteristics of ice slurry to achieve efficient decontamination while avoiding issues related to chemical residues and pipeline damage, offering significant advantages such as high cleaning efficiency and environmental safety. Finally, based on the existing shortcomings in ice slurry concentration measurement methods, waste liquid detection, and cleaning technologies, the future research directions was proposed from three aspects: fundamental theory of ice slurry, key technology research for high-concentration ice slurry pipeline cleaning, and applications. Future research should focus on improving measurement accuracy, enhancing waste liquid treatment systems, and optimizing processes for complex pipeline networks to inject new momentum into the pipeline cleaning industry.