Augmented reality-assisted cholangioscopy for biliary interventions: initial clinical experience in four cases - Summary - MDSpire

Augmented reality-assisted cholangioscopy for biliary interventions: initial clinical experience in four cases

  • By

  • Saad Abu Zahra

  • Ahsun Riaz

  • Ashima Kundu

  • Robert J. Lewandowski

  • Andrew C. Gordon

  • July 9, 2026

  • 0 min

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Objective:

To evaluate the feasibility of using the Apple Vision Pro headset to display cholangioscopic video as a virtual monitor during biliary interventions and assess its impact on procedural workflow and ergonomics.

Approach:
  • Study Design: An IRB-approved, HIPAA compliant pilot study conducted at a single academic interventional radiology practice from January 2026 to February 2026, involving four consecutive biliary interventions.
Key Findings:
  • The AR headset allowed for customizable virtual displays that enhanced operator ergonomics and workflow.
  • The operator maintained forward gaze toward the procedural field while visualizing high-resolution imaging streams.
  • No delays in procedural start times were noted due to the setup of the mobile cart-based infrastructure.
Interpretation:

Limitations:
  • Small sample size (n = 4 cases) limits generalizability.
  • Absence of a comparator group restricts comparative analysis.
Conclusion:

The pilot study demonstrates the feasibility of using AR technology for cholangioscopy.

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