Aplio i800


Intuitive. Intelligent. Innovative.

These exceptional case studies come directly from local Australian and NZ clinical practices.

Clinical Gallery I II III IV V VI

Crystal-clear images with enhanced resolution

On the Aplio i800

Aplio i-series is designed to deliver outstanding clinical precision and productivity. Crystal-clear images with enhanced resolution and penetration as well as an abundance of expert tools help you get your diagnostic answer quickly and reliably.

Abdomen

Abdomen

Abdomen

Abdomen

MSK

MSK

OB

OB

OB

OB

GYN

GYN

GYN

GYN

GYN

GYN

Small Parts

Small Parts

Small Parts

Small Parts

Small Parts

Vascular

Vascular

Vascular


Aortic Arch

Clinical Case Study

Aplio i800 provides greater clinical confidence detecting first trimester heart abnormalities with high quality spatial resolution B-mode imaging and greater advancements in Advanced Dynamic Flow (ADF) Doppler technology.

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B-mode image of the foetus in transverse axis at the level of the aortic arch demonstrating abnormal vessel orientation.

Transverse oriented image of the foetal chest at the level of the aortic arch. Note: the high quality spatial resolution of ADF to fill the vessels perfectly with out overpainting.


 

An abdominal ultrasound revealed multiple mesenteric lesions.

The lesions are round in shape and of a moderate echotexture positioned centrally in both images. Note the echotexture variation in the hypoechoic mucosa of the bowel wall surrounding the nodule.

iDMS technology: Switching center and side elements separately, pulses from side elements are delayed and weighted to develop a beam that is more uniform and less focus dependent.

Bowel Nodule

Clinical Case Study

Taken using the new i8CX1 transducer, a matrix transducer using Intelligent Dynamic Micro Slice (iDMS) that sharpens ultrasound beams in the direction of the transducer lens. By controlling piezoelectric elements separately, timing of each pulse is weighted and delayed to create ultra-thin slices with continuous focus points. iDMS increases clinical accuracy and reveals more detail at all depths, most obviously demonstrated in shallow areas and far field. In this example the image quality is consistent from near field to far field and each border is sharp, well defined and free from noise.

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High BMI

Clinical Case Study

Due to the patient habitus and hepatomegaly, the gallbladder was extrahepatic and superficial in location. Historically, optimal visualisation of this type of gallbladder would require extensive alterations in scanning factors, as well as transducer changes. On the Aplio i800, imaging from the anterior image through to deep tissues has been improved to allow continuous scanning with one abdominal preset. This factor improves workflow, restricting scanning times and increasing efficiency. In this case, the gallbladder imaging clearly demonstrates a clear meniscus of echoes in a thin walled gallbladder, reflective of static bile salts associated with long term fasting. The new Aplio i800 improved efficiency in workflow, optimised ergonomics and advanced imaging results in a streamlined approach with a reduction in scan times. In this case, 67 images utilising B-mode, Doppler and SWE were collected in a 15 minute scan time.

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Liver hepatomegly.

Thin walled gallbladder with internal echoes reflective of biliary stasis.

Horseshoe kidney incidental finding.

Patent portal vein exiting the liver at the porta hepatis.

Patent main hepatic vein seen coursing towards the IVC.

Shear wave confirms the sonodense liver to be F0-1.


Portal vein size is slightly enlarged suggesting portal vein hypertension. Blood flow direction in the portal vein is maintained. The liver surface appears nodular and liver echotexture is heterogeneous.

An incidental finding of a gallbladder polyp measuring 4.3mm. Gallbladder wall size was normal at 2.2mm. The heterogeneity of the liver echotexture can be again appreciated in this image with nodularity of the liver.

The spleen size was enlarged measuring 21.2mm with the presence of varices.

Shear wave of the liver employed and gave a median of 2.66m/2 correlating to a Metavir score of F4 supporting the diagnosis of cirrhosis.

Liver Cirrhosis

Clinical Case Study

The Aplio i800 provides excellent contrast and spatial resolution for a more confident diagnosis of subtle echotexture changes in the liver. Small structures representing possible HCC can be visualised earlier resulting in quicker treatment. Further advances in beam formation technology allow superior penetration with ultimate clarity from superficial through to the deepest parts of these attenuating livers. Shear wave can help to quantify pathology present or not advanced enough to be seen on an ultrasound image. The i-series unique propagation maps help to maintain quality control and reproducibility between successive studies. Superior image quality, excellent colour sensitivity and quicker workflow are three aspects that can help to reach a diagnosis accurately, confidently and quickly for better patient outcomes.

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Portal Vein Thrombosis

Clinical Case Study

The Aplio i800 has improved levels of noise cancelling technology (Precision), to remove random noise from ultrasound images whilst retaining and enhancing true information.  This case highlights Precision imaging with the lack of noise evident in the liver vessels whilst the relevant echoes from the thrombosis remain. SMI shows vast improvement on the i800 and is a technology designed to assess slow flow. However, it has also shown great success in looking at areas of high flow especially when spatial resolution is of importance. mSMI was used in this case to visualise the deep hepatic vasculature and showed the true lumen size without over-painting of colour doppler pixels.The i800 shows SMI has improved sensitivity and resolution in deep vessels of the liver. The i800 provides penetration capabilities unlike any other system. The new i8CX1 matrix transducer allows high resolution in the far field due to its very fine beam which was appreciated in this case scanning a patient with a high BMI. The i8CX1 multi frequency transducer has new ultra wide bandwidth technology which provides more detail at depth but still maintains a homogenous near field resolution reducing the need to change probes.

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Close examination of the portal vein shows evidence of some remaining thrombus measuring 34.8 mm in length.

mSMI was used to assess the portal vein for patency. The thrombus is outlined with calipers.

Another small area of thrombus in the portal vein could be seen on B-mode ultrasound.

mSMI twin view allows a B-mode reference image to be displayed next to the mSMI image, live at the same time.


 


Demonstrates the flexor tendons of the volar wrist in fine detail using the i24LX8 transducer. Note the fluid collection positioned deep to the tendons.

Volar aspect of a finger at the distal interphalangeal joint where the flexor tendon can be seen superficially.

Volar Wrist & Finger

Clinical Case

Demonstrates the flexor tendons of the volar wrist in fine detail using the i24LX8 transducer. Note the fluid collection positioned deep to the tendons. While the second scan shows superior imaging of the volar aspect of a finger at the distal interphalangeal joint, where the flexor tendon can be seen superficially.


 


Aplio i800


Diagnostic Specialties

 


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