Augmented reality-assisted cholangioscopy for biliary interventions: initial clinical experience in four cases.
Saad Abu Zahra1, Ahsun Riaz1, Ashima Kundu1
1Department of Radiology, Northwestern University, 676 N. St. Clair Suite 800, Chicago, IL, 60611, USA.
Surgical Endoscopy
|July 9, 2026
Summary
Augmented reality (AR) visualization with Apple Vision Pro is feasible and safe for live biliary interventions using cholangioscopy. This technology enhances visualization and workflow continuity during complex procedures.
Area of Science:
- Medical technology
- Interventional radiology
- Surgical visualization
Background:
- Augmented reality (AR) offers potential for enhanced visualization in medical procedures.
- Integrating AR into live biliary interventions requires evaluation of feasibility, safety, and workflow.
Purpose of the Study:
- To assess the feasibility, safety, and workflow integration of AR-assisted visualization during live biliary interventions.
- To evaluate the use of Apple Vision Pro for cholangioscopy-guided biliary procedures.
Main Methods:
- A pilot study involving four complex biliary interventions performed by an interventional radiologist using an AR headset.
- Cholangioscopic video was streamed to the AR headset, serving as the primary visualization tool.
- The AR system was integrated into standard sterile procedural workflows.
Main Results:
- All four procedures were technically successful with no complications.
- AR-assisted visualization allowed seamless integration of cholangioscopy without technical issues or sterility breaches.
- Operators reported improved procedural continuity, enhanced visualization, and reduced head movements.
Conclusions:
- AR-assisted cholangioscopy is technically feasible and safe in initial clinical use.
- Spatial computing platforms like Apple Vision Pro may streamline workflows and offer ergonomic benefits in complex interventions.
