Evidence map›Paper›PMID 40269401›Full record

ArticleJournal of hepato-biliary-pancreatic sciences2025

The efficacy of 3D hologram support with mixed-reality technique in pancreatobiliary endoscopy.

Kazumasa Nagai, Maki Sugimoto, Takao Itoi, Hirohito Minami, Takayoshi Tsuchiya, Yoichi Araki, Ryosuke Tonozuka, Hiroyuki Kojima, Noriyuki Hirakawa, Shunichiro Orihara

Abstract read
In one paragraph

Article in Journal of hepato-biliary-pancreatic sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

10 authors.

Kazumasa NagaiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0003-1904-6191
Maki SugimotoOkinaga Research Institute Teikyo University, Tokyo, Japan.
Takao ItoiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Hirohito MinamiDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Takayoshi TsuchiyaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0002-2586-0635
Yoichi ArakiDepartment of Radiology, Tokyo Medical University, Tokyo, Japan.
Ryosuke TonozukaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3999-2847
Hiroyuki KojimaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6043-8379
Noriyuki HirakawaDepartment of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Shunichiro OriharaDepartment of Health Data Science, Tokyo Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsMixed-reality (MR) technology is an advanced holographic imaging system that uses wearable devices to display three-dimensional (3D) images in clinical environments. In pancreatobiliary endoscopy, MR technology can facilitate 3D visualization of the bile and pancreatic ducts, enhancing spatial awareness and providing a more intuitive understanding of the anatomy. We evaluated the safety and efficacy of 3D hologram support (3D-HS) using MR in pancreatobiliary endoscopy.

methodsThis study included 30 patients who underwent pancreatobiliary endoscopy using 3D-HS between June 2023 and July 2024. The procedures included ERCP (n = 13) and interventional EUS (iEUS) (n = 17). The primary outcome was technical success, with secondary outcomes including total procedure-related time and adverse events. The conventional treatment group, matched for age and disease type, was compared to the 3D-HS group. a questionnaire was used to evaluate the MR device, 3D hologram images, and the overall evaluation with 3D-HS.

resultsThe overall technical success rate was 96.7% (ERCP, 100%; iEUS, 93.8%). Adverse events occurred in 16.7% of cases; all were managed conservatively. comparison with conventional treatment showed no significant differences in outcomes, although conventional methods had shorter procedural times (p < 0.05). The questionnaire results indicated positive feedback on operability and image quality of 3D-HS, with enhanced anatomical understanding relative to 2D imaging, although some ERCP cases received lower ratings, particularly for intrahepatic bile duct stones.

conclusionsPancreatobiliary endoscopy using 3D-HS can be safe and effective in enhancing anatomical understanding. Further studies are needed to optimize its use and reduce the total procedure time.

Indexed as

Endoscopy, Digestive SystemHolographyImaging, Three-DimensionalAdultAgedCholangiopancreatography, Endoscopic RetrogradeEndosonographyFemaleHumansMaleMiddle AgedRetrospective Studies3D hologramERCPmixed realityMRVR

Identifiers

PMID40269401
PMCPMC12188149

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.