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Ultrasound (0)

Clinical Case Study: Papillary Thyroid Carcinoma

Papillary Thyroid Carcinomaq

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A comparison of one shot and continuous modes for Shear Wave elastography on the Toshiba Aplio 500

A comparison of one shot and continuous modes for Shear Wave elastography on the Toshiba Aplio 500

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Modern Liver Imaging Techniques: A New Era in Liver Ultrasound

Modern Liver Imaging Techniques A New Era in Liver Ultrasound

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Evolution of Diagnostic Ultrasound Systems: Current Achievements in Breast Ultrasound

Evolution of Diagnostic Ultrasound Systems - Current Achievements in Breast Ultrasound

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Preliminary Experience of Ultra-High Frequency Imaging with the Aplio i-series

Prelminary Experience of Ultra-High Frequency Imaging with the Aplio i-series

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Clinical Value of Multi-parametric Ultrasound and MRI/US Fusion-guided Biopsy for Prostate Cancer Detection and Visualisation

Clinical Value of Multi-parametric Ultrasound and MRI/US Fusion-guided Biopsy for Prostate Cancer Detection and Visualisation

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New Frontiers in Ultrasound-guided Percutaneous Interventions: Combination of Smart Fusion and Smart Navigation Techniques

New Frontiers in Ultrasound-guided Percutaneous Interventions: Combination of Smart Fusion and Smart Navigation Techniques

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Advanced Dynamic Flow Expands the Diagnostic Capabilities of Fetal Echocardiography

Advanced Dynamic Flow Expands the Diagnostic Capabilities of Fetal Echocardiography

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Exercise Myocardial Performance in Adolescent Athletes: A Novel Approach using 2D WMT and Simultaneous Oxygen Consumption Analysis

Exercise Myocardial Performance in Adolescent Athletes – A Novel Approach using 2D WMT and Simultaneous Oxygen Consumption Analysis

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The use of SMI in Surveillance of Endovascular Aneurysm Repair

Use of SMI in surveillance of Endovascular Aneurysm Repair

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Laparoscopic Liver Resection as a Less Invasive Treatmeant Option for Hepatocellular Carcinoma

Laprascopic Liver Resection as a Less Invasive Treatmeant Option for Hepatocellular Carcinoma

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Wall Motion Tracking for Monitoring the Heart Health of Athletes

Wall Motion Tracking for Monitoring the Heart Health of Athletes

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Wall Motion Tracking for Monitoring the Heart Health of Athletes


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A Hybrid Viewer for Fusion of Coronary CT and Ultrasound 3D Wall Motion Tracking

A Hybrid Viewer for Fusion of Coronary CT and Ultrasound 3D Wall Motion Tracking

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A Hybrid Viewer for Fusion of Coronary CT and Ultrasound 3D Wall Motion Tracking


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Fusion of CT and Ultrasound Images for Improving the Evaluation of Calcified Coronary Arteries

Fusion of CT and Ultrasound Images for Improving the Evaluation of Calcified Coronary Arteries

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Fusion of CT and Ultrasound Images for Improving the Evaluation of Calcified Coronary Arteries


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Superb Micro-vascular Imaging – A New Tool for the Sports Physician

SMI – A New Tool for the Sports Physician

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Ultrasound Scanning Strategies for the Shoulder: A Live Demonstration Session

Ultrasound Scanning Strategies for the Shoulder: A Live Demonstration Session

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Ultrasound Scanning Strategies for the Shoulder: A live demonstration session


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Superb Microvascular Ultrasound Imaging (SMI): better visualization of low-grade inflammation of joints and tendons

Superb Microvascular Ultrasound Imaging (SMI): better visualization of low-grade inflammation of joints and tendons

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Superb Microvascular Ultrasound Imaging (SMI): better visualization of low-grade inflammation of joints and tendons


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Superb Micro-vascular Imaging (SMI) in the Analysis Obstetrics Fetoplacental Microvascular Blood Flow

Superb Micro-vascular Imaging (SMI) in the Analysis Obstetrics Fetoplacental Microvascular Blood Flow

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Ultrasound monitoring of pregnancy is based on standardised 2D examination of the fetus and associated structures in each trimester of pregnancy.


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Advanced ultrasound applications for multidisciplinary use

Advanced ultrasound applications for multidisciplinary use

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Lunch Symposium at the ECR congress 2015 in Vienna, Austria, sponsored by Toshiba Medical Systems Europe. In this video presentation Prof. Dr. Thomas Fischer talks about “Advanced ultrasound applications for multidisciplinary use”.


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Elastography – improved detection and characterization

Elastography – improved detection and characterization

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Lunch Symposium at the ECR congress 2015 in Vienna, Austria, sponsored by Toshiba Medical Systems Europe. In this video presentation Prof. Dr. Vito Cantisani talks about “Elastography – improved detection and characterization”.


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Advancements in ultrasound-guided biopsy and treatment

Advancements in ultrasound-guided biopsy and treatment

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Lunch Symposium at the ECR congress 2015 in Vienna, Austria, sponsored by Toshiba Medical Systems Europe. In this video presentation Prof. Afshin Gangi talks about “Advancements in ultrasound-guided biopsy and treatment”.


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Detection of Carotid Plaque Neovascularisation with Superb Micro-vascular Imaging

Detection of Carotid Plaque Neovascularisation with SMI

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Seeing the Unseen – New Techniques in Vascular Imaging: Superb Micro-vascular Imaging

Seeing the Unseen - New Techniques in Vascular Imaging SMI

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Superb Micro-vascular Imaging (SMI) is a new Doppler technique allowing the non-contrast-enhanced visualisation of minute vessels with slow blood flow velocity. By providing a tool to evaluate tumor vessel shape and density SMI facilitates the diagnosis and differentiation of lesions in any organ.

The technology can also be used for chemotherapy follow-up, for monitoring inflammatory activity in diseases such as colitis or Crohn’s disease and for obtaining dynamic flow images in CEUS.


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Approaches to Liver Tumors

Approaches to Liver Tumors

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Shear Wave Elastography (SWE), which quantifies and maps the propagation velocities of shear waves, is employed for the differential diagnosis of diffuse liver diseases and liver tumors.

More recently SWE has been used for assessing the effects of IRE, a newly developed local treatment technique in which high-voltage current is applied to create irreversible perforations in the cell membrane leading to cell death.


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Approaches to the Diagnosis of Liver Fibrosis

Approaches to the Diagnosis of Liver Fibrosis

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Shear Wave Elastography (SWE) is applied to assess liver stiffness. A helpful feature of the Toshiba SWE package is the contour display mode which shows whether the shear waves move properly through the tissue, allowing the reliability of the data obtained in deeper tissue regions to be verified.


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MicroPure – A New Technology in Clinical Breast Care

MicroPure - A New Technology in Clinical Breast Care

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MicroPure is an imaging technology developed to support early breast cancer detection by visualising microcalcifications. The present study confirmed that the resolution of MicroPure is comparable to that of a standard X-ray mammography and that it facilitates targeted biopsy.

The study further indicates the potential value of MicroPure of detecting pre-clinical breast cancer.


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Initial Experience with a Novel Microvascular Flow Imaging Technique

Initial Experience with a Novel Microvascular Flow Imaging Technique

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SMI, a Doppler technique developed by Toshiba Medical Systems, removes motion artefacts while visualising low velocity blood flow in microscopic vessels and maintaining very high frame rates. In the present study, SMI consistently showed more detailed flow with better vessel continuity and smaller branches than CDI and PDI.


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Follow-up of Aortic Dissection with CEUS, Smart Fusion and Fly Thru – A Case Report

Follow-up of Aortic Dissection with CEUS, Smart Fusion and Fly Thru – A Case Report

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Aortic dissection patients require regular follow-up. Contrast-enhanced ultrasound (CEUS) combined with image fusion and 3D reconstruction provides a radiation-free and less expensive alternative to CTA and MRA.


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Improved Biopsy Confidence using Toshiba’s Smart Fusion

Improved Biopsy Confidence using Toshiba Smart Fusion

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Toshiba’s Smart Fusion: A Cost-effective Solution for Percutaneous Biopsy Guidance

Toshiba's Smart Fusion - A Cost-effective for Percutaneous Biopsy Guidance

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Seeing the Unseen

Seeing the Unseen

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In this session, the clinical experience of Superb microflow imaging (SMI), which is the novel application of Aplio 500 from Toshiba, is discussed. SMI is a unique ultrasound Doppler imaging employing multi-dimensional filter that makes it possible to depict minute vessels with slow velocity, without using contrast agents. In other words, the advantages of SMI are; 1.high frame rate, 2. high sensitivity, 3. high resolution, and 4. less motion artifact.

Therefore, SMI is useful in various situations encountered in daily practice. The evaluation of the density and the shape of tumor vessels with SMI help us diagnose and differentiate tumorous lesions and also could be the non-invasive modality for the assessment of therapeutic effect of chemotherapy. Since SMI clearly visualizes minute vessels, it can also be used to evaluate the disease activity in inflammatory disorders, even in bowel inflammation such as ulcerative colitis, Crohn’s disease, and so forth. Furthermore, the diagnosis of organ ischemia can be done accurately with SMI, which is expressed as the focal defect of minute vessels in a real-time fashion, with high spatial resolution. In addition, SMI provides more sensitive view of minute vessels after the injection of contrast agent, which helps us to obtain the sustained dynamic image of microflow even after the first pass of the contrast agent.In conclusion, SMI, which provides the dynamic image of microvessels, is an essential tool for the diagnosis and the evaluation of various clinical conditions.


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Abdominal and high-frequency ultrasound imaging

Abdominal and high-frequency ultrasound imaging

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This talk will encompass the latest technological developments of the Aplio 500 with particular focus on a few advanced applications for abdominal and small parts ultrasound. These newest developments include the improved visualisation of the microvasculature without the need for contrast and its potential clinical applications will be discussed.

There have also been significant improvement in specialist applications such as elastography and also improved sensitivity in high frequency contrast technology. The latter now also allows reliable detection of the sentinel lymph node and their clinical impact will be outlined and illustrated.


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Genitorurinary Ultrasound

Genitorurinary Ultrasound

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Prostate: Men with an elevated serum level of prostate-specific antigen (PSA) or suspicious findings on digital rectal examination (DRE) are examined by transrectal ultrasound (TRUS).

For histological confirmation and therapeutic plan-ning, ultrasound guided systematic biopsy of the prostate is performed. However, in a subgroup of patients with elevated PSA levels, no malignancy is detected by biopsy or up to four biopsies are performed before prostate cancer is detected. A negative biopsy therefore does not exclude prostate cancer.

In consequence, unnecessary biopsies with an increase of complications are performed in healthy men. Real-time MR/US image fusion may enhance cancer detection rates of TRUS-guided biopsies and contributes to lesion characterization by state-of-the-art US techniques. The study presented here for the first time compares state-of-the art US techniques after contrast medium administration with MRI and histology as the standard of reference.

Scrotum: Ultrasound is the imaging modality of choice for the examination of the scrotum. The propblem of tumour / haematoma misinterpretation can result in unnecessary orchiectomy. CEUS for the testis can be currently recom- mended for the differentiation between hypovascular and avascular lesions (benign).

Learning objects:
– To investigate whether multiparametric magnetic resonance imaging (MRI) allows lesion localization in prostate can-
cer in patients scheduled for MR/US fusion biopsy and whether the findings correlate with new ultrasound techniques
– Prostate lesions were classified on the basis of MRI and US (B-mode scan, power Doppler, elastography/TDI, CEUS)
– Targeted biopsies were performed in the MR/US fusionmode
– Indications for the use of CEUS in focal testicular lesions, secmental infartion, after trauma and abscess formation in severe epididymoorchitis.


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The Clinical Utility of SMI for Assessing Musculoskeletal Inflammation: Case Study Reports

Clinical Utility of SMI for Assessing Musculoskeletal Inflammation: Case Study Reports

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Superb Micro-Vascular Imaging (SMI) allows non-contrast-enhanced imaging of microvasculature and provides higher sensitivity and finer detail than conventional power Doppler and rivals that of contrast enhancement.

The present case studies show SMI’s great potential at identifying low-grade inflammation thus improving clinical diagnostics and clinical patient management.


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SMI – A New Technique for the Analysis of the Microvascular Tree in Reactive and Suspected Malignant Lymphadenopathy in Advanced Stages of Malignant Melanoma

SMI – a new technique for the analysis of the microvascular tree in reactive and suspected malignant lymphadenopathy in advanced stages of malignant melanoma

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While vascularisation is an important criterion in lymph node (LN) sonography, both color and power Doppler US and in many cases even CEUS visualise only the macrovascular architecture.

Superb Micro-Vascular Imaging (SMI) is a novel technology to image microvasculature.

In initial studies SMI provided diagnostically relevant information that had not been detected with conventional color and power Doppler, in particular with regard to small lesions, subcutaneous masses and structures in the region of the scar.


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Toshiba’s Superb Micro-vascular Imaging: A New Problem-Solving Tool in Paediatric Radiology

Toshiba's Superb Micro-vascular Imaging: A New Problem-Solving Tool in Pediatric Radiology

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Superb Micro-Vascular Imaging (SMI) is the latest in a series of technological advances in diagnostic ultrasound imaging from Toshiba, giving clinicians a more accurate and rapid diagnosis.


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Evaluation of Pelvic Floor Muscle Damaged After Childbirth with 3D/4D Transperineal Ultrasound

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3D/4D transperineal ultrasound is a useful tool to diagnose levator ani muscle (LAM) damage since this technique allows acquisition of multiplanar (mid-sagittal and axial plane) images.


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CEUS of the kidney: New technology to patient management

CEUS of the kidney: New technology to patient management

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Presentation by Prof. Dr. Jean-Michel Correas (Paris, France) at the ECR 2013 in Viena: “CEUS of the kidney: From new technology to patient management improvement”.


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The Impact of Smart Fusion on the Diagnostic Outcome

The Impact of Smart Fusion on the Diagnostic Outcome

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Virtual Navigation – A New Modality in Perioperative Brain Tumor Imaging

Virtual Navigation – A New Modality in Perioperative Brain Tumor Imaging

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Smart Fusion is the virtual navigation by Toshiba integrated into the ultrasound system.

Once preoperatively acquired CT/MRI data are downloaded onto the ultrasound system, real-time US images and the corresponding CT/MRI images from the downloaded dataset can be used simultaneously.

In the present case, image fusion was used during brain tissue surgery: the major advantages were found to be easier planning of access trajectories as well as better orientation in the operative field due to the high-quality imaging using the ultrasound probe.


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Advanced Techniques in 4D Ultrasound: Fly Thru

Advanced Techniques in 4D Ultrasound: Fly Thru

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Fly Thru is a Toshiba technology to navigate through ducts and cavities in order to explore lesions and masses.

Clinical applications are manifold, e.g. in OB/GYN imaging the endometrium or investigating complex fetal anomalies such as cleft palate. In GI, Fly Thru presents itself for imaging the pancreatic duct, gall bladder etc.

The present article explores the potential of Fly Thru in several areas, inter alia virtual hysteroscopy, virtual ductography, portal venography, portal vein thrombosis, aorta and bile ducts.


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Advances in Ultrasound: Smart Fusion Technology

Advances in Ultrasound: Smart Fusion Technology

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Smart Fusion refers to the volume-to-volume fusion of previously acquired CT or MR images with real-time ultrasound.

The present article explores the diagnostic, interventional and therapeutic applications of this time-saving and cost-effective technology, e.g. the evaluation of multiple focal lesions, the performance of biopsies, the placement of catheters and shunts and tumor ablation. Moreover, tips are provided for using Smart Fusion effectively in clinical practice.


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Advances in Transvaginal Scanning Modalities and their Clinical Application

Advances in Transvaginal Scanning Modalities and their Clinical Application

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Technological advancements in terms of software and of transducer design have vastly improved spatial and contrast resolution and overall image quality of transvaginal ultrasound.

New ultrasound techniques add to the diagnostic capabilities of ultrasonography, increase diagnostic confidence and offer particular clinical, technical and economic benefits for the investigation of gynaecological disease, fertility issues and early pregnancy development.

The present article provides an overview of 2D grey scale imaging, color Doppler, 3D (volumetric) imaging, 3D saline infusion sonohysterography, Fly Thru and real-time elastography.


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2D Wall Motion Tracking – A Powerful Analysis Tool in the Cardiovascular Package for the Aplio Series

2D Wall Motion Tracking – A Powerful Analysis Tool in the Cardiovascular Package for the Aplio Series

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2D wall motion tracking (2D WMT) tracks the motion of the myocardium throughout the cardiac cycle based on 2D raw data speckle samples which provide quantitative information on velocity, strain and strain rate, global and regional displacement, rotation and rotation rate.

In addition, it supports the assessment of dyssynchrony in patients with LBBB and of patients undergoing CRT.


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Complementary mamma diagnostics to characterize focal breast lesions: a case-based overview

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Contemporary breast cancer diagnosis draws on several modalities and techniques which can complement each other.

In the present case high-quality B-mode imaging was the point of departure of tumor characterization, followed by tissue Doppler imaging (TDI), elastography with FLR determination, visualization of microcalcifications with MicroPure and volume sonography.

Ultrasound correlated very well with tomosynthesis and dynamic MRI. Studies report increased diagnostic specificity when breast ultrasound combines B-mode imaging with elastography.

Comparison and correlation of the Tsukuba score for elastography and BI-RADS criteria for mammography and B-mode image can potentially optimize standardization of sonoelastography examinations.

Premium ultrasound systems with applications for lesion characterization are required to evaluate and classify suspicious MRI findings


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The diagnostic value of contrast-enhanced ultrasound in the management of HCC

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Contrast-enhanced ultrasound (CEUS) visualizes vascularity of hepatocellular carcinoma (HCC) to facilitate differential diagnosis.

Being a dynamic real-time procedure, CEUS reflects wash-in and perfusion phases with high frame rates and outstanding spatial resolution and with a sensitivity of up to 91 % and a specificity of up to 92% depending on operator experience.

Moreover, CEUS-assisted biopsy highlights the viable region of the tumor tissue improving the sampling results and CEUS plays a significant role in therapies, e. g. radiofrequency ablation (RFA) and percutaneous ethanol injection (PEI) and follow-up, e.g. visualization of post-ablation tumor necrosis.


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Ultrasound for Detection of High Altitude Pulmonary Edema – The APEX 3 study

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The present study confirmed previous research that the number of lung comets and the developing of subclinical effusions increases with altitude and with time spent at altitude.

While ultrasound screening for lung comets is a useful approach to detect high-altitude pulmonary edema (HAPE), the modality has limitations as it cannot visualize the pleural surface under bony structures (30%).


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Ultrasound-guided breast-conserving surgery to improve surgical accuracy

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In a prospective, multicenter, randomized controlled study the efficacy of ultrasound-guided breast-conserving surgery in patients with palpable early-stage primary invasive breast cancer in terms of sparing of breast tissue, oncological margin status, cosmetic outcomes and quality of life was investigated.

Preliminary findings suggest that the Viamo is ideal for such imaging and that surgeons can acquire the necessary intraoperative imaging skills quickly.


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Ultrasound Ergonomics – A Practical Guide to Reducing the Risk of Musculoskeletal Disorders

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Musculoskeletal disorders (MSDs) are a significant problem in most occupational groups and those carrying out ultrasound scans on a regular basis are no exception.

This article provides a basic guide to the ergonomics of ultrasound work.


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Clinical Impact of New Tools for Interventional Ultrasound Applications

Clinical Impact of New Tools for Interventional Ultrasound Applications

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New Diagnostic Roads in Abdominal and Breast Imaging

New Diagnostic Roads in Abdominal and Breast Imaging

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Advanced Techniques in 3D Ultrasound: Fly Thru

Advanced Techniques in 3D Ultrasound: Fly Thru

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Edward G. Grant, MD, FACR, Professor and Chairman, Department of Radiology, USC Keck School of Medicine, discusses Fly Thru at RSNA 2011. Fly Thru displays structures similar to the way they would appear using a virtual endoscope. Fly Thru navigates through a selected volume automatically or manually.


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Computed Tomography (0)

Wrist Scanned with the Ease of X-Ray

Wrist Scanned with the Ease of X-Ray MCACT0307EA

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Ultra Low Dose Chest with FIRST

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Forward Projected Model-based Iterative Reconstruction Solution – FIRST

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Volume SURE Cardio Prospective

Volume SURE Cardio Prospective Cardiac DLP

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Dual Energy Composition Analysis for Gout Quantification

Dual Energy Composition Analysis for Gout Quantification

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Helical SURE Cardio Prospective

Sure Cardio Cardiac DLP

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Irregular HR Volume SURE Cardio Prospective

Irregular HR Volume SURE Cardio Prospective

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High HR 101bpm Volume SURE Cardio Prospective

High HR 101bpm Volume SURE Cardio Prospective

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PE Study using 30mL of IV Contrast

PE Study using 30mL of IV contrast

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CT Clinical Case Study: Southern X-RAY Clinics Caboolture Hospital, QLD


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SEMAR & Sure Subtraction

SEMAR and Sure Subtraction

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Sure Subtraction Lung

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Sure Subtraction Neck

SURE Subtraction Neck

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Single Energy Metal Artefact Reduction (SEMAR)

Single Energy Metal Artefact Reduction (SEMAR)

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Sure Subtraction Brain

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Magnetic Resonance Imaging (0)

MRI: High Spatial Resolution at Short Acquisition Times

High Spatial Resolution at Short Acquisition Times

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High Spatial Resolution at Short Acquisition Times with 16-Channel Knee SPEEDER™ Coil. Engineered for outstanding clinical performance and enhanced throughput.


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X-Ray (0)

Wrist Scanned with the Ease of X-Ray

Wrist Scanned with the Ease of X-Ray MCACT0307EA

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ETAMI: Improving survival Rates After Heart Attack

ETAMI

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Throughout the 10 years of the ETAMI program at the Royal North Shore Hospital, interventional cardiology has been proudly supported by Toshiba Infinix angiography equipment. The state-of-the-art catheterisation laboratories provide high quality imaging, reduced dose, ease of use operability and support services that are crucial to the success of the program.


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