Contrast does not affect cholangioscope image quality

Jeffrey Laczek*, Mark Flasar, Eric Goldberg, Peter Darwin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background/Aims: Peroral cholangioscopy is a rapidly evolving technique that allows direct examination of the bile duct. We sought to determine if there was a difference in image quality with the cholangioscope immersed in normal saline compared with radiologic contrast or a mixture of contrast and normal saline. Methods: Images were captured using the SpyGlass® cholangioscope system (Boston Scientific Corp.) immersed in solutions ranging from 0 to 100% contrast. The images were then reviewed in a blinded fashion by a panel of 9 endoscopists with experience using the SpyGlass® system. The reviewers scored the quality of each image based on a scale of 0 (extremely poor) to 10 (excellent). Results: With the cholangioscope immersed in saline and 100% contrast, the mean image quality scores were 7.6 (95% confidence interval [CI], 6.7-8.5) and 6.9 (95% CI, 5.8-8.0), respectively. The highest mean image quality score was 7.8 (95% CI, 6.7-8.9), obtained in 70% contrast. No significant difference was noted in mean image quality scores using a one way analysis of variance technique (p=0.414). Conclusions: Although there are limitations to ex vivo studies, we encourage endoscopists to use intraductal contrast prior to peroral cholangioscopy, if needed for lesion localization.

Original languageEnglish
Pages (from-to)115-116
Number of pages2
JournalGut and Liver
Issue number1
StatePublished - Mar 2011
Externally publishedYes


  • Bile ducts
  • Cholangiopancreatography
  • Endoscopes
  • Endoscopic retrograde


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