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Hitachi Medical Systems Europe

Gastroenterology

Ergonomic intervention and therapy

Product Picture for "Gastroenterology"

Hitachi's EUS suits all applications, ranging from oesophageal or gastric cancer staging to endoscopic interventional procedures and therapeutic applications.

Over the last ten years, the diagnostic importance of endoscopic ultrasound has increased. Hitachi offers 360° electronic radial echoendoscopes for diagnostic EUS and longitudinal scopes, available with integrated working channels from 2mm to 3.8mm for therapeutic examinations, such as FNA and cyst drainage. With the introduction of Hitachi's new endobronchial ultrasound system, clinical staging of lymph node involvement becomes more accurate, more precise and ultimately more beneficial for the patient.

With the launch of the K-Series EUS scopes, the EG3670URK 360° electronic radial, EG3870UTK therapeutic linear, and EB1970UK endobronchial, Hitachi provides the world's leading ultrasound image quality, with solid-state reliability and the advantage of colour and power Doppler

HI VISION Ascendus - A first class ultrasound platform with uncompromised image quality
HI VISION Preirus - A compact premium ultrasound platform that adapts to your environment
HI VISION Avius® - A high performance ultrasound platform inspired by experience
EUB-7500 HV - Compact, high-end ultrasound - raising diagnostic standards
EUB-7000 HV - Compact and versatile quality platform
EUB-5500 HV - High quality, with unique clinical versatility

Longitudinal Echoendoscope image <b>Longitudinal Echoendoscope</b>
Bronchoscope image <b>Bronchoscope</b>
  • EB-1970UK
Radial Echoendoscope image <b>Radial Echoendoscope</b>
Electronic Radial image <b>Electronic Radial</b>

  • K Series EUS scopes
    The 12mm-outer-diameter EG3670URK radial echoendoscope, with forward-viewing video endoscopic imaging and a tapered distal end, enables easier passage through oesophageal strictures, compared with oblique-viewing systems. The scope has five variable frequencies between 5-10MHz, for excellent near and far field resolution. The 2.4mm working channel allows it to be used in conjunction with a 2mm mini probe for very high frequency (20 Mhz) mucosal examination and stricture passage.
    With new colour chip video technology, the full screen endoscopic image is of superb quality, with true colours increasing diagnostic confidence.
    The new EG3870UTK linear, with its wide sector angle, large 3.8mm channel and elevator, enables easy passage and positioning of all FNA needles and accessories. Uniquely, stents as large as 10Fr size can be used for cyst drainage. Find out more
  • EUS fine-needle aspiration (FNA)
    EUS FNA includes biopsy of mucosal and submucosal lesions. It is often used for lesions for which conventional endoscopic biopsies have been non-diagnostic. The procedure is commonly employed to sample peri-intestinal structures, such as lymph nodes or masses in the pancreas, liver, adrenal gland and bile duct. These examinations require high-resolution video and ultrasound imaging, together with ergonomic endoscopes.
    Hitachi offers a wide range of electronic longitudinal therapeutic echoendoscopes, available with integrated working channels up to 3.8mm diameter for endoscopic interventional procedures and therapeutic applications.
  • HITACHI Real-time Tissue Elastography (HI-RTE)
    Endoscopic HI-RTE allows benign and malignant lymph nodes to be characterised and differentiated - with high sensitivity, specificity and accuracy. This provides complementary information to the conventional EUS imaging and offers a better target for FNA in patients with multiple lymph nodes. Mapping of the tissues' elasticity distribution can provide more information to aid in the differentiation of focal pancreatic masses."
Ductal adenocarcinoma of pancreas
Ductal adenocarcinoma of pancreas		 Pseudotumoral pancreatitis
Pseudotumoral pancreatitis		 Malignant lymph node
Malignant lymph node
Pancreatic tumor
Pancreatic tumor		 Esophageal tumor
Esophageal tumor		 360° anatomical view
360° anatomical view
  1. Dietrich C.F., et al. Sonographic assessment of splanchnic arteries and the bowel wall. Eur J Radiol. 2007 Nov;64(2):202-12
  2. Dietrich C.F., Hirche T. O., Ott M., et al. Real-time tissue elastography in the diagnosis of autoimmune pancreatitis. Endoscopy 2009; 41: 718-720
  3. Friedrich-Rust M., Ong M.F., Herrmann E., et al. Real-time elastography for noninvasive assessment of liver fibrosis in chronic viral hepatitis. AJR 2007; 188:758-764
  4. Friedrich-Rust M., Schwarz A., Ong M.F., et al. Real-time tissue elastography versus Fibroscan for noninvasive assessment of liver fibrosis in chronic liver disease. Ultraschall in Med 2009; 30: 478 - 484
  5. Friedrich-Rust M, Sperber A, Holzer K, et al. Real-time elastography and contrast-enhanced ultrasound for the assessment of thyroid nodules. Exp Clin Endocrinol Diabetes. 2009 Oct 23. [Epub ahead of print]
  6. Gheonea DI, Saftoiu A, Ciurea T, et al. Real-time sono-elastography in the diagnosis of diffuse liver diseases. World J Gastroenterol. 2010 Apr 14;16(14):1720-6.
  7. Gheorghe L., Iacob S., Gheorghe C. Real-time sonoelastography - a new application in the field of liver disease. J Gastrointestin Liver Dis, December 2008 Vol.17 No 4, 469-474
  8. Giovannini M., Hookey L.C ., Bories E., et al. Endoscopic ultrasound elastography: the first step towards virtual biopsy? Preliminary results in 49 patients. Endoscopy 2006; 38:1-5
  9. Giovannini M., Botelberge T., Bories E., et al. Endoscopic ultrasound elastography for evaluation of lymph nodes and pancreatic masses: a multicenter study. World J Gastroenterol 2009 April 7; 15(13): 1587-1593
  10. Havre R.F., Elde E., Gilja O.H., et al. Freehand real-time elastography: impact of scanning parameters on image quality and in vitro intra- and interobserver validations. Ultrasound Med Biol. 2008 Oct;34(10):1638-50.
  11. Hirche T.O., Ignee A., Barreiros A. P., et al. Indications and limitations of endoscopic ultrasound elastography for evaluation of focal pancreatic lesions. Endoscopy 2008; 40: 910-917
  12. Jacobson B. Pressed for an answer: has elastography finally come to EUS? Gastrointest Endosc 2007;66(2):301-2
  13. Janssen J., Schlörer E., Greiner L. EUS elastography of the pancreas: feasibility and pattern description of the normal pancreas, chronic pancreatitis, and focal pancreatic lesions. Gastrointest Endosc 2007;65:971-8.
  14. Janssen J., Dietrich C. F., Will U., et al. Endosonographic elastography in the diagnosis of mediastinal lymph nodes. Endoscopy 2007; 39: 952-957
  15. Janssen J. Us elastography: current status and perspectives. [Article in German] Gastroenterol. 2008 Jun;46(6):572-9
  16. Kato K., Sugimoto H., Kanazumi N., et al. Intra-operative application of real-time tissue elastography for the diagnosis of liver tumours. Liver International ISSN 1478-3223
  17. Mezzi G., Arcidiacono P. G., Carrara S., et al. Elastosonography in malignant rectal disease: preliminary data. Endoscopy 2007; 39: 375
  18. Saftoiu A., Vilman P. Endoscopic ultrasound elastography - a new imaging technique for the visualization of tissue elasticity distribution. J Gastrointestinal Liver Disease, June 2006;15 (2):161-165
  19. Saftoiu A., Vilman P., Hassan F., et al. Analysis of endoscopic ultrasound elastography used for characterisation and differentiation of benign and malignant lymph nodes. Ultraschall in Med 2006;27:535 - 542
  20. Saftoiu A., Vilman P., Ciurea T., et al. Dynamic analysis of EUS used for the differentiation of benign and malignant lymph nodes. Gastrointest Endosc 2007; 66 (2): 291 - 300
  21. Saftoiu A., Vilmann P., Gorunescu F., et al. Neural network analysis of dynamic sequences of EUS elastography used for the differential diagnosis of chronic pancreatitis and pancreatic cancer. Gastrointest Endosc 2008;68:1086-94
  22. Tatsumi C, Kudo M, Ueshima K, et al. Non-invasive evaluation of hepatic fibrosis for type C chronic hepatitis. Intervirology. 2010;53(1):76-81. Epub 2010 Jan 5.
  23. Uchida H., Hirooka Y., Itoh A., et al. Feasibility of Tissue Elastography Using Transcutaneous Ultrasonography for the Diagnosis of Pancreatic Diseases. Pancreas 2009;38(1):17-22
  24. Recommended reading:
    Endoscopic Ultrasound: An Introductory Manual and Atlas
    Editor: Christoph Frank Dietrich
    Published Thieme, 2006
    Atlas of Endoscopic Ultrasonography. The Upper Gastrointestinal Tract.
    Svein Ødegaard, Lars Birger Nesje,Odd Helge Gilja
    Published Fagbokforlaget 2007