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Toshiba Aplio 400 Platinum Ultrasound Machine

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Toshiba

The Toshiba Aplio 400 is a high-end system that is based on the same platform as the Aplio 500, the top model in Toshiba’s flagship Aplio Platinum series before the Aplio I series launched in 2016. The Toshiba Aplio 400 is designed to support a full range of applications and can be used as a general-purpose system or a specialized system, depending on the installed software. The Toshiba Aplio 400 Platinum with Toshiba’s well-known extensive selection of transducers supports a wide range of clinical applications including fetal, abdominal, intra-operative (abdominal), pediatric, small organs, trans-vaginal, trans-rectal, neonatal cephalic, adult cephalic, cardiac (both adult and pediatric), peripheral vascular, transesophageal, and musculo-skeletal (both conventional and superficial).

The Toshiba Aplio 400 Platinum has removed three of the upgradable options, Smart 3D, Speckle Reduction and Tissue Specific Optimization, from the Toshiba Aplio 500 Platinum. The standard package of the Toshiba Aplio 400 are as follows: 19-inch LCD monitor, DVD/CD drive, Precision imaging, Tissue Enhancement, Differential-THI, ApliPure+, Trapezoid Scan, Quick Scan, TDI, QSP, HPRF, Advanced Dynamic FlowTM(ADF), and DICOM Media Storage.

The Toshiba Aplio Platinum series was the top line products series before Toshiba launched the new Aplio i series in 2016. The Toshiba Aplio Platinum series share the same system architecture; therefore, all options could be used on the Aplio 300, 400, and 500. The user selectable key options are as follows: 4D for motor driven volume transducers and TEE transducer, Battery Kit, Smart Fusion, Smart Navigation Sensor, Smart Navigation, Wireless LAN, Stress Echo, 2D Wall Motion Tracking, CHI(Contrast Harmonic Imaging), CHI-Q, Parametric MFI, 4D STIC, Luminance, Fly Thru, Protocol Assistant, Super Micro Vascular Imaging (SMI), MicroPure, Elastography-FLR, Elastography, Shear Wave, Panoramic View, Vascular Index, Auto NT, and 1.5D Transducer support kit.

Apart from all the selectable options, the Toshiba Aplio Platinum series supports a total of 47 transducers including sector, convex, 4D volume, linear, micro convex, TEE, and Pencil transducers. Among those 47 transducers, the Toshiba Aplio Platinum series supports about 10 different intra-operative and biopsy enhancement transducers that improve clinical productivity in interventional Radiology.

Review

Toshiba Aplio 400 Platinum Review:

The Toshiba Aplio Platinum series all share the system architecture; therefore, functions in a manner similar to and are intended for the same use. The Toshiba Aplio 400 is a bit lighter than the Aplio 500 because some of options moved, but still the system is overall heavier and larger than newer GE and Philips products. The Toshiba Aplio Platinum series are stable and reliable due to the last 4 to 5 consecutive upgrades since its initial launch in 2012.

The Toshiba Aplio 400 positioned and sold as a high-end system depending on the option configuration, but still holds a very good reputation in Radiology with a wide collection of intraoperative transducers, superb fundamental image quality, and outstanding and dedicated premium radiology options such as Smart Fusion, Shear Wave, and Contrast Harmonic Imaging (CHI).

The Toshiba Aplio Platinum series provides a number of clinical tools that allows for wider clinical utilities and saves scanning time by providing better visualization in a short time. The Superb Micro Vascular Imaging (SMI) is one that increases physician’s clinical productivity and diagnostic efficiency with better visualization of low-velocity blood flow. The MicroPure function is a function that also increases comfort and confidence of diagnosis by better visualizing small structures such as a small calcification in breast. The Toshiba Aplio Platinum series supports unique linear (PLT-308P) and convex (PVT-350BTP) transducers that much improve the needle biopsy procedure by offering the method that a needle can be inserted and visualized in the middle of transducer, not from the edge of a transducer.

The Toshiba products in general look like a technology oriented product, rather than a clinical oriented product. With this series, Toshiba has achieved fully digital beamforming technology, which fully integrated into the Aplio Platinum series. The weight of each Platinum series is still high above 287 lb. The monitor size is 19-inch, which is not compatible with the latest 22 to 23 inches. Although the Toshiba Aplio Platinum holds good quality and reputation in Radiology, they still need to be improved in cardiology and OB/GYN’s workflow, automation, and 4D quality, compared to GE or Samsung products, to satisfy customers.

Probes

Toshiba Aplio 400 Platinum Probes/Transducers:

Convex Probe:

PVT-375BT(6C1)

PVT-375Sc(6CS1)

PVT-674BT(9C3)

Micro Convex Probe:

PVT-382BT(6MC1)

PVT-712BT(11MC4)

Endo Cavity Probe:

PVT-661VT(9C3)

PVT-674BT(10C3)

PVT-781VT(11C3)

PVT-781VTE(11C3)

3/4D Convex Probe:

PVT-375MV(6CV1)

PVT-382MV(6MCV1)

PVT-675MV(8CV2)

PVT-675MVL(9CV2)

PVT-681MV(9CV3)

PVT-681MVL(11CV3)

PLT1204MV(12LV7)

Intra Operative Probe:

PVT-350BTP(6CP1)

PVT-745BTF(11CI4)

PVT-745BTH(11CI4)

PVT-745BTV(11CI4)

PLT-705BTF(11LI4)

PLT-705BTH(11LI4)

Hockey Stick Probe:

PLT1202S(14L7)

BI Plane Probe:

PVL-715RST(11CL4)

Linear Array Probe:

PlT-308P(6LP3)

PLT-604AT(10L4)

PLT-704AT(11L5)

PLT-704SBT(11L4)

PLT-705BT(11L3)

PLT-805AT(12L5)

PLT-1005BT(14L5)

PLT-1204BT(18L7)

PLT-1204BX(18LX7)

Sector Probe:

PST-25BT(5S1)

PST-30BT(5S2)

PST-50BT(6S3)

PST-60ATT(9S4)

TEE

PET-508MA(7S3)

PET510MA(7S3)

PET-510MB(7S3)

PET-511BTM(8SM2)

PET-512MA(8S2)

PET-512MC(8SM2)

PET-512MD(8SM2)

Laparoscopic Probe:

PET-805LA(12LI4)

Pencil Probe:

PC-20M(P2)

PC-50M(P5)

Features

Toshiba Aplio 400 Platinum Features:

  • 19-inch wide LCD monitor
  • DVD/CD drive
  • Precision Imaging
  • Tissue Enhancement
  • D-THI
  • ApliPure+(Spatial Compounding)
  • Trapezoid Scan
  • Quick Scan
  • TDI
  • QSP
  • HPRF
  • Advanced Dynamic FlowTM (ADF)
  • DICOM Media Storage

Options

Toshiba Aplio 400 Platinum Options:

  • CW Unit
  • 4D Unit
  • ECG, PCG, and Pulse sensor
  • Mounting kit for peripheral unit
  • Gel Warmer
  • Footswitch Kit
  • M-TEE Hanger Kit
  • Battery Kit
  • LCD Monitor Unit
  • Transducer Cable Hanger Kit
  • CV kit
  • Wireless LAN Kit
  • DICOM Kit
  • Stress Echo Kit
  • 2D Wall Motion Tracking Kit
  • CHI Kit
  • CHI-Q Kit
  • Fitting Curve Kit
  • ApliPure Plus PSP Kit
  • ApliPureTM Plus Kit
  • PSP Kit
  • Tissue specific Optimization Kit
  • 4D STIC Imaging Kit
  • Luminace Kit
  • Smart 3D Kit
  • Superb Micro Vascular Imaging Kit
  • MicroPureTM Kit
  • Ealstography-FLR Kit
  • Elastogrpahy Kit
  • FLR Kit
  • Shear wave Kit
  • Panoramic View Kit
  • Vascular Index Kit
  • FLEX-M Kit
  • Auto NT Kit
  • Security Management Kit
  • Local Language Key-Top Kit
  • Applications

    Toshiba Aolio 400 Platinum Applications:

    • Abdomen
    • Women’s Helacre Care(GYN & Breast)
    • Obstetrics
    • Fetal Echo
    • Vascular
    • Transcranial
    • Small Parts(Breast, Thyroid, Testis…)
    • MSK/Anesthesiology
    • Pediatrics
    • Urology (Renal, Prostate…)
    • Adult Echocardiography
    • Pediatric Echocardiography
    • Neonate Echocardiography
    • Stress Echocardiography
    • Adult Transesophageal Echocardiography
    • Pediatric Transesophageal Echocardiography
    • Internal Medicine w/ Shared Service
    • Surgery
    • Interventional Radiology
    • Contrast Imaging_General Imaging
    • Contrast Imaging_Cardiac
    • Bowel Imaging
    • Strain Elastography
    • Shear wave Elastography

    FAQs

    Toshiba Aplio 400 Platinum FAQs:

    • ApliPure reduces ultrasound wave interface within tissues, which appear as speckle patterns or speckle noise on 2D images.

    • ApliPure+ can display the boundaries between tissues more clearly and reduce speckle noise and acoustic shadows.

    • Precision Imaging allows structures in 2D-mode to be displayed more clearly and the background to be displayed more smoothly.

    • Tissue Specific Optimization (TSO) automatically compensates the reception focus.

    • Biopsy Enhancement Auto Mode (BEAM) is a function to provide a clearer visualization of biopsy needles in the live ultrasound image. The function provides three enhancement levels and automatically selects the best scan angle.

    • 2D Quick Scan enables to automatically optimize the gain and time gain control in 2D mode.

    • 2D Wall Motion Tracking semi-automatically extracts wall motion data from the 2D speckle data of the left ventricular myocardial images to be analyzed, and displays the status of myocardial motion.

    • Contrast Harmonic Imaging (CHI) is the function that enhances the visualization of vascular mapping with the second-harmonic wave signals from the microbubbles in the contrast medium.

    • Parametric MFI allows temporal information to be displayed as a color map superimposed on the CHI-mode image (Contrast image for the period from the start of contrast medium reaches the target region).

    • Stress Echo allows the user to perform exercise and pharmacological stress echo exams.

    • Luminance is a surface rendering technique that provides a softer, more natural visualization of the human skin resulting in images of photographic impression on quality. The function’s freely movable light source gives the user strong visual feedback on depth and detail. Changing the position of the light can help the user better identify pathological changes and skin defects.

    • Fly Thru is the function that enables the user to visualize cavities, ducts and vessels from the inside and in 3D. Comparable to virtual endoscopy, Fly Thru adds cross-sectional ultrasound information to the plain surface data, making it a tool for exploring lesions and ingrowing masses, as well as to assist in planning and follow-up of interventions such as placing stents or grafts.

    • Protocol Assistant is a special function that allows for protocols to be created and executed automatically. These protocols can be edited and saves the user time.

    • Smart Fusion is the function that allows synchronization of ultrasound scanning with CT/MRI image display. The image is adjusted according to the examination position determined using a magnetic sensor attached to the transducers.

    • Smart Navigation is the function that allows a needle navigation line to be superimposed on the ultrasound image based on the positional relationship between the magnetic sensor attached to the transducer and the magnetic sensor attached to the puncture needle.

    • Superb Micro Vascular Imaging (SMI) is the function that, with increased Doppler sensitivity, expands the range of visible blood flow and provides visualization of low velocity microvascular flow. SMI’s level of vascular visualization, combined with high frame rates, advances diagnostic confidence when evaluating lesions, cysts and tumors, improving patient outcomes and experience.

    • MircroPureTM enables to better visualize small structures in 2D mode. This function shows good image quality for visualizing structures like small calcifications in breast.

    • Elastography is the function that enables tissue stiffness to be visualized based on the changes in velocity resulting from physical compression and decompression of the target region.

    • Shear wave is the function that allows images representing the speed of propagation of tissue replacement (Shear wave speed) to be visualized (Shear wave scan) by locally displacing tissues by transmitting a burst wave with high acoustic pressure.

    • Smart Maps is the function that visualizes and quantifies shear wave propagation in a user-defined region of interest in real time. The user can select both dynamic propagation speed and elasticity displays for visual assessment and quantification.

    • Panoramic View allows B/W images to be obtained with a wider field of view by moving the transducer in the lateral direction. Measurement using Panoramic View can be performed.

    • FLEX-M is the function that allows any desired plane to be set on both the 2D-mode image and the M-mode image. The set plane can also be reconstructed.

    • Auto NT is the function that semi-automatically measures the thickness of nuchal translucency between 12 to 14 weeks in the sagittal section.

    Features

    Tissue Harmonic Imaging: Yes

    Spatial Compounding(=CrossXbeam): Yes(AprliPure+)

    Speckle Reduction (=SRI): Yes(Precision Imaging)

    Auto Image Opt(B mode) :Yes(Quick Scan)

    Auto Image Opt(Doppler): Yes(Doppler scale/Base line)

    Write Zoom : Yes

    Triplex Mode: Yes

    Needle Enhancement or Needle Recognition: Yes(BEAM)

    Auto NT Measurement (=Sono NT) : Yes

    Auto Follicle 2D Measurement :No

    Auto Follicle 3D Measurement :No

    Auto IMT : Yes

    Auto IMT (Real Time): No

    Automated B/M/D Measurement: No

    Automated LH Measurement(Automated Function Imaging(AFI), Cardiac Motion Quantification(CMQ), or Auto EF(Ejection Fraction): Yes

    Live Dual (B/BC) Mode: Yes

    SmartExam or Scan Assistant : Yes(Protocol Assistant)

    Fusion : Upgradeable

    Raw Data File: Yes

    Flexible Report: Yes

    Barcode Reader: Yes

    Gel Warmer: Yes

    Transducers

    Convex (1~6Mhz) Yes(6C1)

    Convex (2~9Mhz) : Yes(10C3)

    Single Crystal Convex (1~6Mhz): Yes(6Cs1)

    Single Crystal Convex (2~9Mhz): No

    2D Arrary 3D Convex (1~6Mhz): No

    Micro Convex (5~8Mhz): Yes(6MC1/11MC4)

    Single Crystal Endocavity_Straight Type (3~10Mhz): No

    Endocavity_Curved Type (5~8Mhz): Yes(9C3/11C3)

    3D Convex (2~6Mhz) : Yes(6CV1/8CV2)

    3D Convex Light Weight (2~7Mhz): Yes(9CV2)

    3D Endocavity (3~10Mhz): Yes(9CV3/11CV3)

    3D Micro Convex (3~9Mhz): Yes(6MCV1)

    3D Linear (4~18Mhz): Yes(14LV7)

    Linear (>14Mhz): Yes(18L7)

    Linear (3~12Mhz): Yes(11L4/11L3)

    Linear (<9Mhz): Yes(10L4)

    Single Crystal Linear (>14Mhz): Yes(18LX7, Matrix)

    Single Crystal Linear (3~12Mhz): Yes(11L4)

    Single Crystal Linear (<9Mhz): NO

    Linear 50mm : Yes(12L5/14L5)

    Linear 25mm : No

    Hockey stick (<13Mhz): Yes(14L7)

    Hockey stick (>13Mhz): No

    T or L shape Intra Operative: Yes(6CP1/11CI4/11LI4)

    Phased Array_Adult (1~5Mhz) : Yes(5S1/5S2)

    Single Crystal Phased Array_Adult (1~5Mhz) : No

    2D Arrary 3D Phased Array (1~5Mhz) : No

    Phased Array_Pediatric (3~8hz) : Yes(6S3)

    Single Crystal Phased Array_Pediatric (3~8hz): No

    Phased Array_Neonate (4~12Mhz) : Yes(9S4)

    ICE (Intracardiac Echo Cardiography): No

    TEE_Adult (3-7Mhz): Yes(7S3)

    TEE_Pediatric (3~7Mhz): Yes(8S2/8SM2)

    2D Array 3D TEE (2~7Mhz): No

    Pencil CW (2Mhz): Yes(P2)

    Pencil CW (5 or 6Mhz): Yes(P5)

    Imaging Modes

    2D, M mode: Yes

    M-color Flow Mode: Yes

    Anatomical M-mode: Yes

    Trapezoidal Mode : Yes

    Color, Power Angio, Pulse Wave Doppler: Yes

    Bi-directional Power (=HD FLOW): Yes

    SCW Doppler: Yes

    Tissue Doppler(Velocity) Imaging: Yes

    Freehand 3D: Yes

    Live 3/4D OB/GYN: Yes

    HD Live: Yes(Luminace)

    STIC (Spatio-Temporal Image Correlation): Yes

    Live 3D Echo: No

    Stress Echo: Yes

    Strain and Strain Rate (Cardiac): Yes

    B Flow: No

    Panoramic Imaging (=Logiq view): Yes

    Contrast Imaging – Cardiac: Yes

    Contrast Imaging – General Imaging: Yes

    Strain-based Elastography : Yes

    Shear Wave Elastography: Yes

    Applications

    Abdominal: Yes

    Women’s Health Care (GYN & Breast): Yes

    OB : Yes

    Fetal Echo: Yes

    Vascular: Yes

    TCD(Transcranial): Yes

    Small Parts (Breast, Thyroid, Testis…): Yes

    MSK/Anesthesiology :Yes

    Pediatrics: Yes

    Urology (Renal, Prostate…) : Yes

    Echocardiography_Adult: Yes

    Interventional Cardiology: No

    Echocardiography_Pediatric: Yes

    Echocardiography_Neonate: No

    Stress Echocardiography: Yes

    Transesophageal Echo_Adult: Yes

    Transesophageal Echo_Pediatric : No

    Internal Medicine w/ Shared Service: Yes

    Surgury: No

    Interventional Radiology: yes

    Contrast Imaging _ General Imaging (Low MI) : Yes

    Contrast Imaging _ Cardiac (High or Low MI): No

    Bowel Imaging: Yes

    Strain Elastography: Yes

    Shear Wave Elastography: Yes

    Brands

    Toshiba

    Condition

    Refurbished

    Type

    Fixed

    System Overview

    Year Launched: 2014

    Estimated Market Price ($): High

    Monitor (inch): 19″ LCD

    Tilt/Rotate Adjustable Monitor: Yes

    Monitor Resolution: 1280×1025

    Image Size Resolution :

    Touch Screen (Inch): 10.4″

    Trackball or Trackpad: Trackball

    CP Back-Lighting: Yes

    Weight: 130Kg (286.6lb)

    Probe Ports: 4+1 (Pencil)

    Battery :

    Boot-Up Time: No

    Sleep Mode (Quick Start): Yes

    Maximum Depth of Field: 40cm

    Minimum Depth of Field: 1cm

    Cart (HCU): No

    Independent Steer & Lockable Wheels: Yes

    Connectivity



    DICOM 3.0: Yes

    DICOM SR_Cardiac: Yes

    DICOM SR_Vascular: Yes

    DICOM SR_OB/GYN : Yes

    JPEG, WMV, & AVI: Yes

    USB :Yes(5)

    HDD/SDD : Yes

    DVD/CD RW: Yes

    Wireless LAN: Yes

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