Advanced. Seamless. Integrated.

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ASUM 2018 ASA 2018

Advanced. Seamless. Integrated.

Aplio a-series

Integrating industry-leading imaging technologies, advanced applications and intuitive controls for the busy clinician in the routine imaging department.

Advanced Seamless Integrated

Clinical Gallery

View the best clincal images from both the Aplio a450 and a550 ultrasound systems.

Over the last three days using the a450, my life was made easy. Reluctantly I had to hand the a450 back.

Peter Murphy, Sonographer – Westmead Private Hospital

First impressions: visually a small compact machine, clean lines with minimal clutter on the console. With only three hours of supervision with an applications person, I was running the machine with a full scanning list by myself.

Case 1

Detection of subtle testicular lesions

A 25 year old male was referred to the imaging department for scrotal ultrasound complaining of a short term period of pain, no palpable lump nor a history of trauma. The Canon Medical Systems Aplio a450 was used with an 18MHz transducer (18L7) to examine both testicles. A very subtle change in echotexture could be seen in the upper pole of the left testis with some echogenic micro calcifications present. The tunica albuginea (testicular capsule) also appeared to be irregular in appearance. Superb Microvascular Imaging (SMITM) was applied to assess for any increase in vascularity. SMITM confirmed the increase in vascularity in the heterogeneous, irregular region.

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Figure 1: Transverse image of the left testis shows a 17mm area of altered echotexture at the upper pole.

Figure 2: A b mode longitudinal image of the irregular area of the upper pole measuring 20x15mm. Echogenic microcalcifications were also seen throughout the testis.

Figure 3: SMITM was applied to assess the area for vascularity. Significantly increased vascularity could be seen in the region of interest.

Figure 4. The Aplio a-series Advanced Sync Pulser transmits multiple pulses with varying degrees of weighting, allowing for more control over the shape of the beam.

Figure 1: Longitudinal image of right groin showing a 37x18mm false aneurysm superficial to the right femoral artery within the soft tissue of the groin.

Figure 2: Colour Doppler imaging applied to the false aneurysm to detect any blood flow within the sac. No Doppler signal could be detected, but good sensitivity of colour within the vessel deep to the aneurysm could be seen at depth. Of note is the excellent colour Doppler fill within the vessel despite a technically challenging Doppler angle.

Figure 3. The advanced control over each element with the Advanced-Sync Pulser allows more control in focusing the ultrasound beam.

Case 2

False Aneurysm

This case follows a 70 year old patient who underwent a coronary angiogram at the same hospital four days prior to referral for ultrasound examination. After the procedure the presence of a false aneurysm was suspected at the puncture site of the right femoral artery and confirmed with an initial ultrasound. 20 minutes of firm pressure was applied over the false aneurysm site to attempt to compress the neck of the false aneurysm and the patient was referred for another follow up ultrasound to assess for resolution. Follow up ultrasound was performed using the Canon Medical Systems Aplio a450 and an 11Mhz vascular transducer (11L3).

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Case 3

Atheroma or Ganglion?

This case follows a 73 year old patient who presented to the department with swelling over the right wrist. The area of concern was not painful however a recent increase in size was noticed. The patient had already had an ultrasound and MRI which reported a ganglion on the ventral aspect of the wrist arising from the carpal joints. The patient also has known osteoarthritis. Using the Canon Medical Aplio a450, an ultrasound was performed over the region of interest using the 17 MHz “hockey stick” transducer (17LH7). The ultrasound images showed the presence of the known ganglion arising from the carpal joints and tracking alongside the Radial artery.

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Figure 1: Longitudinal image of ventral right wrist. The walls of the Radial artery are well defined and seen separate to the surrounding ganglion.

Figure 2: Cross sectional imaging of the same area. Again ultrasound imaging shows the radial artery positioned centrally in relation to the ganglion.

Figure 3: Ultrasound imaging showing communication between the ganglion and potential space surrounding the radial artery.

Advanced

Boosting diagnostic confidence

Aplio’s unique migrated iBeam technology delivers high-definition images, enhanced penetration and less artifacts. Aplio a-series helps you make decisions earlier and faster, advancing diagnostic confidence in any clinical environment.

Expanding your clinical capabilities

A full host of clinical applications available to enhance your daily routine as well as support more complex imaging studies, Aplio a-series is your essential ultrasound partner.

SMI has improved dramatically to visualise the micro-vascular changes within tumours using the abdominal and linear transducers, adding more diagnostic information.

Superb Micro-vascular Imaging

B-mode

Colour DopplerAdvanced

Seamless

Optimising your workflow

Boost your departmental productivity with iSense – intelligent ergonomic design that meets the demands of today’s busy clinician. A heads-up display with on-screen navigation further increases ease of operation and speed. With less keys and more intuitive controls, the Aplio a-series delivers seamless workflow and enhances poductivity. The panel and monitor can be adjusted to virtually any position, meeting the scanning needs for every user.

Simplicity with the console layout that enables easy visualisation, the touch screen and programmable annotation, all are features that allow more time to concentrate on the diagnostic scanning and pathology.

Integrated

Transducers fit for your needs

To support you in providing optimum patient care, Aplio a-series can be equipped with a selection of highly versatile transducers that cover a wide range of clinical areas with exceptional image quality. The compatibility with existing Aplio (T-series) transducers enables current Aplio users to switch more easily to the new generation platform.
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Secure your investment

Aplio’s robustness and unmatched shared-service capabilities make this system a reliable and flexible solution for multi-disciplinary imaging departments and hospitals striving toward a more efficient use of clinical and financial assets.

The most outstanding feature was the newly developed abdominal curve transducer 8c1. This transducer has the penetration and contrast resolution to scan through my bariatric patients with liver depths of 23 cm.

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