Cone-beam computed tomography - adding a new dimension to ERCP

Endoscopy. 2015 Jul;47(7):654-7. doi: 10.1055/s-0034-1391483. Epub 2015 Feb 12.

Abstract

Six patients with biliary duct pathologies were investigated with three-dimensional endoscopic retrograde cholangiopancreatography (3D-ERCP). The technique of 3D-ERCP consists of c-arm rotation using a flat detector c-arm to acquire a complete set of images for 3 D visualization of the biliary system. Our case series demonstrates a high level of accuracy with regard to the diagnosis of stenosis and biliary leakage. In two patients the diagnosis obtained from conventional ERCP changed significantly after 3D-ERCP. From these early observations we conclude that 3D-ERCP enhances the diagnostic performance of ERCP in a subset of patients with biliary tract disease.

Publication types

  • Observational Study
  • Video-Audio Media

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bile Duct Diseases / diagnostic imaging*
  • Cholangiopancreatography, Endoscopic Retrograde / methods*
  • Cone-Beam Computed Tomography / methods*
  • Female
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Male
  • Middle Aged
  • Retrospective Studies