First successful three-dimensional endoscopic retrograde cholangio-pancreaticography (ERCP) with computed tomography (CT-) and magnetic resonance (MR-) image-fusion

Three-dimensional (3D) visualization can add important complementary information compared to standard two-dimensional (2D) imaging for diagnostic purposes as well as for the navigation of complex interventional procedures such as in the biliary hilus or in complex pancreatic alterations. We report on the first three-dimensional ERCP performed in a 30 kg female pig with subsequent CT and MRI image fusion using a new multi-axis vascular X-ray robot platform. A multi-axis X-ray robot system for vascular interventions was used (Siemens Healthcare, Erlangen, Germany; animal platform). At first an endoscopic retrograd…