Working with Toshiba’s Aplio 500
In August, Bill Smith, Head of Ultrasound Services at privately-owned Clinical Diagnostic Services in London,UK, was particularly excited about advances in elastography and Fly Thru in Toshiba’s newly launched high-end ultrasound series Aplio 300, 400 and 500. Discussing initial experiences utilising the system, he said, ‘Fly Thru is opening up completely new perspectives for noninvasive imaging diagnostics in the Ob/Gyn ultrasound lab. It potentially offers the possibility to replace endoscopic examinations and might well yield better results because the surrounding tissue can also be seen at the same time.’ Work is ongoing at his clinic to evaluate the technology. European Hospital asked him for an update.
Does elastography really add information?
‘Without a doubt – breast work has shown its diagnostic value. We also have cases where it certainly adds to our diagnostic confidence in terms of transvaginal scanning. A particularly useful application involves identifying the likely presence of adenomyosis. We find that elastography is very, very useful, and we do get characteristic changes that we associate with patients who appear to have extensive adenomyosis. ‘That’s not the only use for elastography. We’re lthe endometrium during a natural cycle. Obviously these investigations are carried out without any kind of invasive measure that would destroy or damage the endometrium.
So, colour Doppler, good 2-D greyscale, 3-D, elastography, together are all very, very helpful when trying to assess endometrial development and associated abnormalities. ‘I’m sure, as we start looking at other areas, we’ll also find additional benefits. Ovarian lesions are probably the next step, but we remain excited about the potential of both the Fly Thru and elastography. ‘From the Aplio 500 point of view, I don’t think anyone can sell a major system purely on the basis of Fly Thru and elastography. You have to show that a system is still a really very high-ranking in terms ofooking, for example, at endometrial receptivity and trying to get more information in terms of normal tissue changes within the conventional 2-D greyscale, so we’re busy working with Toshiba trying to perfect the 2-D greyscale, particularly with the transvaginal transducer.
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