Musculoskeletal (MSK) Imaging is moving beyond muscles and tendons. For example, identifying the exact location of very small foreign bodies close to moving structures of the MSK anatomy is important when planning best method of removal. Another indicator of pathology in MSK studies is the presence of increased blood flow due to inflammation. Accurate detection of increased blood flow can help in monitoring the effect of therapy and in patient management.
Canon Medical’s new and improved matrix technology (iDMS) allows more control over the beam to provide a super thin slice thickness in both planes for outstanding high resolution imaging, in focus all the way from the near to far field. This new generation of matrix transducers is unique to Canon Medical and an advancement on already existing matrix technology that we have utilised for many years.
Our revolutionary SMI™ allows the visualisation of the micro-vascularity of MSK structures which can be impossible to detect with conventional Colour Doppler. SMI™ provides more clinically useful information in MSK examinations and has set a new standard in detecting micro-vascularity.
Canon Medical continues this revolution with the introduction of the new 33MHz transducer. This ultra-high frequency transducer is able to demonstrate detail in the skin layers, as well as superficial ligaments and tendons that has up until now been impossible to see.
High frequency transducers
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Hand and finger ultrasound
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Canon Medical’s new i33LX9 matrix linear transducer uses iDMS technology with a frequency band of up to 33MHz, which provides extremely fine detail in the near field, making it especially useful for MSK, Rheumatology and dermal imaging examinations.
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Aplio’s i-series 24MHz transducer with extended bandwidth and iDMS technology provides excellent detail and definition in the near field, making it possible to visualise smaller structures such as nerves and small foreign bodies in MSK examinations.
Video left: Biceps Insertion with Aplio i-series 800 system and 24MHz transducer
Aplio’s i-series 22MHz Hockey Stick provides the ultra-high frequency needed for the most demanding small parts examinations.
*Compatible with the AplioTM i-series 800 system
Canon Medical Systems’ innovative Superb Micro-Vascular Imaging (SMI) technology expands the range of visible blood flow and provides visualisation of low velocity microvascular flow never before seen with ultrasound. This has proven to be valuable in the diagnosis of tendon inflammation and arthritis.
» SMI has improved dramatically to visualise the micro-vascular changes within tumours using the abdominal and linear transducers, adding more diagnostic information.«
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» I was especially impressed by the B-mode image produced by the high quality matrix probes on Aplio i-series 800, the improved resolution has enabled us to provide high level musculoskeletal procedures which are at this stage unique to our practice – including percutaneous finger pulley release and foreign body removal, each performed with real time ultrasound guidance on this platform.«
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The foreign body was found to be located within the flexor tendon altering surgical management for this patient using 24MHz probe.
Innovative technologies such as SMI or Smart 3D are also available on specialty transducers for advanced exams such as the quantitative assessment of inflammation in small joints.
This high resolution cross section of the median nerve is acquired using the high frequency 22MHz hockeystick probe.
Ultra-high imaging resolution to examine layered structures with sub-millimeters precisions.
Wood splinter removal acquired with the 22MHz probe. iDMS technology is being used to provide a uniform and crisp image throughout the field of view.
An injection in to the sub-acromial bursae using 18 MHz probe. The B-mode technology provides exceptional contrast resolution for accurate needle visualization during interventional procedures.
The outstanding resolution of Aplio’s high-frequency transducers can help identify fine detail such as layered structures and small lesions in tendons, ligaments or peripheral nerves.
A panoramic view of the calf muscles with the Aplio a550 system. With the aBeam technology, the planes (fascia) between the different muscle groups can be clearly seen - along with the fibers within the muscles.
High resolution internal detail of achilles degeneration using 18MHz probe with Precision and ApliPure.
The extended quantification range on Aplio i-series / Prism Edition now enables the application of SWE to stiffer body parts such as tendons or ligaments.
Smart 3D is a simple way to add volume-imaging capability to Aplio’s convex and linear transducers, supporting all modes including Supeb Micro-vascular Imaging (SMI) or Shear Wave Elastography (SWE).
Ultrasound Clinical Case Study with Stephen Bird - Rheumatoid Elbow | Read the case study |
Ultrasound Clinical Case Study with Stephen Bird - Elbow Radial Collateral Ligament | Read the case study |
Ultrasound Clinical Case Study with Stephen Bird - Acute tendonosis - hydroxyapatite deposition | Read the case study |
High Resolution Ultrasound in Genicular Nerve Radiofrequency Ablation | Download this file |
Schwannoma of the anterior cutaneous nerve | Download this file |
Clinical benefits and future prospects of ApliCam in the field of MSK | Download this file |
At the forefront of elite MSK ultrasound with the Aplio i800 / Prism Edition | Download this file |
The WOW-Effect in Sonography | Download this file |
High-resolution sonography redefines hand surgery diagnostics | Download this file |
Nerve Ultra sound Opens Up Completely New Perspectives | Download this file |
Guiding the Needle to the Deepest Layers of the Body | Download this file |
FHL effusion causing foot paraesthesia | Download this file |
Distal biceps tear | Download this file |
Radial collateral ligament tear | Download this file |
Lumbrical tear | Download this file |
Early adhesive capsulitis | Download this file |
Plantar plate tear | Download this file |
An indeterminate MRI for further assessment with Ultrasound | Download this file |
Schwannoma of the hand | Download this file |
Atheroma or Ganglion? | Download this file |
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