RESEARCH
Volumetric Laser Endomicroscopy's (VLE) Diagnostic Accuracy Validation Study: Impact on Clinical Management Study
 
- Study PI: Dr. Michel Kahaleh
 - Study Sub-I: Dr. Amy Tyberg, Dr. Viren Joshi
 - Study Contact: Dr. Monica Gaidhane
 - Study IRB: WIRB
 - Study Sponsor: Ninepoint Medical
 - Study Admin: Innovative Digestive Health Education &
Research Inc (IDHER) 
The purpose of this study is to assess the interobserver agreement (IOV) for pancreatico-biliary Volumetric Laser Endomicroscopy (VLE) de-identified clips using the new VLE criteria.
This is an Interobserver study to validate VLE criteria for indeterminate biliary and pancreatic duct strictures and evaluate impact on clinical management.
Objective:  
Validate diagnostic impact of VLE diagnostic accuracy on clinical management
Primary Objectives:
- Interobserver study for criteria validation and accuracy, Positive predictive value (PPV) and Negative predictive value (NPV), sensitivity and specificity.
 - Evaluation of VLE diagnostics on clinical management (increased accuracy/faster detection).
 - Determination of learning curve to standardize credentialing for endoscopists to use and interpret VLE imaging for biliary/pancreatic treatment management.
 
Hypotheses / Research Question(s) The new VLE criteria for biliary and pancreatic duct strictures increase accuracy, thus leading to substantial impact on clinical management (Screening and Treatment)
Investigators: Up to 30 Expert and non-expert endoscopists currently using VLE
