{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:10:07Z","timestamp":1790809807406,"version":"4.1.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T00:00:00Z","timestamp":1582243200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002Conventional endoscopic retrograde cholangiopancreatography (ERCP) is hampered by two-dimensional visualization, post-procedural adverse events (AEs), and exposure to ionizing radiation. Bimodal ERCP might mitigate these challenges, but no reports of its use are available to date. The aim of this study was to explore the feasibility of bimodal ERCP, while investigating its potential clinical yield. <\/jats:p><jats:p>\n          Patients and methods\u2002This was a retrospective observational study of patients that underwent bimodal ERCP in a single tertiary academic referral center. Thirteen patients undergoing conventional ERCP had a previously T2-weighted isotropic 3\u200aD TSE MRCP sequence aligned and fused with the two-dimensional image generated from the fluoroscopy c-arm unit in real time. <\/jats:p><jats:p>\n          Results\u2002Over a 2-month period, 13 patients with a mean age of 54 underwent bimodal ERCP for bile duct stricture (61.5\u200a%), complex cholelithiasis (7.7\u200a%) and ductal leakage (30.1\u200a%). Bimodal ERCP was feasible in all 13 cases, and image quality was assessed as \u201cgood\u201d in 11 patients (84.6\u200a%). Bimodal ERCP aided in visualizing the lesion of interest (76.9\u200a%), assisted in understanding the 3\u200aD anatomy of the biliopancreatic ductal system (61.5\u200a%), and aided in finding a favorable position for the c-arm (38.4\u200a%) for subsequent therapeutic intervention. <\/jats:p><jats:p>\n          Conclusions\u2002This first report on bimodal ERCP proves its feasibility and suggests that it may assist in increasing both the diagnostic and therapeutic yield of ERCP, while at the same time decreasing AEs during and after ERCP. Its main application might lie in treatment of complex intrahepatic disease. <\/jats:p>","DOI":"10.1055\/a-1070-8749","type":"journal-article","created":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T09:37:17Z","timestamp":1585906637000},"page":"E368-E376","source":"Crossref","is-referenced-by-count":6,"title":["Bimodal ERCP, a new way of seeing things"],"prefix":"10.1055","volume":"08","author":[{"given":"Marcus","family":"Reuterwall","sequence":"additional","affiliation":[{"name":"Karolinska Institute, CLINTEC, Stockholm, Sweden"},{"name":"Ersta Hospital \u2013 Surgery, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Waldthaler","sequence":"additional","affiliation":[{"name":"Karolinska Institute, CLINTEC, Stockholm, Sweden"},{"name":"Karolinska University Hospital \u2013 Upper Abdominal Diseases, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanne","family":"Lubbe","sequence":"additional","affiliation":[{"name":"Karolinska Institute, CLINTEC, Stockholm, Sweden"},{"name":"University Stellenbosch \u2013 Division of Surgery, Stellenbosch, Western Cape, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"Kadesj\u00f6","sequence":"additional","affiliation":[{"name":"Karolinska University Hospital \u2013 Medical Radiation and Physics and Nuclear Medicine, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaella","family":"Pozzi Mucelli","sequence":"additional","affiliation":[{"name":"Karolinska Institute, CLINTEC, Stockholm, Sweden"},{"name":"Karolinska University Hospital \u2013 Abdominal Radiology, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Del Chiaro","sequence":"additional","affiliation":[{"name":"Karolinska Institute, CLINTEC, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Lohr","sequence":"additional","affiliation":[{"name":"Karolinska Institute, CLINTEC, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urban","family":"Arnelo","sequence":"additional","affiliation":[{"name":"Karolinska Institute, CLINTEC, Stockholm, Sweden"},{"name":"Karolinska University Hospital \u2013 Upper Abdominal Diseases, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,2,21]]},"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1070-8749.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T09:37:40Z","timestamp":1585906660000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1070-8749"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,21]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2020,2,21]]},"published-print":{"date-parts":[[2020,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1070-8749","relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,21]]}}}