Hitachi

Urology

Advanced, efficient urological assessment

Urology
CLEARLY
DEFINED
We provide systems which deliver performance, reliability and image quality, according to your requirements. These systems incorporate colour flow and pulsed Doppler in the standard package for complete vascular assessment.

A wide range of transducers, including simultaneous Bi-Plane, mono-plane, dedicated brachy-, cryo-therapy probes and laparoscopes extend the imaging experience. Efficient transducer design ensures thorough sterilisation, in accordance with statutory guidelines.

Comprehensive urology measurement and calculation packages are standard. Advanced technology options provide additional insight, including Real-time Tissue Elastography (RTE), Real-time Virtual Sonography (RVS), 3D and Transluminal Imaging.

4G CMUT


SML44TransducerSML44
Intended useWhole Body
Frequency Range22 - 2 MHz
System compatibilityARIETTA 850

Convex


C251TransducerC251
Intended useAbdominal/Vascular/Women's Health
Frequency Range5 - 1 MHz
System compatibilityARIETTA
C252TransducerC252
Intended useAbdominal/Vascular/Women's Health
Frequency Range6 - 1 Mhz
System compatibilityARIETTA
EUP-C532TransducerEUP-C532
Intended useAbdominal/Pediatric/Women's Health
Frequency Range8 - 4 MHz
System compatibilityHI VISION
EUP-C715TransducerEUP-C715
Intended useAbdominal/Women's Health
Frequency Range5 - 1 MHz
System compatibilityHI VISION
UST-9102U-3.5TransducerUST-9102U-3.5
Intended useAbdominal/Pediatric/Women's Health
Frequency Range6 - 2 MHz
System compatibilityProSound
UST-9133TransducerUST-9133
Intended useAbdominal Intercostal Convex
Frequency Range6 - 1 MHz
System compatibilityProSound

Linear


L55TransducerL55
Intended useSmall Parts/Breast
Frequency Range13 - 5 MHz
System compatibilityARIETTA
L64TransducerL64
Intended useSmall Parts/Vascular
Frequency Range18 - 5 MHz
System compatibilityARIETTA
EUP-L74MTransducerEUP-L74M
Intended useSmall Parts/Breast
Frequency Range13 - 5 MHz
System compatibilityHI VISION
EUP-L75TransducerEUP-L75
Intended useSmall Parts
Frequency Range18 - 5 MHz
System compatibilityHI VISION
UST-568TransducerUST-568
Intended useSmall Parts/Breast
Frequency Range13 - 3 MHz
System compatibilityProSound
UST-5417TransducerUST-5417
Intended useSmall Parts
Frequency Range14 - 4 MHz
System compatibilityProSound
UST-5712TransducerUST-5712
Intended useSmall Parts/Vascular
Frequency Range13 - 3 MHz
System compatibilityProSound

Biopsy/Intraoperative


C22KTransducerC22K
Intended useIntraoperative Convex
Frequency Range6 - 1 MHz
System compatibilityARIETTA
C22PTransducerC22P
Intended useBiopsy Small Footprint Convex
Frequency Range6 - 1 MHz
System compatibilityARIETTA
C25PTransducerC25P
Intended useBiopsy Through-crystal Convex
Frequency Range5 - 1 MHz
System compatibilityARIETTA
L43KTransducerL43K
Intended useRobotic/non-roboticIntraoperative Linear Drop-in
Frequency Range12 - 2 MHz
System compatibilityARIETTA
L44LATransducerL44LA
Intended useLinear Laparoscopic 4 Way
Frequency Range13 - 2 MHz
System compatibilityARIETTA
EUP-B512TransducerEUP-B512
Intended useBiopsy Small Footprint Convex
Frequency Range5 - 2 MHz
System compatibilityHI VISION
EUP-B514TransducerEUP-B514
Intended useBiopsy Through-crystal Convex
Frequency Range5 - 2 MHz
System compatibilityHI VISION
EUP-B712TransducerEUP-B712
Intended useBiopsy Small Footprint Convex
Frequency Range6 - 1 MHz
System compatibilityHI VISION
EUP-B715TransducerEUP-B715
Intended useBiopsy Through-crystal Convex
Frequency Range5 - 1 MHz
System compatibilityHI VISION
EUP-OL334TransducerEUP-OL334
Intended useConvex Laparoscopic
Frequency Range10 - 5 MHz
System compatibilityHI VISION
UST-5045P-3.5TransducerUST-5045P-3.5
Intended useLinear Abdominal Biopsy
Frequency Range6 - 2 MHz
System compatibilityProSound
UST-9104-5TransducerUST-9104-5
Intended useIntraoperative Convex
Frequency Range8 - 3 MHz
System compatibilityProSound
UST-9135PTransducerUST-9135P
Intended useBiopsy Convex
Frequency Range6 - 1 MHz
System compatibilityProSound

3D/4D


VC41VTransducerVC41V
Intended useVolume Endocavity
Frequency Range8 - 2 MHz
System compatibilityARIETTA

Endocavity


C41BTransducerC41B
Intended useAngled End-fire Endocavity
Frequency Range10 - 2 MHz
System compatibilityARIETTA
C41RPTransducerC41RP
Intended useEnd-fire Endocavity
Frequency Range9 - 2 MHz
System compatibilityARIETTA
C41VTransducerC41V
Intended useEnd-fire Endocavity
Frequency Range8 - 4 MHz
System compatibilityNoblus only
C41V1TransducerC41V1
Intended useEnd-fire Endocavity
Frequency Range10 - 2 MHz
System compatibilityARIETTA/Noblus
C41L47RPTransducerC41L47RP
Intended useBi-Plane Brachytherapy convex/linear
Frequency Range8 - 4 MHz / 10 - 5 MHz
System compatibilityARIETTA
CC41RTransducerCC41R
Intended useSimultaneous Bi-Plane convex/convex
Frequency Range8 - 4 MHz / 8 - 4 MHz
System compatibilityARIETTA
CC41R1TransducerCC41R1
Intended useSimultaneous Bi-Planeconvex/convex
Frequency Range10 - 2 MHz / 10 - 2 MHz
System compatibilityARIETTA
CL4416RTransducerCL4416R
Intended useBi-Plane Transrectal convex/linear
Frequency Range10 - 2 MHz / 14 - 2 MHz
System compatibilityARIETTA
R41RTransducerR41R
Intended useElectronic Radial Transrectal
Frequency Range10 - 5 MHz
System compatibilityARIETTA
R41RLTransducerR41RL
Intended useElectronic Radial Transrectal
Frequency Range10 - 5 MHz
System compatibilityARIETTA
EUP-CC531STransducerEUP-CC531S
Intended useSimultaneous Bi-Plane convex/convex
Frequency Range8 - 4 MHz / 8 - 4 MHz
System compatibilityHI VISION
EUP-U533TransducerEUP-U533
Intended useBi-Plane Brachytherapy convex/linear
Frequency Range8 - 4 MHz / 10 - 5 MHz
System compatibilityHI VISION
EUP-V53WTransducerEUP-V53W
Intended useEnd-fire Endocavity
Frequency Range8 - 4 MHz
System compatibilityHI VISION
EUP-V73WTransducerEUP-V73W
Intended useEnd-fire Endocavity
Frequency Range10 - 2 MHz
System compatibilityHI VISION
EUP-R54AW-19TransducerEUP-R54AW-19
Intended useElectronic Radial Transrectal
Frequency Range10 - 5 MHz
System compatibilityHI VISION
EUP-R54AW-33TransducerEUP-R54AW-33
Intended useElectronic Radial Transrectal
Frequency Range10 - 5 MHz
System compatibilityHI VISION
UST-672-5/7.5TransducerUST-672-5/7.5
Intended useBi-Plane Brachytherapy convex/linear
Frequency Range8 - 3 MHz / 13 - 4 MHz
System compatibilityProSound
UST-675PTransducerUST-675P
Intended useEnd-fire Endocavity
Frequency Range9 - 2 MHz
System compatibilityProSound
UST-676PTransducerUST-676P
Intended useEnd-fire Endocavity
Frequency Range9 - 3 MHz
System compatibilityProSound
UST-678TransducerUST-678
Intended useBi-Plane Brachytherapy convex/linear
Frequency Range9 - 3 MHz / 13 - 4 MHz
System compatibilityProSound

  • Shear Wave Measurement (SWM)
    SWM incorporates a reliability indicator, VsN, from which the precision and reproducibility of the median shear wave speed measurement can be assessed. Combinational use of SWM and RTE is now achievable with one transducer, to gain a better understanding of the tissue elasticity.
  • Real-time Tissue Elastography (RTE)
    Tissue-hardening causes loss of elasticity. RTE calculates this loss and overlays the B-Mode image with colour. Rigid structures are displayed in blue, while the more elastic structures are in red. Clinical trials have shown RTE to offer enormous potential in visualising prostate cancer and significantly improving the role of image-guided biopsies.
  • Prostate brachytherapy
    Brachytherapy is an established technique in treating the early stages of prostate cancer requiring high resolution transrectal imaging. Two types of brachytherapy are available, permanent low-dose radiation (LDR) and temporary high-dose radiation (HDR) both of which require ultrasound guidance. The EUP-U533 is an electronic bi-plane transducer incorporating a convex array for the transverse plane and a linear array for the sagittal plane facilitating accurate volume measurements, precise seed loading and positioning, with additional colour-flow capabilities.
  • Prostate cryotherapy
    This emerging technology offers promising results in cases of radiation failure or with higher-risk patients with prostate cancer. As cells freeze, ice crystals form and the freeze/thaw process destroys cells through a cyclical process of direct freezing, dehydration and hypoxia. As the prostate gland is subjected to -40°C, an anti-tumour response is activated, producing antibodies which assist in eradicating the tumour. Optimal bi-plane ultrasound offers transverse and linear prostate imaging for accurate cryoneedle and rod placement. Colour flow offers valuable information of the vascularity within the rectal wall during the procedure.
  • Kidney cryotherapy
    Cryotherapy is a potential treatment for small renal tumours (up to 4cm) and involves inserting ultra-thin cryoneedles into the tumour during laparoscopy. As Argon gas passes through the cryoneedle, the tip of the needle cools and forms an ice ball which engulfs the tumour and destroys the tissue. A significant advancement in renal cryosurgery is the ability to perform real-time ultrasound monitoring of the ice-ball demonstrating a very close correlation between the final gross measurement and the ultrasound measurement of the lesion. Ultrasound monitoring is essential to guarantee safe and effective cryoablation. The OL-334 is a highly flexible laparoscopic transducer with omnidirectional capabilities, adjusted and angulated to optimise coupling with the kidney. Colour Doppler provides a significant contribution to complete vascular mapping throughout the procedure.
    http://www.galil-medical.com/

3D view of the bladder

Cryotherapy of prostate: transverse

Sagittal view

Testicular Ultrasound

Bladder volume measurement

Hitachi Real-time Tissue Elastography (HI-RTE)
  1. Aigner F, Mitterberger M, Rehder P, et al. Status of transrectal ultrasound imaging of the prostate. J Endourol. 2010 May;24(5):685-91.
  2. Ferrari FS., Scorzelli A., Megliola A. et al. Real-time elastography in the diagnosis of prostate tumor. Journal of Ultrasound (2009) 12, 22-31
  3. 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.
  4. Hendrikx, J.M. et al. The use of endoluminal ultrasonography for preventing significant bleeding during endopyelotomy: evaluation of helical computed tomography vs endoluminal ultrasonography for detecting crossing vessels. BJU International, 2006; 97(4): 786-789
  5. Kamoi K., Okihara K., Ochiai A., et al. The utility of transrectal real-time elastography in the diagnosis of prostate cancer. Ultrasound in Med. and Biol. 2008; 34(7):1025-1032
  6. Miyanaga N., Akaza H., Yamakawa M., et al. Tissue elasticity imaging for diagnosis of prostate cancer: a preliminary report. Int J Urol. 2006 Dec;13(12):1514-8.
  7. Miyagawa T., Tsutsumi M., Matsumura T., et al. Real-time elastography for the diagnosis of prostate cancer: evaluation of elastographic moving images. Japanese Journal of Clinical Oncology Advance Access published April 9, 2009
  8. Pallwein L., Mitterberger M., Pinggera G., et al. Sonoelastography of the prostate: comparison with systematic biopsy findings in 492 patients. Eur J Radiol. 2008 Feb;65(2):304-10
  9. Pallwein L., Mitterberger M., Struve P., et al. Comparison of sonoelastography guided biopsy with systematic biopsy: impact on prostate cancer detection. Eur Radiol. 2007 Sep;17(9):2278-85
  10. Pallwein L., Mitterberger M., Gradl J., et al. Value of contrast-enhanced ultrasound and elastography in imaging of prostate cancer. Curr Opin Urol. 2007 Jan;17(1):39-47.
  11. Pallwein L., Mitterberger M., Struve P., et al. Real-time elastography for detecting prostate cancer: preliminary experience. BJU Int. 2007 Jul;100(1):42-6
  12. Pallwein L., Mitterberger M., Pelzer A., et al. Ultrasound of prostate cancer: recent advances. Eur Radiology 2008 Apr;18(4):707-15
  13. Pallwein L., Aigner F., Faschingbauer R., et al. Prostate cancer diagnosis: value of real-time elastography. Abdom Imaging. 2008 Nov-Dec;33(6):729-35. Review
  14. Salomon G., Köllerman J., Thederan I., et al. Evaluation of prostate cancer detection with ultrasound real-time elastography: a comparison with step section pathological analysis after radical prostatectomy. Eur Urol. 2008 Dec;54(6):1354-62
  15. Sumura M., Shigeno K., Hyuga T., et al. Initial evaluation of prostate cancer with real-time elastography based on step-section pathologic analysis after radical prostatectomy: a preliminary study. Int J Urol. 2007 Sep;14(9):811-6.
  16. Tsutsumi M., Miyagawa T., Matsumura T., et al. The impact of real-time tissue elasticity imaging (elastography) on the detection of prostate cancer: clinicopathological analysis. Int J Clin Oncol. 2007 Aug; 12(4):250-5. Epub 2007 Aug 20.
  17. Tsutsumi M., Miyagawa T., Matsumura T., et al. Real-time balloon inflation elastography for prostate cancer detection and initial evaluation of clinicopathologic analysis. Am J Roentgenol. 2010 Jun;194(6):W471-6.