Evidence map›Paper›PMID 39995474›Full record

ArticleDEN open2025

Evaluation of a novel contrast-enhanced fluoroscopy protocol for endoscopic retrograde cholangiopancreatography in a phantom model (with video).

Takaoki Hayakawa, Masayasu Horibe, Eisuke Iwasaki, Fateh Bazerbachi, Yuki Suno, Tsubasa Sato, Haruka Okada, Yuki Nakajima, Yosuke Mizukami, Atsuto Kayashima and 3 more

Abstract read
In one paragraph

Article in DEN open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Takaoki HayakawaDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.ORCID https://orcid.org/0000-0002-0657-4609
Masayasu HoribeDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.
Eisuke IwasakiDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.
Fateh BazerbachiCentraCare, Interventional Endoscopy Program, St. Cloud Hospital St. Cloud USA.ORCID https://orcid.org/0000-0003-4599-2042
Yuki SunoOffice of Radiation Technology Keio University School of Medicine Tokyo Japan.
Tsubasa SatoDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.
Haruka OkadaDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.ORCID https://orcid.org/0000-0001-7588-5964
Yuki NakajimaDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.
Yosuke MizukamiDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.
Atsuto KayashimaDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.
Takashi SeinoDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.
Shintaro KawasakiCenter for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University Tokyo Japan.
Takanori KanaiDepartment of Internal Medicine Division of Gastroenterology and Hepatology School of Medicine, Keio University Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study evaluated a novel contrast-enhanced (CE) fluoroscopy protocol for endoscopic retrograde cholangiopancreatography, which optimizes image processing to enhance contrast of devices and contrast media. We compared the CE protocol with the conventional standard protocol to assess its potential for reducing radiation exposure while improving image visibility. Methods: The study utilized a multidirectional fluoroscopy unit and phantoms to evaluate the new CE protocol against the conventional protocol. Comparisons included radiation dose rates, spatial resolution, and concentration resolution under various fluoroscopic conditions. The investigation aimed to determine if the CE protocol offered improved visibility while potentially reducing radiation exposure. Results: Three CE protocol modes (LOW-7.5 fps, MID-3.75 fps, and LOW-3.75 fps) achieved lower dose rates than the standard MID-7.5 fps mode commonly used in clinical practice. Dynamic spatial resolution was significantly superior in all three CE modes compared to the standard protocol ( Conclusions: The novel CE fluoroscopy protocol provides superior dynamic spatial resolution in endoscopic retrograde cholangiopancreatopgraphy while reducing radiation exposure, potentially enhancing procedure guidance and safety for both patients and clinicians.

Indexed as

cholangiopancreatographyfluoroscopyphantomsradiographyradiologic phantom

Identifiers

PMID39995474
PMCPMC11847977

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Registered trials

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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.